Trial Outcomes & Findings for The Stony Brook University Calm-Mom Study (NCT NCT04018625)
NCT ID: NCT04018625
Last Updated: 2026-08-20
Results Overview
The Perceived Stress Scale (PSS-10) is the gold standard measure of subjective stress experiences. Total scores range from 0 to 40; higher scores indicate greater stress or a worse outcome.
COMPLETED
NA
63 participants
T1 (treatment session 1/enrollment date, occurred within <2 weeks of baseline T0), T2 mid-treatment (4 weeks post enrollment), T3 post treatment (8 weeks post enrollment), T4 delayed follow up (20 weeks post enrollment).
2026-08-20
Participant Flow
Participants were recruited online through social media forums including Facebook and Instagram as well as from physician referral (from Stony Brook Medicine OBGYN) beginning on January 1st 2021 and enrollment occurred between from April 1st 2021 though September 2023.
Eligibility Criteria: (1) \< 25 weeks pregnant with medically confirmed viability, (2) speak, read and write in English, and (3) endorse elevated levels of PNMS (at least 1 SD higher than the population on NuPDQ). Exclusion Criteria: (1) current enrollment in psychotherapy, (2) current un-managed serious mental illness; (3) history of previous suicide attempt, (4) planning to move from Long Island in the next six months.
Participant milestones
| Measure |
Intervention
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Overall Study
STARTED
|
33
|
30
|
|
Overall Study
COMPLETED
|
19
|
21
|
|
Overall Study
NOT COMPLETED
|
14
|
9
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
The Stony Brook University Calm-Mom Study
Baseline characteristics by cohort
| Measure |
Intervention
n=33 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=30 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
Total
n=63 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
31.55 years
STANDARD_DEVIATION 3.74 • n=5 Participants
|
32.88 years
STANDARD_DEVIATION 4.88 • n=109 Participants
|
32.16 years
STANDARD_DEVIATION 4.32 • n=133 Participants
|
|
Sex: Female, Male
Female
|
33 Participants
n=5 Participants
|
30 Participants
n=109 Participants
|
63 Participants
n=133 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=5 Participants
|
0 Participants
n=109 Participants
|
0 Participants
n=133 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
1 Participants
n=109 Participants
|
1 Participants
n=133 Participants
|
|
Race (NIH/OMB)
Asian
|
4 Participants
n=5 Participants
|
2 Participants
n=109 Participants
|
6 Participants
n=133 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=109 Participants
|
0 Participants
n=133 Participants
|
|
Race (NIH/OMB)
Black or African American
|
4 Participants
n=5 Participants
|
2 Participants
n=109 Participants
|
6 Participants
n=133 Participants
|
|
Race (NIH/OMB)
White
|
23 Participants
n=5 Participants
|
20 Participants
n=109 Participants
|
43 Participants
n=133 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=109 Participants
|
0 Participants
n=133 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=5 Participants
|
5 Participants
n=109 Participants
|
7 Participants
n=133 Participants
|
|
Region of Enrollment
United States
|
33 Participants
n=5 Participants
|
30 Participants
n=109 Participants
|
63 Participants
n=133 Participants
|
|
Perceived Stress Scale (PSS)
|
21.59 units on a scale
STANDARD_DEVIATION 7.52 • n=5 Participants
|
18.31 units on a scale
STANDARD_DEVIATION 6.42 • n=109 Participants
|
20.07 units on a scale
STANDARD_DEVIATION 7.18 • n=133 Participants
|
|
New Prenatal Distress Questionnaire (NuPDQ)
|
18.97 units on a scale
STANDARD_DEVIATION 5.37 • n=5 Participants
|
15.96 units on a scale
STANDARD_DEVIATION 6.08 • n=109 Participants
|
17.57 units on a scale
STANDARD_DEVIATION 5.86 • n=133 Participants
|
PRIMARY outcome
Timeframe: T1 (treatment session 1/enrollment date, occurred within <2 weeks of baseline T0), T2 mid-treatment (4 weeks post enrollment), T3 post treatment (8 weeks post enrollment), T4 delayed follow up (20 weeks post enrollment).Population: Participants with complete data at specified timepoints.
