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Table 1 Primary outcomes, (key) outcome measures, time points for each outcome and progression criteria for a full RCT

From: Probiotics in pregnancy: protocol of a double-blind randomized controlled pilot trial for pregnant women with depression and anxiety (PIP pilot trial)

Primary quantitative outcomes

Outcome measure and time point for each outcome

Progression criteria for full RCTa

A) Recruitment

1) The proportion of contacted participants scoring above the threshold for anxiety or depressive symptoms and who accept the invitation to participate in the pilot trial throughout the study

30 participants recruited in 6 months

2) The number of participants recruited at each site

No criteria set

B) Retention rate

2) The proportion of participants completing the study from enrolment (t0) to follow up (t4)*

≥ 90% of enrolled participantsb

C) Compliance

3) The proportion of participants taking ≥ 80% probiotic/placebo product between t0 and t1*

90% of participantsc

4) The proportion of participants filling in electronic questionnaires at all time points (t0, t1 and t4)*

90% of participants

5) The proportion of participants filling in the cry diary at t4

90% of participants

6) The proportion of participants filling in evaluation form at t4

90% of participants

7) The proportion of participants collecting all maternal vaginal and microbial samples at t0 and t1

90% of participantsd

8) The proportion of participants collecting all infant microbial samples at t0 and t1

90% of participants

9) The proportion of participants allowing collection of hair samples at t4

90% of participants

D) Participants’ impressions and experiences

1) Experiences and level of acceptability of electronic questionnaires and collection of biological samples

No criteria set

2) Level of satisfaction (positive/negative aspect)

No criteria set

3) Level of satisfaction (execution and organization)

No criteria set

4) Level of acceptability of the trial in practice (perceived burden)*

Mean score of ≤3

5) Level of acceptability of the trial in principle (future participation)*

Mean score of ≥8

Primary qualitative outcomes

A) Recruitment

1) Participants’ moment of decision to join the pilot trial

No criteria set

2) Reasons for participation

No criteria set

3) Reasons for non-participation

No criteria set

  1. aIn case one or more progression criteria are not met, revisions to the study protocol should be considered prior to conducting the full randomized controlled trial (RCT)
  2. bA rate > 90% is comparable to previous RCTs in pregnant women with depressive and anxiety symptoms [32, 33]
  3. cA rate of intake ≥ 80% is similar to other (pilot) RCTs with probiotics and food supplements in pregnant and non-pregnant individuals [34, 35]
  4. dThe rates of adherence to vaginal and fecal sampling and hair-sampling protocols do not include unforeseen errors, for example, loss of biological samples due to storage problems, etc
  5. *Key progression criteria