ClinicalTrials.gg
Not yet recruitingNCT07784244BLUESMAPPEDUpdated Aug 25, 2026

Early Detection of Perinatal Depression With Wearable Technology

An interventional study of Oura Ring (Photoplethysmography-based wearable ring) and EmbracePlus Watch (Electrodermal activity wristband sensor) in Perinatal Depression, sponsored by Women's College Hospital. Not yet recruiting at 1 site in Canada. Open to female participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by Women's College Hospital · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
16 Years and older
Sex
Female
01

Study summary

The goal of this feasibility study is to learn whether wearable devices and self-report surveys can help researchers better understand changes in mood during pregnancy and after birth in young pregnant individuals with a history of major depressive disorder. The study will also examine whether this type of monitoring is practical and acceptable for participants and clinicians. The main questions it aims to answer are:

  • Can researchers successfully collect wearable and survey data throughout late pregnancy and the first 3 months after birth?
  • Do participants and clinicians find wearable-based monitoring easy to use and helpful?
  • Are changes in sleep, heart rate, activity, and other wearable data linked to mood changes during the perinatal period?

Researchers will compare 2 wearable devices, the Oura Ring and EmbracePlus, to see which device provides more complete and usable data.

Participants will:

  • Wear either the Oura Ring or EmbracePlus device every day from the third trimester of pregnancy until 3 months after birth
  • Complete short daily and biweekly questionnaires about mood and wellbeing
  • Allow the wearable device to collect information such as sleep, heart rate, heart rate variability, and physical activity

The study will include 10 participants. Researchers will measure feasibility by looking at how many participants join the study and how much study data is completed. The study team hopes at least 70% of scheduled study activities data will be collected.

Researchers will also interview 5 participants and 4 reproductive psychiatry clinicians about their experiences using wearable monitoring. These interviews will explore ease of use, usefulness in clinical care, and how wearable data may fit into electronic medical records.

This study may help researchers develop future tools that can predict the risk of perinatal depression earlier and support more personalized care during pregnancy and after birth.

02

Conditions studied

  • Perinatal Depression

Keywords

  • Pregnancy
  • Ecological Momentary Assessment
  • Monitoring, Ambulatory
  • Depression, Postpartum
  • Wearable Electronic Devices
  • Heart Rate
  • Risk Assessment
  • Patient Acceptance of Health Care
  • Passive Sensing
  • Early Detection
  • Sleep
  • Depressive Disorder, Major
  • Perinatal Depression
03

In context

Depression, Postpartum

569 studies on the registry are indexed under Depression, Postpartum; 134 are open to participants now.

This study's planned enrollment of 10 is below the median of 104 across 454 interventional studies indexed under Depression, Postpartum.

Browse Depression, Postpartum studies →

Lead sponsor

Women's College Hospital is the lead sponsor of 87 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 16 years
  • Pregnant, 13-27 weeks gestation at enrollment
  • Previous diagnosis of major depressive disorder (MDD), confirmed by Mini International Neuropsychiatric Interview (MINI) (not necessarily perinatal onset)
  • Currently in remission (EPDS score \< 9)
  • Access to a smartphone and internet, or willingness to use a study-provided device

Exclusion criteria

Exclusion Criteria:

  • Active alcohol or substance use disorder within the past 12 months
  • Active suicidal ideation
  • History of bipolar disorder or primary psychotic disorder
  • Physical condition preventing use of Oura Ring or EmbracePlus (expected to be rare)
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Oura Ring

    Participants randomized to this arm will wear the Oura Ring continuously from the third trimester of pregnancy through three months postpartum. The device will collect sleep, activity, heart rate, and heart rate variability data passively, alongside daily and biweekly self-report measures.

    Device: Oura Ring (Photoplethysmography-based wearable ring)

  • Active comparator
    EmbracePlus

    Participants randomized to this arm will wear the EmbracePlus smartwatch continuously from the third trimester of pregnancy through three months postpartum. The device will collect sleep, activity, heart rate, heart rate variability, and electrodermal activity data passively, alongside daily and biweekly self-report measures.

    Device: EmbracePlus Watch (Electrodermal activity wristband sensor)

Interventions

  • DeviceOura Ring (Photoplethysmography-based wearable ring)

    A lightweight titanium ring worn continuously on the index finger that passively collects sleep, physical activity, heart rate, and heart rate variability data via infrared optical sensors and a 3D accelerometer. Worn throughout the third trimester of pregnancy and three months postpartum to monitor physiological parameters associated with perinatal depression risk.

  • DeviceEmbracePlus Watch (Electrodermal activity wristband sensor)

    A medical-grade waterproof smartwatch worn continuously on the wrist that passively collects sleep, physical activity, heart rate, heart rate variability, and electrodermal activity data via photoplethysmography and ventral electrodermal sensors. Worn throughout the third trimester of pregnancy and three months postpartum to monitor physiological parameters associated with perinatal depression risk.

