Evaluating Technology Enabled Services in Perinatal Depression

Not Applicable

Completed

Brief Summary: Investigators are evaluating a Technology Enabled Service (TES) to support the treatment of depression in the context of a collaborative care service in obstetrics clinics.

Detailed Description: Investigators are evaluating a Technology Enabled Service (TES) to support the treatment of depression in the context of a collaborative care service in obstetrics clinics. The TES consists of digital technologies that connect patients to care managers remotely, providing tools for monitoring patient symptoms, communication, and delivery of a digital intervention. The intervention consists of a patient-facing app for assessment and self-management of depression.

Recruitment & Eligibility

Inclusion Criteria

English speaking
18 years or older
Referred to Northwestern Medicine COMPASS program for mental health care
Currently pregnant or within 3 months of delivery
Moderate to severe perinatal depression (defined as a PHQ-9 screen greater than or equal to 10)
Owns a smartphone, has used smartphone in last 7 days

Exclusion Criteria

Experienced a pregnancy loss (miscarriage, termination, or stillbirth of the index pregnancy)
Severe suicidality (as defined by the presence of a plan and intent to act on that plan)
Not meeting the inclusion criteria described above

Primary Outcome Measures

Name	Time	Method
Depression	At 12 weeks	Assessed by Patient Health Questionnaire-9 Scores range from 0-27. Total scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively.

Secondary Outcome Measures

Name	Time	Method
Anxiety	At 12 weeks	Assessed by General Anxiety Disorder - 7 Scores range from 0-21. The following cut-offs correlate with level of anxiety severity: Score 0-4: Minimal Anxiety Score 5-9: Mild Anxiety Score 10-14: Moderate Anxiety Score greater than 15: Severe Anxiety
Satisfaction Index - Mental Health	Week 6, Week 12	The Satisfaction Index - Mental Health measures satisfaction with mental health treatment. The measure includes 12 items, each rated on a 1-6 point likert scale (range of 6-72 points for total score) where higher scores reflect higher satisfaction. Scores were analyzed as discrete outcomes at 6 and 12 weeks. Separate analyses were conducted for each time point using the Welch two-sample t-test to compare scores across intervention groups.