Stepped Care for Postpartum Depression in Pediatric Primary Care: A Pilot Project at Gouverneur Health Services
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Patient Health Questionnaire-9 (PHQ-9)
研究概览
简要总结
A Stepped Care pathway for managing postpartum depression (PPD) in pediatric primary care settings will be used to (1) understand context for implementation feasibility (2) evaluate benefits for mother and child.
The proposed pilot project will be conducted as part of a quality improvement effort in the Department of Pediatrics at Gouverneur Health Services to improve management of postpartum depression during pediatric primary care visits. This project will test the feasibility of a stepped care approach to identifying and managing depression among mothers of infants (0-6 months). This study will provide preliminary data on the feasibility of the care management protocol, implementation and fidelity measures, and training/consultation methods within a real world pediatric care practice. These data will inform and support the preparation of a large-scale NIH grant.
Specific research questions include:
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To pilot the feasibility of using a Stepped Care Approach to identify and mange maternal depression within primary care pediatric care visits, with a focus on mothers of infants 0-6 months.
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Train non specialty MH providers to systematically identify maternal depression.
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Assess how effective integration of maternal depression intervention is as part of well baby visits.
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To o examine the impact of STRONG, a brief 3-session IPT-based preventive intervention, on maternal and child health outcomes (e.g., maternal depression symptoms, child receipt of acute care services). Secondary outcomes include maternal social support and parenting practices.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •Active substance use
- •Current treatment for depression
- •Current/past history of schizophrenia, bipolar or other psychotic disorder;
- •Suicidal/Homicidal risks;
- •Women with difficulties speaking or understanding English;
- •Women under the age of 18.
研究组 & 干预措施
STRONG
A brief 3-session IPT-based preventive intervention, on maternal and child health outcomes.
干预措施: STRONG (Behavioral)
结局指标
主要结局
Patient Health Questionnaire-9 (PHQ-9)
时间窗: One year
A validated 9-item self-administered version of the PRIME-MD that assesses depression severity.
次要结局
- Maternal Depression Management Inventory(One year)