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NCT Number: NCT06397794

Navigating Pregnancy and Parenthood With Lyme Disease

This is a mixed methods study exploring the experiences of pregnancy and parenting among participants with Lyme disease. Eligible participants will have been diagnosed with Lyme disease (LD), post-treatment Lyme disease syndrome (PTLDS), and/or chronic Lyme (CL) either during or before a prior pregnancy. Participants will complete quantitative surveys on topics such as their medical history, their child(ren)'s development, and demographic information. They will then participate in a qualitative interview where they will be asked about their experiences with pregnancy and with parenting their child(ren) in the context of their condition.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

Children's National Hospital

Washington D.C., District of Columbia, 20010, United States

Location status: Recruiting

Location contact

Meagan Williams, MSPH, CCRC

CONTACT

[email protected]

202-476-3388

Roberta L. DeBiasi, MD, MS

SUB_INVESTIGATOR

Sarah B. Mulkey, MD, PhD

PRINCIPAL_INVESTIGATOR

About this study

Patients with chronic conditions may experience the perinatal period and the experience of parenting differently than their healthy peers. The purpose of this study is to understand the lived experiences of pregnancy and parenting among gestational parents with Lyme disease.

Participants may be included in this study if they report having received a diagnosis of Lyme disease (LD), post-treatment Lyme disease syndrome (PTLDS), or chronic Lyme (CL) and they have given birth to at least one liveborn child. The investigators hypothesize that patients with LD/PTLDS/CL will experience unique challenges related to pregnancy, experiences in medical care settings, and their child's development.

Enrolled participants will complete a brief set of online quantitative questionnaires on topics such as their demographic characteristics, family information, Lyme disease histories, and mental health. The investigators will report on these data to illustrate similarities and differences between participants in the study for potentially relevant factors (e.g., timing of Lyme diagnosis relative to pregnancy, symptoms, mental health concerns). The questionnaires will be followed by an in-depth qualitative interview in English with each participant to learn about their experiences related to pregnancy and parenting with LD/PTLDS/CL, including specific questions about navigating the health care system, information seeking behaviors, and their child's development.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Over 18 years of age and reside in the United States or Canada
  • Diagnosed with acute Lyme disease, PTLDS, and/or Chronic Lyme by a health care provider while they were pregnant OR PTLDS/CL prior to becoming pregnant with ongoing symptoms during pregnancy

Exclusion criteria

  • Under 18 years of age
  • Live outside of the United States or Canada
  • Never been diagnosed with Lyme disease by a medical provider
  • Never been pregnant
  • Never given birth to a liveborn infant
  • Previously participated in a qualitative study about their experience with Lyme disease
  • Do not want to agree to having their interviews audio recorded

Treatment and study plan

Quantitative surveys and qualitative interview

Other

All participants will complete online surveys on topics including demographic and socioeconomic information, medical history (parent and child), pregnancy history, and mental health and well-being. They will then participate in a qualitative interview about their pregnancy and parenting experiences as gestational parents with Lyme disease.

Primary outcomes

  1. Understand the lived experiences of pregnancy and parenting among gestational parents with LD, PTLDS, and/or CL

    Time frame: 3/20/2024 - 3/1/2025

    Semi-structured qualitative interviews will be conducted with parents with LD, PTLDS, and/or CL to understand their lived experience. The interviewer will follow a structured interview guide about participants' Lyme disease history, pregnancy, parenting experience, relationships, and their priorities. The interviewer will ask open-ended questions to understand participants' context and allow participants to share what they feel is important to them.

Secondary outcomes

  1. Edinburgh Postnatal Depression Scale (EPDS)

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete the Edinburgh Postnatal Depression Scale (EPDS) prior to their qualitative interviews. The EPDS is a 10-question standardized postnatal depression screener.

  2. General Anxiety Disorder-7 (GAD-7)

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete the General Anxiety Disorder-7 (GAD-7) screener prior to their qualitative interviews. The GAD-7 is a 7-question standardized assessment that measures severity of anxiety symptoms.

  3. Parenting Stress Index 4th Edition, Short Form (PSI-4 SF)

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete the Parenting Stress Index 4th Edition, Short Form (PSI-4 SF) prior to their qualitative interviews. The PSI-4 SF is a standardized assessment that measures child and parent characteristics and stress experienced by a parent.

  4. 36-Item Short Form Survey (SF-36)

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete the36-Item Short Form Survey (SF-36) prior to their qualitative interviews. The SF-36 is a standardized quality of life assessment.

  5. World Health Organization Disability Assessment Schedule (WHODAS 2.0)

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete the WHO Disability Assessment Schedule (WHODAS 2.0) prior to their qualitative interviews. The WHODAS 2.0 is a 36-question standardized measure of health and disability.

  6. Posttraumatic Diagnostic Scale (PDS-5)

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete a modified version of the Posttraumatic Diagnostic Scale (PDS-5) prior to their qualitative interviews. The PDS-5 is a 24-question standardized measure of posttraumatic stress symptomatology. Participants will answer questions specific to their experience with Lyme disease.

  7. Positive Affect and Well-Being Scale

    Time frame: 3/20/2024 - 3/1/2025

    Participants will complete the Positive Affect and Well-Being Scale prior to their qualitative interviews. The Positive Affect and Well-Being Scale is a 9-item measure of participants' sense of well-being.

Study contacts

Contact information is provided by the study sponsor or research team.

Meagan E Williams, MSPH, CCRC

CONTACT

[email protected]

202-476-3388

Sarah B. Mulkey, MD, PhD

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

Children's National Research Institute

Other

Collaborators

  • Clinical Trials Network for Lyme and Other Tick-Borne Diseases
  • Steven & Alexandra Cohen Foundation

Registry information

Official study title

Mixed Methods Study on Navigating Pregnancy and Parenthood With Lyme Disease

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
May 3, 2024
Registry last updated
Jun 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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