FamilyMTBNCT03495895
The Effectiveness of MInding the Baby in a Danish Community Sample
A study testing Minding the Baby in people with Family and Pregnancy, High Risk, run by VIVE - The Danish Center for Social Science Research at 1 site in Denmark.
Trial summary
Minding the Baby is an intensive and preventive home-visiting programme that helps vulnerable or high risk mothers. MTB is delivered by an interdisciplinary team. Ten Danish sites will be randomized to training at time 1 or 2 and recruit usual care control families before they receive the training. Read more about this study
- Who is it for?
- Ages 15 years and older, women only
- Conditions the study is for
- Family, Pregnancy, High Risk
- What is being tested?
- Minding the Baby
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 256 participants
- Where
- 1 siteDenmark
- Study dates
- 10 Jun 2018to 1 Aug 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 years and older
- Women only
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Pregnant vulnerable women
Who cannot join
- Current severe substance abuse
- Severe psychotic illness
- Profound or severe learning disabilities
- Life-threatening illness in parent or child
- Non-Danish speaking
Trial locations and contacts
1 site in 1 country.
Denmark1 site
VIVE - The Danish Centre of Applied Social Science
Copenhagen, 1052
About this study
Minding the Baby is an intensive and preventive home-visiting programme that helps vulnerable or high risk mothers. MTB is delivered by an interdisciplinary team. Ten Danish sites will be randomized to training at time 1 or 2 and recruit usual care control families before they receive the training. Families are assessed before they give birth and when their child is three months, one and two years old with a range of assessments including maternal sensitivity, parent mental Health, child development, and health related register data. The aim of the trial is to assess the effectiveness of Minding the Baby to improve mother-child relations and the mental health of parents and children.
Read the detailed description
Minding the Baby is an intensive and preventive home-visiting programme that helps vulnerable or high risk mothers. The focus of the intervention is to reduce negative infant and maternal outcomes and strengthen the attachment relationship. MTB is delivered by an interdisciplinary team of highly skilled practitioners, who have health and social work experience, integrating advanced practice nursing and mental health care for mothers and infants. In the proposed Randomised Control Trial (RCT) the investigators will study the efficacy of this innovative intervention across ten Danish sites. Site staff will be trained at two sessions one year apart. Sites are randomized to training at time 1 or 2. All sites will recruit treatment as usual control families before they receive the training and start offering the intervention to all families. Potential participants will be approached by a local front staff member (e.g. midwife, helath visitor or social worker) who will inform mothers of the project in the early pregnancy. Consenting eligible participants will be assessed before they give birth and when their child is three months, one and two years old.
The effectiveness of the MTB programme will be evaluated by assessing a range of maternal and infant outcomes, including maternal sensitivity, parent mental Health, child development, and register data on e.g. infant maltreatment and neglect, hospitalization, income, immunization. By combining parent report, observational and register data researchers will get a unique opportunity to advance knowledge regarding effective ways to support some of the youngest and most vulnerable children in Denmark.
- Conditions
- Family, Pregnancy, High Risk
- Being tested
- Minding the Baby, Usual Care
- Keywords
- Disadvantaged families, Pregnancy, Intervention, Minding the Baby
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Minding the BabyBehavioural
Visits are carried out on an alternating basis by a team made up of a nurse practitioner (NP) and social worker.
Usual CareBehavioural
Usual care condition
| Study group | Role | What they receive |
|---|---|---|
| Minding the Baby | Experimental | Families are visited weekly beginning in the mother's third trimester of pregnancy up through the child's first birthday, at which point visits take place biweekly up through the child's second birthday. Receives: Behavioral: Minding the Baby |
| Control | Other | Usual care control condition. Families in the control Group receive the usual care that is offered to families in the target group Receives: Behavioral: Usual Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maternal sensitivity measured by the CIB (Coding Interactive Behavior)
Maternal sensitivity
Measured: at child age 24 months
Secondary outcomes (17)
Maternal sensitivity measured by the CIB (Coding Interactive Behavior)
Maternal sensitivity
Measured: Child age 12 months
Coding interactive bahavior (CIB)
Parent child relationship Subscales: Intrusiveness, Limit setting, Involvement, Withdrawal, Reciprocity, Negative states
Measured: child age 12 and 24 months
Ages and Stages Questionnaire-Social Emotional 2 (ASQ:SE-2)
Child social-emotional Development Total score range 0-150 ( 3 months 15 items), 0-260 (12 months 26 items), 0-300 (24 months 30 items). Low score is better.
Measured: 3, 12 and 24 months
Edinburgh Postnatal depression Scale (EPDS)
Depression Total score range 0-30. Low score is better
Measured: 3, 12 , 24 months
Warwick-Edinburgh Mental Well-being Scale
Maternal mental Health 7 items. A total score i calculated by summing the 7 items and converting the raw score according to a published conversion table. Raw score range 7- 35. Converted score range 7-35. High is better outcome.
