CClinicalTrials.gg
CompletedNCT05525689Updated Sep 12, 2025Results posted

Evaluating Technology Enabled Services in Perinatal Depression

An interventional study of IntelliCare and COMPASS-Care in Depression, sponsored by Northwestern University. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-12.

Sponsored by Northwestern University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

Investigators are evaluating a Technology Enabled Service (TES) to support the treatment of depression in the context of a collaborative care service in obstetrics clinics.

Read the detailed description

Investigators are evaluating a Technology Enabled Service (TES) to support the treatment of depression in the context of a collaborative care service in obstetrics clinics. The TES consists of digital technologies that connect patients to care managers remotely, providing tools for monitoring patient symptoms, communication, and delivery of a digital intervention. The intervention consists of a patient-facing app for assessment and self-management of depression.

02

Conditions studied

  • Depression

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Keywords

  • Perinatal
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 75 is below the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • English speaking
  • 18 years or older
  • Referred to Northwestern Medicine COMPASS program for mental health care
  • Currently pregnant or within 3 months of delivery
  • Moderate to severe perinatal depression (defined as a PHQ-9 screen greater than or equal to 10)
  • Owns a smartphone, has used smartphone in last 7 days

Exclusion criteria

Exclusion Criteria:

  • Experienced a pregnancy loss (miscarriage, termination, or stillbirth of the index pregnancy)
  • Severe suicidality (as defined by the presence of a plan and intent to act on that plan)
  • Not meeting the inclusion criteria described above
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Technology Enabled Service

    Access to the Intellicare suite of digital mental health self-management tools and coaching

    Behavioral: IntelliCare

  • Active comparator
    eTreatment as Usual

    Current care plus access to a website that will provide content specific to perinatal depression

    Other: COMPASS-Care

Interventions

  • BehavioralIntelliCare

    Application with patient-facing tools for depression symptom monitoring, self-management, and care manager communication as well as care manager dashboards for workflow optimization

  • OtherCOMPASS-Care

    Website with content specific to perinatal depression and standard EHR-based tools for patient communication

06

What researchers measure

Primary outcomes

  1. Depression

    Assessed by Patient Health Questionnaire-9 Scores range from 0-27. Total scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively.

    Time frame: At 12 weeks

Secondary outcomes

  1. Anxiety

    Assessed by General Anxiety Disorder - 7 Scores range from 0-21. The following cut-offs correlate with level of anxiety severity: Score 0-4: Minimal Anxiety Score 5-9: Mild Anxiety Score 10-14: Moderate Anxiety Score greater than 15: Severe Anxiety

    Time frame: At 12 weeks

  2. Satisfaction Index - Mental Health

    The Satisfaction Index - Mental Health measures satisfaction with mental health treatment. The measure includes 12 items, each rated on a 1-6 point likert scale (range of 6-72 points for total score) where higher scores reflect higher satisfaction. Scores were analyzed as discrete outcomes at 6 and 12 weeks. Separate analyses were conducted for each time point using the Welch two-sample t-test to compare scores across intervention groups.

    Time frame: Week 6, Week 12

Other outcomes

  1. TWente Engagement With Ehealth Technologies Scale (TWEETS)

    The TWEETs measures engagement, usability, usefulness, and satisfaction with the digital mental health tool. It includes 9 items rated on 1-5 point likert scales, and produces a total score ranging from 9 to 45. Higher scores indicate better usability. TWEETS scores were analyzed as discrete outcomes at 6 and 12 weeks. Separate analyses were conducted for each time point using the Welch two-sample t-test to compare scores across intervention groups.

    Time frame: Week 6, Week 12

  2. Execution of Stepped Care

    Proportion of eligible women engaged in stepped care treatment (# of women who got stepped care / # of women in whom it was indicated (i.e., PHQ9 \>=10))

    Time frame: Up to 12 weeks

07

Results

Posted Sep 12, 2025

Participant flow

Participant flow — Overall Study
MilestoneTechnology Enabled ServiceeTreatment as Usual
Started3837
Completed3737
Not completed10
Withdrew: Lost to follow-up10

Outcome measures

PrimaryDepression

Assessed by Patient Health Questionnaire-9 Scores range from 0-27. Total scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively.

