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

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.

项目概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为抑郁症产后抑郁症 (PPD)，西班牙裔/拉丁裔、黑人或非洲裔的产后抑郁症发病率甚至更高美国人、美洲印第安人或阿拉斯加原住民，或多个种族或民族。该项目解决了这个问题。预防产后抑郁症的服务存在重大差距，特别是在社会经济弱势群体和少数群体中它测试了英语和西班牙语虚拟围产期预防干预的好处，以增加访问，该项目将测试虚拟技术的可扩展性并满足服务不足人群的心理健康需求。在随机试验中针对已准备好服务的有效预防干预的面对面版本进行验证对照试验 (RCT) 与 RFA-MH-21-240 的第三优先事项一致，该有效性试验将提供具有强大证据基础的预防性干预测试，可扩展且可保真地交付在该项目中，孕妇将在接受产科护理的环境中由服务提供者提供。随机接受循证团体预防计划（“伸出援手”、“保持坚强”、“预防的要点”）新妈妈；ROSE) 专为围产期人群设计 a) 亲自在她们所在的医院分娩正在接受产前护理，或 b) 由同一工作人员通过视频会议以虚拟方式提供，两者均在英语和西班牙语。该项目将测试以下目标： 1：测试虚拟小组预防措施的有效性。与现场分娩相比减少产后抑郁症的干预计划 2：确定机制。干预措施的变化和预测谁获得最大利益的特征 3：提供。其他妇女医疗保健运输和维持计划的实施建议该项目产生的发现将建立一个可用于预防性干预的模型。作为一种低成本、高覆盖范围的手段，在不同的医疗保健和社区环境中大规模实施预防产后抑郁症。