UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063173
Receipt number R000072237
Scientific Title Exploring Digital Biomarkers for Postpartum Depression: A Prospective Observational Study Focusing on Infant Crying and Parental Cognition Bias
Date of disclosure of the study information 2026/10/05
Last modified on 2026/10/04 22:34:26

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Basic information

Public title

A smartphone app study exploring signs of postpartum depression from infant crying and parents' perceptions of it

Acronym

A BCI(Baby Cry Indicator) Study

Scientific Title

Exploring Digital Biomarkers for Postpartum Depression: A Prospective Observational Study Focusing on Infant Crying and Parental Cognition Bias

Scientific Title:Acronym

A BCI(Baby Cry Indicator) Study

Region

Japan


Condition

Condition

Postpartum depression

Classification by specialty

Obstetrics and Gynecology Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In caregivers of infants aged 0-12 months who use a smartphone parenting app, we will prospectively collect, for each infant crying event, the app's AI-based cry analysis results and the caregiver's subjective cognitive responses (perceived distress, urgency, emotional valence, and estimated crying duration). We will examine the associations of the discrepancy between the two (cognitive discrepancy) and of cry acoustic features with postpartum depressive symptoms (EPDS), and will explore, develop, and validate a digital biomarker for postpartum depression, the Baby Cry Indicator (BCI).

Basic objectives2

Others

Basic objectives -Others

Exploration of digital biomarkers and development and validation of a prediction model for postpartum depression

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Presence of an Edinburgh Postnatal Depression Scale (EPDS) total score of 9 or higher (at baseline immediately after enrollment and at follow-up 2 weeks or more after enrollment)

Key secondary outcomes

1. EPDS total score as a continuous variable (at baseline and follow-up)
2. Change in EPDS total score from baseline to follow-up, and transitions to and from EPDS positivity
3. Generalized Anxiety Disorder-7 (GAD-7) total score and presence of a score of 10 or higher (at baseline and follow-up)
4. Association with EPDS of the discrepancy (cognitive discrepancy) between caregivers' subjective ratings for each crying event (perceived distress, urgency, and emotional valence on 7-point scales, and estimated crying duration) and the app's Cry analysis results (at each crying event during the study period)
5. Association of cry acoustic features (e.g., fundamental frequency, F0) with EPDS
6. Predictive performance of the developed BCI: discrimination (AUC, sensitivity, specificity, F1, PR-AUC), calibration (Brier score, calibration curve), clinical utility (decision curve analysis), and incremental predictive value in hierarchical model comparison (change in AUC, NRI)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Users of the smartphone app "Awa Baby" who have agreed to its terms of use and privacy policy
2. Persons aged 16 years or older who are the primary caregivers of an infant aged 0 to 12 months, including corrected age (including mothers, fathers, grandparents, and other caregivers)
3. Persons able to understand and answer questionnaires in Japanese
4. Persons who have understood the explanation of the study purpose and data use, and have provided consent electronically

Key exclusion criteria

1. Persons who self-report having been diagnosed with a serious psychiatric disorder such as schizophrenia or bipolar disorder and currently receiving treatment for its acute phase
2. Persons whose collected acoustic data are of markedly low quality
3. Persons with missing responses to the EPDS or other questionnaires used for the primary outcome
4. Persons aged 16 to 17 years whose parent or guardian has declined their participation in the study

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Kazuhiko
Middle name
Last name Ohe

Organization

The University of Tokyo

Division name

Artificial Intelligence and Digital Twin in Healthcare, Department of Medical

Zip code

113-0033

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Email

ohe-office@adm.h.u-tokyo.ac.jp


Public contact

Name of contact person

1st name Tianyuan
Middle name
Last name Lyu

Organization

The University of Tokyo

Division name

Department of Biomedical Informatics Division of Social Medicine Graduate School of Medicine

Zip code

113-8655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Homepage URL


Email

tlyu@m.u-tokyo.ac.jp


Sponsor or person

Institute

The University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

The University of Tokyo

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

Tel

03-5841-0818

Email

ethics@m.u-tokyo.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京大学医学部附属病院(東京都)


Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 06 Month 02 Day

Date of IRB

2026 Year 06 Month 26 Day

Anticipated trial start date

2026 Year 09 Month 29 Day

Last follow-up date

2026 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

-


Management information

Registered date

2026 Year 10 Month 04 Day

Last modified on

2026 Year 10 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072237