06

What researchers measure

Primary outcomes

  1. Wearable device adherence completion rate

    Feasibility of continuous wearable device data collection will be assessed by the proportion of scheduled data points completed during continuous daily wear. Wearable use profiles will be categorized as low, moderate, or high based on continuous daily wear without interruptions of more than 3 hours. Feasibility will be established if ≥ 70% of scheduled data points are completed across the study period.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  2. Daily Visual Analogue Scale mood entry completion rate

    Feasibility of daily mood self-reporting will be assessed by the proportion of scheduled Visual Analogue Scale mood entries completed by participants. The Visual Analogue Scale is a 100-point scale (range: 0-100), where higher scores indicate better mood. Feasibility will be established if ≥ 70% of scheduled entries are completed across the study period.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  3. Edinburgh Postnatal Depression Scale completion rate

    Feasibility of biweekly depression screening will be assessed by the proportion of scheduled Edinburgh Postnatal Depression Scale surveys completed. The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item questionnaire (range: 0-30), where higher scores indicate greater severity of depressive symptoms. Feasibility will be established if ≥ 70% of scheduled surveys are completed across the study period.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  4. Generalized Anxiety Disorder-7 completion rate

    Feasibility of biweekly anxiety screening will be assessed by the proportion of scheduled Generalized Anxiety Disorder-7 surveys completed. The Generalized Anxiety Disorder-7 is a 7-item questionnaire (range: 0-21), where higher scores indicate greater severity of anxiety symptoms. Feasibility will be established if ≥ 70% of scheduled surveys are completed across the study period.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

Secondary outcomes

  1. Wearable device acceptability among participants (quantitative)

    Acceptability of the wearable device will be assessed through a questionnaire administered to participants at study completion. Questions will evaluate comfort, ease of use, perceived burden, satisfaction with the device, and willingness to continue use in a larger study. All questions will be rated from 0-5 (0 being strongly disagree, 3 being neutral, 5 being strongly agree)

    Time frame: At 3 months postpartum (end of study)

  2. Wearable device acceptability among participants (qualitative)

    Acceptability the wearable device will be assessed through semi-structured interviews administered to participants at study completion. Questions will evaluate comfort, ease of use, perceived burden, satisfaction with the device, and willingness to continue use in a larger study using thematic analysis.

    Time frame: At 3 months postpartum (end of study)

  3. Wearable device usability among participants

    Usability of the wearable device will be assessed through the System Usability Scale (SUS) administered to participants at study completion. Questions will evaluate comfort and ease of use the device on a 5 point scale (0- strongly disagree, 3- neutral, 5-strongly agree).

    Time frame: At 3 months postpartum (end of study)

  4. Wearable device acceptability and integration from the clinician perspective

    Clinician acceptability will be assessed through questionnaires and interviews conducted during the study period, evaluating views on wearable technology, potential integration of device-derived data into electronic medical records, and feasibility of incorporating wearable monitoring into routine perinatal care workflows. (Usability of the device will be rated on a likert scale: Strongly disagree (1) to Strongly agree (5))

    Time frame: Throughout the study period, up to 3 months postpartum

  5. Participant recruitment

    Recruitment feasibility will be defined as successful enrollment of 10 eligible pregnant participants.

    Time frame: up to 56 weeks from the recruitment start date

  6. Participant retention

    Retention will be considered successful if ≥ 80% of enrolled participants complete follow-up through 3 months postpartum. Reasons for dropout or discontinuation will be recorded.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

Other outcomes

  1. Correlation between sleep duration and depression symptom severity

    Correlation between sleep duration (hours/night, recorded by wearable device) and depression symptom severity (total score on the Edinburgh Postnatal Depression Scale, 0-30).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  2. Correlation between physical activity and depression symptom severity

    Correlation between physical activity (steps/day, recorded by wearable device) and depression symptom severity (total score on the Edinburgh Postnatal Depression Scale, 0-30).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  3. Correlation between heart rate and depression symptom severity

    Correlation between resting heart rate (beats per minute, recorded by wearable device) and depression symptom severity (total score on the Edinburgh Postnatal Depression Scale, 0-30).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  4. Correlation between heart rate variability and depression symptom severity

    Correlation between heart rate variability (RMSSD, ms, recorded by wearable device) and depression symptom severity (total score on the Edinburgh Postnatal Depression Scale, 0-30).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  5. Correlation between physical activity and daily mood

    Correlation between physical activity (steps/day, recorded by wearable device) and daily mood (score on a visual analogue scale, 0-100).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  6. Correlation between heart rate and daily mood

    Correlation between resting heart rate (beats per minute, recorded by wearable device) and daily mood (score on a visual analogue scale, 0-100).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  7. Correlation between heart rate variability and daily mood

    Correlation between heart rate variability (RMSSD, ms, recorded by wearable device) and daily mood (score on a visual analogue scale, 0-100).

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  8. Comparison of data completeness between wearable devices

    Comparison of data completeness (% of expected data points successfully recorded) between the two wearable devices across the study period.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

  9. Comparison of data quality between wearable devices

    Comparison of data quality (% of recorded data points meeting acceptable signal quality thresholds) between the two wearable devices across the study period.

    Time frame: From enrollment (13-27 weeks gestation) through 3 months postpartum

07

Study locations

1 site
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — This is a small feasibility study enrolling 10 participants. Given the limited sample size, the sensitive nature of personal biometrics and questionnaire data, and the requirement to store data on hospital-based servers in accordance with national personal health information legislation, individual participant data will not be shared in order to protect participant confidentiality and privacy.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Nov 2027, 14 months later.

Of 256 non-industry interventional studies with no phase under Depression, Postpartum, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 36. This study's planned 14 months is below that.

Counting every sponsor, half of 262 studies reached it within 23 months; a quarter within 11 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 1, 2026
First posted
Aug 25, 2026
StartEst.
Sep 2026
Primary completionEst.
Nov 2027
CompletionEst.
Nov 2027
Last update
Aug 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07784244
Lead sponsor
Women's College Hospital
Collaborators
Canada Foundation for Innovation, University of Toronto
Responsible party
Sponsor
First posted
Aug 25, 2026
Start date
Sep 2026 (estimated)
Primary completion
Nov 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Aug 25, 2026

Study contacts

Blanca Bolea-Alamanac, MD PhD
Contact
blanca.boleaalamanac@wchospital.ca
416-323-6400 ext. 4221

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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