Depression, Postpartum Clinical Trial
Official title:
Follow-up of Postpartum Depression After Referral From Pediatric Clinics
Postpartum depression (PD) is a serious and disabling mental health condition that affects 10-15% of women after childbirth. Low-income minority women are disproportionately affected. Untreated PD can lead to significant negative outcomes for both mother and child. Pediatricians are being asked to routinely screen for PD and while screening rates are improving, little is known about whether mothers actually adhere to pediatrician recommendations to seek additional help after a positive PD screen. The objective of this study is to describe the rate at which mothers seek treatment for suspected PD after a positive screen at the pediatrician office. Additional examination will look at factors that predict whether a mother recalls a recommendation to seek treatment.
The primary outcome of interest is whether mothers suspected of having PD seek treatment
after discussion with the pediatrician. In order to evaluate whether discussion with
pediatricians leads mothers to seek care, data collection efforts should focus on what
information was exchanged, the level of shared decision-making about possible treatment
options and whether an agreed upon plan was reached between both parties. The investigators
will examine the effectiveness of these discussions by interviewing mothers who were
suspected of having PD and referred for treatment. The investigators hypothesize that
pediatricians who are able to engage mothers in a shared decision will result in more of
those mothers seeking help and getting into appropriate treatment for PD.
The specific research aims of this proposal are to:
Aim 1: Describe the rate at which mothers suspected by pediatricians of having PD seek
treatment.
Aim 2: Explore what factors predict whether mothers suspected of PD seek treatment,
including maternal sociodemographic characteristics, family centeredness of pediatrician
care, and extent of shared decision-making strategy used by the pediatrician.
This will be a cohort study examining the rate at which mothers suspected of having PD seek
care and the relationship between shared decision-making and seeking mental health care.
Data for both specific aims will be collected by a single telephone interview with mothers
suspected of having PD by the pediatrician and referred. For this study, investigators will
be focusing recruitment efforts in the four Wishard community health centers (now Eskenazi
Health) that use CHICA. In 2007, these four clinics saw 8,528 patients between the ages of 0
and 3 years. These clinics serve a large proportion of families that are underserved,
economically disadvantaged and are ethnically and racially diverse.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
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