Group-based Prevention of Postpartum Depression: In-person vs. Virtual Delivery

基于团体的产后抑郁症预防：现场分娩与虚拟分娩

基本信息

批准号：
10523797
负责人：
Elysia Poggi Davis
金额：
$ 75.79万
依托单位：
UNIVERSITY OF DENVER (COLORADO SEMINARY)
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：
2022-08-01 至 2027-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10523797
关键词：
37 weeks gestation Address Adoption Advisory Committees Affect African American Alaska Native American Indians Area Birth Black American Characteristics Data Depression screen Developmental Delay Disorders Diagnosis Discipline of obstetrics Discrimination Effectiveness Electronic Health Record Enrollment Ethnic Origin Gestational Age Health Health Services Health Services Accessibility Health Surveys Health system Healthcare Hispanic Hospitals Individual Intervention Link Medicaid Mental Depression Mental Health Modeling Mothers Outcome Patients Perinatal Persons Population Postpartum Depression Postpartum Period Predictive Factor Pregnancy Pregnant Women Premature Birth Prenatal care Prevention Prevention program Preventive service Proctor framework Program Sustainability Psychopathology Public Health Qualifying Race Randomized Randomized Controlled Trials Recommendation Research Services Social support Stress Surveys Testing Underserved Population Uninsured United States Videoconferencing Woman base community setting cost depressive symptoms design effectiveness testing effectiveness trial efficacious intervention efficacious treatment evidence base experience future implementation health care service utilization health care settings health disparity implementation outcomes implementation process interpersonal therapy intervention cost intervention program neighborhood safety next generation obstetric care people of color perinatal complications peripartum depression pregnant prenatal prevent preventive intervention programs safety net screening service providers social stigma sociodemographic factors socioeconomic disadvantage standard of care telehealth virtual virtual delivery virtual intervention

37 weeks gestation Address Adoption Advisory Committees Affect African American Alaska Native American Indians Area Birth Black American Characteristics Data Depression screen Developmental Delay Disorders Diagnosis Discipline of obstetrics Discrimination Effectiveness Electronic Health Record Enrollment Ethnic Origin Gestational Age Health Health Services Health Services Accessibility Health Surveys Health system Healthcare Hispanic Hospitals Individual Intervention Link Medicaid Mental Depression Mental Health Modeling Mothers Outcome Patients Perinatal Persons Population Postpartum Depression Postpartum Period Predictive Factor Pregnancy Pregnant Women Premature Birth Prenatal care Prevention Prevention program Preventive service Proctor framework Program Sustainability Psychopathology Public Health Qualifying Race Randomized Randomized Controlled Trials Recommendation Research Services Social support Stress Surveys Testing Underserved Population Uninsured United States Videoconferencing Woman base community setting cost depressive symptoms design effectiveness testing effectiveness trial efficacious intervention efficacious treatment evidence base experience future implementation health care service utilization health care settings health disparity implementation outcomes implementation process interpersonal therapy intervention cost intervention program neighborhood safety next generation obstetric care people of color perinatal complications peripartum depression pregnant prenatal prevent preventive intervention programs safety net screening service providers social stigma sociodemographic factors socioeconomic disadvantage standard of care telehealth virtual virtual delivery virtual intervention

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项目摘要

PROJECT SUMMARY Depression is one of the most common perinatal complications, with 1 in 7 mothers qualifying for a diagnosis of postpartum depression (PPD) and even higher rates for those who identify as Hispanic/Latine, Black or African American, American Indian, or Alaska Native, or by multiple races or ethnicities. This project addresses this major gap in services to prevent PPD, particularly among socioeconomically disadvantaged and minoritized groups. It tests the benefit of a virtual perinatal preventive intervention in English and Spanish to increase access, scalability and address the mental health needs of underserved populations. This project will test the virtual verison against the in-person version of a service-ready efficacious preventive intervention in a randomized controlled trial (RCT). Consistent with the third priority from RFA-MH-21-240, this effectiveness trial will provide a test of a preventive intervention with a strong evidence base that is scalable and can be delivered with fidelity by service providers in settings where obstetric care is received. In this project, pregnant women will be randomized to receive an evidence-based group prevention program (Reach Out, Stay Strong, Essentials for New Moms; ROSE) designed for perinatal populations either a) in person, delivered at the hospital where they are receiving prenatal care or b) virtually, delivered by the same staff via video conferencing, both offered in English and Spanish. This project will test the following aims: 1: Test effectiveness of a virtual group preventive intervention program on reducing postpartum depression compared to in-person delivery. 2: Identify mechanisms of change for the intervention and characteristics that predict who receives the greatest benefit. 3: Provide implementation recommendations for transporting and sustaining programs in other women’s healthcare settings. The discoveries generated by this project will establish a preventive intervention model that can be implemented at scale in diverse healthcare and community settings as a low-cost, high reach means of preventing postpartum depression.

项目摘要抑郁症是最常见的围产期并发症之一，七分之一的母亲有资格诊断对于那些识别为西班牙裔/拉丁美洲，黑人或非洲的人来说，产后抑郁症（PPD）甚至更高的比率美国人，美洲印第安人或阿拉斯加本地人，或多个种族或种族。这个项目解决了这个问题服务预防PPD的主要服务差距，特别是在社会经济处于弱势群体和少数中组。它测试了对英语和西班牙语的虚拟围产期预防性干预的好处，以增加访问的访问，可伸缩性并满足服务不足人群的心理健康需求。该项目将测试虚拟反对与随机的有效预防性干预的面对面版本的经文对照试验（RCT）。与RFA-MH-21-240的第三个优先级一致，该有效性试验将提供对具有强大证据基础的预防性干预的测试，可扩展，可以以忠诚度进行由服务提供商在获得产科护理的设置中。在这个项目中，孕妇将随机接收基于证据的小组预防计划（伸出援助，保持强大，必不可少的必需品新妈妈；玫瑰）是为围产期人群设计的a）亲自分娩的正在接受产前护理或b）实际上是由同一员工通过视频会议交付的，两者均提供英语和西班牙语。该项目将测试以下目的：1：虚拟组预防的测试有效性与面对面分娩相比，有关减少产后抑郁症的干预计划。 2：确定机制预测谁获得最大收益的干预和特征的变化。 3：提供在其他妇女医疗保健中运输和维持计划的实施建议设置。该项目产生的发现将建立一个预防性干预模型，可以是在潜水员的医疗保健和社区环境中大规模实施，作为低成本，高覆盖范围防止产后抑郁症。