Time frame:
At 12 weeks
Reported as:
Least squares mean · score on a scale
Depression
score on a scaleTechnology Enabled ServiceeTreatment as Usual
Depression6.42 (4.80 to 8.03)6.55 (4.90 to 8.20)
SecondaryAnxiety

Assessed by General Anxiety Disorder - 7 Scores range from 0-21. The following cut-offs correlate with level of anxiety severity: Score 0-4: Minimal Anxiety Score 5-9: Mild Anxiety Score 10-14: Moderate Anxiety Score greater than 15: Severe Anxiety

Time frame:
At 12 weeks
Reported as:
Least squares mean · score on a scale
Anxiety
score on a scaleTechnology Enabled ServiceeTreatment as Usual
Anxiety6.57 (5.02 to 8.12)7.38 (5.79 to 8.97)
SecondarySatisfaction Index - Mental Health

The Satisfaction Index - Mental Health measures satisfaction with mental health treatment. The measure includes 12 items, each rated on a 1-6 point likert scale (range of 6-72 points for total score) where higher scores reflect higher satisfaction. Scores were analyzed as discrete outcomes at 6 and 12 weeks. Separate analyses were conducted for each time point using the Welch two-sample t-test to compare scores across intervention groups.

Time frame:
Week 6, Week 12
Reported as:
Median · score on a scale
Satisfaction Index - Mental Health
score on a scaleTechnology Enabled ServiceeTreatment as Usual
Week 658 (47 to 68)62 (50 to 67)
Week 1262 (47 to 68)60 (52 to 66)
Other pre-specifiedTWente Engagement With Ehealth Technologies Scale (TWEETS)

The TWEETs measures engagement, usability, usefulness, and satisfaction with the digital mental health tool. It includes 9 items rated on 1-5 point likert scales, and produces a total score ranging from 9 to 45. Higher scores indicate better usability. TWEETS scores were analyzed as discrete outcomes at 6 and 12 weeks. Separate analyses were conducted for each time point using the Welch two-sample t-test to compare scores across intervention groups.

Time frame:
Week 6, Week 12
Reported as:
Median · score on a scale
TWente Engagement With Ehealth Technologies Scale (TWEETS)
score on a scaleTechnology Enabled ServiceeTreatment as Usual
Week 638 (30 to 43)26 (22 to 32)
Week 1235 (28 to 42)27 (24 to 36)
Other pre-specifiedExecution of Stepped Care

Proportion of eligible women engaged in stepped care treatment (# of women who got stepped care / # of women in whom it was indicated (i.e., PHQ9 \>=10))

Time frame:
Up to 12 weeks
Reported as:
Count of participants · Participants
Execution of Stepped Care
ParticipantsTechnology Enabled ServiceeTreatment as Usual
Execution of Stepped Care42

Adverse events

Collected over Adverse event data were monitored throughout participant involvement in the clinical trial, up to 12 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Technology Enabled Service0/38 (0%)0/38 (0%)0/38 (0%)
eTreatment as Usual0/37 (0%)0/37 (0%)0/37 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Technology Enabled ServiceeTreatment as UsualTotal
Mean32.0 (28.8 to 35.5)33.2 (29.6 to 36.7)32.0 (28.8 to 35.5)
Sex: Female, Male
Sex: Female, Male(Participants)Technology Enabled ServiceeTreatment as UsualTotal
Female383775
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Technology Enabled ServiceeTreatment as UsualTotal
Hispanic or Latino91120
Not Hispanic or Latino282654
Unknown or Not Reported101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Technology Enabled ServiceeTreatment as UsualTotal
American Indian or Alaska Native000
Asian336
Native Hawaiian or Other Pacific Islander000
Black or African American17522
White132033
More than one race336
Unknown or Not Reported268
Region of Enrollment
Region of Enrollment(participants)Technology Enabled ServiceeTreatment as UsualTotal
United States383775
General Health
General Health(Participants)Technology Enabled ServiceeTreatment as UsualTotal
Poor011
Fair8614
Good161531
Very Good131427
Excellent112
Engaged in Psychotherapy
Engaged in Psychotherapy(Participants)Technology Enabled ServiceeTreatment as UsualTotal
Yes233154
No15621
Using Psychiatric Medications
Using Psychiatric Medications(Participants)Technology Enabled ServiceeTreatment as UsualTotal
Yes131831
No251944

5 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Prentice Women's Hospital
    Chicago, Illinois 60611, United States
09

References and documents

Study documents

  • Study protocol · Nov 2, 2023
  • Statistical analysis plan · Apr 15, 2024
  • Informed consent form · Apr 7, 2023

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 12, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05525689
Lead sponsor
Northwestern University
Collaborators
Brown University, National Institute of Mental Health (NIMH)
Responsible party
David Mohr (Principal Investigator, Northwestern University) — Principal investigator
First posted
Sep 1, 2022
Start date
Jun 16, 2022
Primary completion
Apr 15, 2024
Completion
Apr 15, 2024
Results posted
Sep 12, 2025
Last update
Sep 12, 2025

Study contacts

David Mohr
principal investigator · Northwestern University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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