Measured: Baseline, 3, 12 , 24 months
2-5
The name of the measure is 2-5 and measures child Development. Subscales included: Perception (7 items) low score is better, Language (10 items) low score is better
Measured: 24 months
Prenatal Parental reflective functioning questionnaire (P-PRFQ)
Parental reflective functioning for pregnant women. Total score range 14-98. Higher score is better. Three subscales: Opacity of mental states (4 items), reflecting on the fetus-baby (3 items) and Dynamic of mental states (5 items)
Measured: Baseline
Parental reflective functioning questionnaire (PRFQ-1)
Parental reflective functioning Three subscales score range 6-42: Pre-Mentalizing Modes (PRFQ-PM) 6 items. low score is better. Certainty about Mental States (PRFQ-CMS) 6 items high score is better. Interest and curiosity in mental states PRFQ-IC 6 items high score is better.
Measured: 12 and 24 months
Parental Stress Scale (PSS)
Parental stress Total score range 18-90 low score is better
Measured: 12 ,24 months
Ages and Stages Questionnaire 3 (ASQ:3)
Child development
Measured: 3 months
Acitvities with child
Singing and reading Total score range 0-70. High score is better.
Measured: 12 and 24 months
SEAM Family profile
Family profile
Measured: 12 months
Parent behavior Inventory (PBI)
Parent Behavior. Two subscales Supportive/Engaged and Hostile/Coercive.
Measured: 12 and 24 months
Being a Mother (BAM-13)
Maternal confidence. Total score range 0-39. Low score is better
Measured: 3 months
Hospital Anxiety and Depression Scale (HADS)
Two subscales Anxiety (range 0-21 low score is better) and depression (range 0-21 low score is better)
Measured: Baseline, 3, 12,24 months
PTSD-8
A Short PTSD Inventory. Total score range 8-32, low score is better
Measured: Baseline, 12 and 24 months
Experiences in Close Relationship Scale-Short Form (ECR-S)
Two subscales Anxiety (range 1-42 low score is better) and Avoidance (range 1-42 low score is better)
Measured: Baseline, 12, 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Apr 2018
- Study start10 Jun 2018
- Primary completion1 Aug 2024
- Study completion1 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for FamilyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 256 participants (actual)
Sponsor and investigators
- Lead sponsor
- VIVE - The Danish Center for Social Science Research
- Sponsor type
- University, hospital or other
- Collaborators
- Yale University, Metodecentret - Center for Effective Innovation in Social Services
- Responsible party
- Principal investigator, Maiken Pontoppidan, VIVE - The Danish Center for Social Science Research
- Investigators
- Maiken Pontoppidan, Ph.D., Principal investigator, VIVE
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03495895
- Sponsor's protocol ID
- VIVE
- Acronym
- MTB
- Status last verified
- Nov 2024
- First submitted
- 30 Jan 2018
- Last updated
- 13 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: There will be few participants from each local authority and data can therefore not be made publicly available due to protect participant privacy
Publications
Pontoppidan M, Hirani JC, Friis-Hansen M. Minding the Baby versus usual care: effects on parental sensitivity and parent-child interaction in a cluster quasi-randomized trial. Attach Hum Dev. 2025 Aug;27(4):567-590. doi: 10.1080/14616734.2025.2534608. Epub 2025 Jul 28.
PubMed 40717494Pontoppidan M, Thorsager M, Friis-Hansen M, Slade A, Sadler LS. Minding the Baby versus usual care: study protocol for a quasi-cluster-randomized controlled study in Denmark of an early interdisciplinary home-visiting intervention for families at increased risk for adversity. Trials. 2022 Jun 24;23(1):529. doi: 10.1186/s13063-022-06434-2.
PubMed 35751089
Study at a glance
From the registry record, last updated by the sponsor on 13 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of MInding the Baby in a Danish Community Sample
- ClinicalTrials.gov ID
- NCT03495895
- Acronym / sponsor ID
- MTB / VIVE
- Conditions
- Family, Pregnancy, High Risk
- Keywords
- Disadvantaged families, Pregnancy, Intervention, Minding the Baby
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 256 participants (actual)
- Lead sponsor
- VIVE - The Danish Center for Social Science ResearchUniversity, hospital or other
- Collaborators
- Yale University, Metodecentret - Center for Effective Innovation in Social Services
- Study start
- 10 Jun 2018 (actual)
- Primary completion
- 1 Aug 2024 (actual)
- Study completion
- 1 Aug 2024 (actual)
- First posted
- 12 Apr 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Minding the Baby is an intensive and preventive home-visiting programme that helps vulnerable or high risk mothers. MTB is delivered by an interdisciplinary team. Ten Danish sites will be randomized to training at time 1 or 2 and recruit usual care control families before they receive the training. Families are assessed before they give birth and when their child is three months, one and two years old with a range of assessments including maternal sensitivity, parent mental Health, child development, and health related register data. The aim of the trial is to assess the effectiveness of Minding the Baby to improve mother-child relations and the mental health of parents and children.
