Care Managers for Perinatal Depression (CMPD)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 194
- 试验地点
- 8
- 主要终点
- Diagnosis of major depression within 2 weeks of screening
研究概览
简要总结
The investigators will evaluate effects of introducing the care manager on:
- Patient receipt of timely diagnosis and initiation of treatment for major depression (diagnosis within 2 weeks of screening and treatment within 1 month of diagnosis); and
- Patient continuity of care for depression across the transition of care from pregnancy to postpartum (within 4 months postpartum).
详细描述
The first two specific research aims of this proposed randomized study will evaluate the benefits of introducing site specific care managers into established multi-component enhancements of perinatal depression care. The four study sites are members of the IMPLICIT perinatal quality improvement network and provide prenatal care to a diverse population of low income minority women using a common set of care processes within diverse practice models including Obstetric, Family Medicine, and Nurse Practitioner/Midwifery settings. The established processes of care include evidence based screening, diagnosis, treatment protocols and quality improvement care teams.
The investigators will evaluate effects of introducing the care manager on:
- Patient receipt of timely diagnosis and initiation of treatment for major depression (diagnosis within 2 weeks of screening and treatment within 1 month of diagnosis); and
- Patient continuity of care for depression across the transition of care from pregnancy to postpartum (within 4 months postpartum).
For the third and fourth specific research aims we will conduct supplementary econometric and qualitative analyses to aid in understanding the provider and system context in which this intervention is implemented across the four study sites. Results of this evaluation will be used to understand for whom and in which systems of care this model is most successful as well as the costs of delivering this intervention.
Specifically the investigators will:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 —（Child, Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Current pregnancy or experienced pregnancy in the past 6 weeks
- •Score >= 12 on PHQ9
排除标准
- •< age 13
- •Mental illness
- •Primary language other than English or Spanish
结局指标
主要结局
Diagnosis of major depression within 2 weeks of screening
时间窗: 2 weeks after screening
Patient receipt of timely diagnosis for major depression during perinatal period.
Treatment of major depression within 1 month of diagnosis
时间窗: 1 month
Patient receipt of timely initiation of treatment for major depression during the perinatal period.
Transition of care from pregnancy to postpartum
时间窗: 4 months
Patient continuity of care for depression across the transition of care from pregnancy to postpartum within 4 months postpartum.
次要结局
- Quantify the costs of implementing a care manager(3 years)
- Qualitative assessment of success in implementation of perinatal depression care management process.(3 years)