The Perceived Stress Scale (PSS-10) is the gold standard measure of subjective stress experiences. Total scores range from 0 to 40; higher scores indicate greater stress or a worse outcome.
Outcome measures
| Measure |
Intervention
n=22 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=25 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Change in Perceived Stress as Indexed by Perceived Stress Scale (PSS-10) Score
T1 enrollment date
|
19.71 score on a scale
Standard Deviation 7.69
|
15.47 score on a scale
Standard Deviation 6.14
|
|
Change in Perceived Stress as Indexed by Perceived Stress Scale (PSS-10) Score
T2 mid treatment
|
16.00 score on a scale
Standard Deviation 7.13
|
14.52 score on a scale
Standard Deviation 6.78
|
|
Change in Perceived Stress as Indexed by Perceived Stress Scale (PSS-10) Score
T3 post treatment
|
17.09 score on a scale
Standard Deviation 6.77
|
15.71 score on a scale
Standard Deviation 6.68
|
|
Change in Perceived Stress as Indexed by Perceived Stress Scale (PSS-10) Score
T4 delayed follow up
|
19.83 score on a scale
Standard Deviation 7.30
|
15.56 score on a scale
Standard Deviation 6.11
|
PRIMARY outcome
Timeframe: T0 (baseline), T2 mid-treatment (4 weeks post enrollment). Not assessed at T1 (Enrollment, <2 weeks post T0).Population: Participants with complete data at specified timepoints.
The New Prenatal Distress Questionnaire (NuPDQ) is a measure of prenatal maternal psychological distress. Total scores range form 0-35; higher scores indicate greater pregnancy-related distress.
Outcome measures
| Measure |
Intervention
n=22 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=25 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Change in Prenatal Maternal Distress as Indexed by the New Prenatal Distress Questionnaire (NuPDQ) Score
T2 Mid Treatment
|
14.50 score on a scale
Standard Deviation 7.37
|
14.08 score on a scale
Standard Deviation 6.19
|
|
Change in Prenatal Maternal Distress as Indexed by the New Prenatal Distress Questionnaire (NuPDQ) Score
T0 Baseline
|
18.97 score on a scale
Standard Deviation 5.37
|
15.96 score on a scale
Standard Deviation 6.08
|
SECONDARY outcome
Timeframe: Baseline (T0), T2 mid-treatment (4 weeks post enrollment), T3 post treatment (8 weeks post enrollment), T4 delayed follow up (20 weeks post enrollment). Not assessed at T1 (Enrollment, <2 weeks post T0).Population: Participants with complete data at specified timepoints.
The 9-item Patient Health Questionnaire (PhQ-9) is a standardized depression symptom measure. Scores range from 0-27, higher scores indicate greater depression symptoms.
Outcome measures
| Measure |
Intervention
n=22 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=25 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Patient Health Questionnaire. PHQ-9.
T0 Baseline
|
7.73 score on a scale
Standard Deviation 5.88
|
5.75 score on a scale
Standard Deviation 4.89
|
|
Patient Health Questionnaire. PHQ-9.
T2 mid treatment
|
4.91 score on a scale
Standard Deviation 4.08
|
4.64 score on a scale
Standard Deviation 3.47
|
|
Patient Health Questionnaire. PHQ-9.
T3 Post Treatment
|
6.00 score on a scale
Standard Deviation 4.06
|
7.56 score on a scale
Standard Deviation 4.88
|
|
Patient Health Questionnaire. PHQ-9.
T4 follow up
|
6.22 score on a scale
Standard Deviation 3.47
|
4.38 score on a scale
Standard Deviation 3.96
|
SECONDARY outcome
Timeframe: Baseline (T0), T2 mid-treatment (4 weeks post enrollment), T3 post treatment (8 weeks post enrollment), T4 delayed follow up (20 weeks post enrollment). Not assessed at T1 (Enrollment, <2 weeks post T0).Population: Participants with complete data at specified timepoints.
Generalized Anxiety Disorder -7 item is a standardized anxiety symptom measure. Scores range from 0-21, higher scores indicate greater anxiety symptoms.
Outcome measures
| Measure |
Intervention
n=22 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=25 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Generalized Anxiety Disorder -7 Item (GAD-7).