Detailed description
Minding the Baby is an intensive and preventive home-visiting programme that helps vulnerable or high risk mothers. The focus of the intervention is to reduce negative infant and maternal outcomes and strengthen the attachment relationship. MTB is delivered by an interdisciplinary team of highly skilled practitioners, who have health and social work experience, integrating advanced practice nursing and mental health care for mothers and infants. In the proposed Randomised Control Trial (RCT) the investigators will study the efficacy of this innovative intervention across ten Danish sites. Site staff will be trained at two sessions one year apart. Sites are randomized to training at time 1 or 2. All sites will recruit treatment as usual control families before they receive the training and start offering the intervention to all families. Potential participants will be approached by a local front staff member (e.g. midwife, helath visitor or social worker) who will inform mothers of the project in the early pregnancy. Consenting eligible participants will be assessed before they give birth and when their child is three months, one and two years old.
The effectiveness of the MTB programme will be evaluated by assessing a range of maternal and infant outcomes, including maternal sensitivity, parent mental Health, child development, and register data on e.g. infant maltreatment and neglect, hospitalization, income, immunization. By combining parent report, observational and register data researchers will get a unique opportunity to advance knowledge regarding effective ways to support some of the youngest and most vulnerable children in Denmark.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Minding the Baby | Experimental | Behavioral: Minding the BabyFamilies are visited weekly beginning in the mother's third trimester of pregnancy up through the child's first birthday, at which point visits take place biweekly up through the child's second birthday. |
| Control | Other | Behavioral: Usual CareUsual care control condition. Families in the control Group receive the usual care that is offered to families in the target group |
Who may qualify
- Ages
- 15 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Pregnant vulnerable women
Key exclusion criteria (5 listed)
- Current severe substance abuse
- Severe psychotic illness
- Profound or severe learning disabilities
- Life-threatening illness in parent or child
- Non-Danish speaking
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Minding the BabyVisits are carried out on an alternating basis by a team made up of a nurse practitioner (NP) and social worker. | Behavioural | Minding the Baby |
| Usual CareUsual care condition | Behavioural | Control |
Primary outcome
Maternal sensitivity measured by the CIB (Coding Interactive Behavior)
Time frame: at child age 24 months
Maternal sensitivity
17 secondary outcomes
Maternal sensitivity measured by the CIB (Coding Interactive Behavior)
Time frame: Child age 12 months
Coding interactive bahavior (CIB)
Time frame: child age 12 and 24 months
Ages and Stages Questionnaire-Social Emotional 2 (ASQ:SE-2)
Time frame: 3, 12 and 24 months
Edinburgh Postnatal depression Scale (EPDS)
Time frame: 3, 12 , 24 months
Warwick-Edinburgh Mental Well-being Scale
Time frame: Baseline, 3, 12 , 24 months
2-5
Time frame: 24 months
Prenatal Parental reflective functioning questionnaire (P-PRFQ)
Time frame: Baseline
Parental reflective functioning questionnaire (PRFQ-1)
Time frame: 12 and 24 months
Parental Stress Scale (PSS)
Time frame: 12 ,24 months
Ages and Stages Questionnaire 3 (ASQ:3)
Time frame: 3 months
Acitvities with child
Time frame: 12 and 24 months
SEAM Family profile
Time frame: 12 months
Parent behavior Inventory (PBI)
Time frame: 12 and 24 months
Being a Mother (BAM-13)
Time frame: 3 months
Hospital Anxiety and Depression Scale (HADS)
Time frame: Baseline, 3, 12,24 months
PTSD-8
Time frame: Baseline, 12 and 24 months
Experiences in Close Relationship Scale-Short Form (ECR-S)
Time frame: Baseline, 12, 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Nov 2024.
- Derived from this study: PubMed 40717494Pontoppidan M, Hirani JC, Friis-Hansen M. Minding the Baby versus usual care: effects on parental sensitivity and parent-child interaction in a cluster quasi-randomized trial. Attach Hum Dev. 2025 Aug;27(4):567-590. doi: 10.1080/14616734.2025.2534608. Epub 2025 Jul 28.
- Derived from this study: PubMed 35751089Pontoppidan M, Thorsager M, Friis-Hansen M, Slade A, Sadler LS. Minding the Baby versus usual care: study protocol for a quasi-cluster-randomized controlled study in Denmark of an early interdisciplinary home-visiting intervention for families at increased risk for adversity. Trials. 2022 Jun 24;23(1):529. doi: 10.1186/s13063-022-06434-2.
- Individual participant dataSharing planned: No. There will be few participants from each local authority and data can therefore not be made publicly available due to protect participant privacy
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Maiken Pontoppidan, Ph.D. principal investigator
VIVE
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Minding the Baby in people with Family and Pregnancy, High Risk, run by VIVE - The Danish Center for Social Science Research at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maternal sensitivity measured by the CIB (Coding Interactive Behavior) (time frame: at child age 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03495895, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Nov 2024.