Preventing postpartum depression among immigrant Latinas through a virtual group intervention

通过虚拟团体干预预防拉丁美洲移民产后抑郁症

基本信息

批准号：
10503930
负责人：
Rheanna Edith Platt
金额：
$ 71.09万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-18 至 2027-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10503930
关键词：
Address Adoption Advisory Committees Affect Area Cellular Phone Characteristics Child Child Rearing Clinical Code Cognitive Therapy Communities Consolidated Framework for Implementation Research Counseling Data Discrimination Effectiveness Electronics Emotions Enrollment Ethnic group Evidence based intervention Exhibits Future Immigrant Impairment Individual Informal Social Control Insurance Interpersonal Relations Intervention Interview Language Latin American Latina Population Learning Maintenance Maryland Measures Mental Depression Mental Health Mental Health Services Methods Modality Mothers National Institute on Minority Health and Health Disparities Outcome Participant Patient Self-Report Perinatal Persons Pilot Projects Population Postpartum Depression Poverty Preventive service Provider Randomized Controlled Trials Reach Effectiveness Adoption Implementation and Maintenance Readiness Reporting Research Resources Risk Risk Factors Role Schools Self Efficacy Series Services Site Social Network Social support Strategic Planning Stress Structure Surveys Tablets Testing Text Messaging Training Trauma United States Woman acceptability and feasibility aged base contextual factors depression prevention depressive symptoms disparity reduction dosage early childhood effectiveness-implementation RCT evidence base experience family support food insecurity group intervention health care settings implementation determinants implementation outcomes implementation process implementation science implementation strategy improved informant intervention delivery intervention effect intervention participants laptop mood regulation multidisciplinary perinatal women pilot test post intervention postnatal pregnant prevent preventive intervention programs racial and ethnic service providers skills social health determinants social stigma theories therapy design virtual virtual delivery virtual intervention virtual platform

项目摘要

PROJECT SUMMARY Postpartum depression (PPD) affects 10-20% of women, with immigrant Latinas disproportionately affected. PPD prevention and treatment is limited among immigrant Latinas due to an array of structural and cultural factors, suggesting the need to deliver interventions outside of traditional healthcare settings. Virtual interventions have the potential to reduce barriers to mental health services for immigrant Latinas, but there is little research on the effectiveness of virtual interventions to reduce PPD symptoms. Mothers and Babies is an evidence-based group intervention based on principles of cognitive-behavioral therapy and attachment theory aimed at PPD prevention. Mothers and Babies was adapted for delivery via a virtual group format (Mothers and Babies Virtual Group; MB-VG), with a pilot study suggesting good feasibility and acceptability as well as improved mental health outcomes for immigrant Latinas. The proposed project is a Type 1 Effectiveness- Implementation randomized controlled trial among pregnant individuals and new mothers at risk for PPD based on elevated depressive symptoms and/or other established risk factors who are enrolled in early childhood programs across Maryland. A total of 300 women will be enrolled; 150 will receive MB-VG while 150 will receive usual family support services. The project aims to evaluate: 1) the effectiveness of MB-VG to reduce depressive symptoms, prevent onset of PPD, and improve parenting self-efficacy and responsiveness; 2) implementation of MB-VG; and 3) contextual factors influencing MB-VG effectiveness and implementation. An exploratory aim will also examine child self-regulation and school readiness outcomes among participants (~N=150) who have older children aged 2.5-4.5 years. Trained early childhood center staff will deliver MB-VG sessions, with intervention participants receiving virtual group sessions via Zoom using any electronic device (smartphone, tablet, laptop). Maternal self-report surveys are conducted at baseline, 1 week, 3 months, and 6 months post-intervention, with structured clinical interviews also conducted at 3- and 6-months post- intervention. Key informant interviews with MB-VG facilitators and recipients, as well as early childhood program directors will provide data on MB-VG implementation and contextual factors influencing implementation. Fidelity of MB-VG delivery will be assessed via rigorous coding of intervention session audio recordings. Our study is the first to deliver a virtual PPD preventive intervention to immigrant Latinas and to evaluate its impact. Given its virtual delivery modality, MB-VG can be easily replicated and scaled to other family support programs and settings serving immigrant Latinas. If effective and implemented broadly, more immigrant Latinas will receive mental health services and fewer will suffer the negative consequences associated with PPD. The proposed project is aligned with NIMHD’s high priority areas, including developing and testing interventions to reduce disparities.

项目概要产后抑郁症 (PPD) 影响 10-20% 的女性，其中拉丁裔移民受到的影响尤为严重。由于一系列结构和文化因素，产后抑郁症的预防和治疗在拉丁美洲移民中受到限制。因素，表明需要在传统医疗保健环境之外提供干预措施。干预措施有可能减少拉丁美洲移民心理健康服务的障碍，但关于虚拟干预措施减轻母亲和婴儿产后抑郁症症状的有效性的研究很少。基于认知行为治疗和依恋理论原则的循证团体干预旨在预防产后抑郁症（PPD）的项目被改编为通过虚拟小组形式进行交付（母亲）。和婴儿虚拟组；MB-VG），试点研究表明具有良好的可行性和可接受性改善拉丁美洲移民的心理健康状况拟议项目属于 1 类有效性项目。在有 PPD 风险的孕妇和新妈妈中实施随机对照试验就读幼儿期的抑郁症状加重和/或其他已确定的危险因素马里兰州共有 300 名女性将参加该计划；其中 150 名将接受 MB-VG，另外 150 名将接受该计划。接受通常的家庭支持服务该项目旨在评估： 1) MB-VG 减少的有效性。抑郁症状，预防产后抑郁症的发生，提高育儿自我效能和反应能力2) MB-VG 的实施；以及 3) 影响 MB-VG 有效性和实施的背景因素。探索性目标还将检查参与者的儿童自我调节和入学准备结果 (~N=150) 有 2.5-4.5 岁大龄儿童的、经过培训的幼儿中心工作人员将提供 MB-VG。会议，干预使用任何电子设备通过 Zoom 接收虚拟小组会议（智能手机、平板电脑、笔记本电脑）在基线、1 周、3 个月和 6 个月进行母亲自我报告调查。干预后几个月进行，并在干预后 3 个月和 6 个月进行结构化临床访谈对 MB-VG 促进者和接受者以及幼儿期的主要知情人进行访谈。项目主管将提供有关 MB-VG 实施和背景影响因素的数据 MB-VG 交付的保真度将通过干预会话音频的严格编码来评估。我们的研究是第一个向拉丁裔移民提供虚拟 PPD 预防干预的研究。考虑到其虚拟交付方式，MB-VG 可以轻松复制并扩展到其他领域。为拉丁裔移民提供的家庭支持计划和环境如果有效并得到广泛实施，将会更多。拉丁裔移民将获得心理健康服务，遭受负面后果的人数将减少拟议的项目与 NIMHD 的高度优先领域保持一致，包括开发。并测试干预措施以减少差异。