T4 follow up
|
6.38 score on a scale
Standard Deviation 4.98
|
4.28 score on a scale
Standard Deviation 4.55
|
|
Generalized Anxiety Disorder -7 Item (GAD-7).
T2 mid treatment
|
5.95 score on a scale
Standard Deviation 5.43
|
5.52 score on a scale
Standard Deviation 4.07
|
|
Generalized Anxiety Disorder -7 Item (GAD-7).
T3 post treatment
|
6.54 score on a scale
Standard Deviation 4.50
|
6.00 score on a scale
Standard Deviation 4.21
|
|
Generalized Anxiety Disorder -7 Item (GAD-7).
T0 baseline
|
8.73 score on a scale
Standard Deviation 5.47
|
6.31 score on a scale
Standard Deviation 4.75
|
SECONDARY outcome
Timeframe: Baseline (T0), T2 mid-treatment (4 weeks post enrollment), T3 post treatment (8 weeks post enrollment), T4 delayed follow up (20 weeks post enrollment). Not assessed at T1 (Enrollment, <2 weeks post T0).Population: Participants with complete data at specified timepoints.
Widely used mindfulness measure; total scores range from 12-60; higher scores represent greater mindfulness.
Outcome measures
| Measure |
Intervention
n=22 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=25 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)
T0 baseline
|
23.30 score on a scale
Standard Deviation 5.58
|
24.62 score on a scale
Standard Deviation 5.22
|
|
Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)
T2 mid treatment
|
27.91 score on a scale
Standard Deviation 5.69
|
24.64 score on a scale
Standard Deviation 4.35
|
|
Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)
T3 post treatment
|
26.77 score on a scale
Standard Deviation 5.00
|
24.11 score on a scale
Standard Deviation 5.20
|
|
Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)
T4 follow up
|
24.88 score on a scale
Standard Deviation 5.21
|
26.89 score on a scale
Standard Deviation 4.47
|
SECONDARY outcome
Timeframe: Baseline (T0), T2 mid-treatment (4 weeks post enrollment), T3 post treatment (8 weeks post enrollment), T4 delayed follow up (20 weeks post enrollment). Not assessed at T1 (Enrollment, <2 weeks post T0).Population: Participants with complete data at specified timepoints.
The Measure of Current Status-Form A (MOCS-A) is a measure of stress-related coping. Total scores range from 0-52; higher scores represent better coping.
Outcome measures
| Measure |
Intervention
n=22 Participants
Participants (n = 33) were randomized to receive the SMART Pregnancy stress management program via an online portal.
SMART Mom: SMART Pregnancy is an 8-session online stress management program offered in a group format. SMART Pregnancy is an adaptation of the Stress Management and Resiliency Training Program (Park et al., 2012).
|
Treatment as Usual
n=25 Participants
Participants (n = 30) were randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.
Mama Support: Participants will be enrolled in an 8-week time and attention matched, process-based support group.
|
|---|---|---|
|
Measure of Current Status-Form A (MOCS-A)
T0 baseline
|
36.94 score on a scale
Standard Deviation 9.23
|
36.28 score on a scale
Standard Deviation 8.63
|
|
Measure of Current Status-Form A (MOCS-A)
T2 mid treatment
|
44.77 score on a scale
Standard Deviation 8.90
|
38.88 score on a scale
Standard Deviation 8.41
|
|
Measure of Current Status-Form A (MOCS-A)
T3 post treatment
|
42.23 score on a scale
Standard Deviation 7.17
|
38.56 score on a scale
Standard Deviation 10.03
|
|
Measure of Current Status-Form A (MOCS-A)
T4 follow up
|
39.59 score on a scale
Standard Deviation 8.68
|
40.00 score on a scale
Standard Deviation 8.76
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Chart review occurring at 6 week postpartum visit.Infant weight (in grams) at birth.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Chart review occurring at 6 week postpartum visit.Infant gestational age (in weeks) at birth.
Outcome measures
Outcome data not reported
Adverse Events
Intervention
Treatment as Usual
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Brittain Mahaffey, Assistant Professor, Principal Investigator
Stony Brook Medicine
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place