Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Primary |
Change in incident rates of moderate to severe maternal depressive symptoms based on the QIDS |
The Quick Inventory of Depressive Symptoms (QIDS) will be used to assess the incidence of moderate to severe depressive symptom episodes, as defined by a QIDS score = 11. The QIDS is a 16 item self-administered instrument with potential responses for each item of 0 to 3. Higher scores are associated with greater depressive symptoms. |
Baseline, 2, 4, 6, 8, 10, 12 months follow-up |
|
| Primary |
Change in the mean maternal depressive symptoms based on the QIDS |
The Quick Inventory of Depressive Symptoms will be used to assess depressive symptoms. The QIDS is a 16 item self-administered instrument with potential responses for each item of 0 to 3. Higher scores are associated with greater depressive symptoms. The mean QIDS scores will be calculated for the baseline and each follow up period. |
Baseline, 2, 4, 6, 8, 10, 12 months follow-up |
|
| Secondary |
Rate of participants engaged with care based on 1 or more psycho/pharmacotherapy visits or psychiatric medication prescription |
The investigators have adapted the services section of the Collaborative Psychiatric Epidemiology Surveys, operationalized into engagement with care. This will be defined as = 1 visit for psychotherapy or pharmacotherapy with a behavioral health specialist (social worker, psychologist, psychiatrist, psychiatric nurse); or a prescription for psychiatric medication from any medical practitioner. |
Baseline, 2, 4, 6, 8, 10, 12 months follow-up |
|
| Secondary |
Rate of participants retained in care based on 4 or more psycho/pharmacotherapy visits or psychiatric medication prescription |
The investigators have adapted the services section of the Collaborative Psychiatric Epidemiology Surveys, operationalized into retention in care. This will be defined as = 4 visit for psychotherapy or pharmacotherapy with a behavioral health specialist (social worker, psychologist, psychiatrist, psychiatric nurse); or a prescription for psychiatric medication from any medical practitioner. |
2, 4, 6, 8, 10, 12 months |
|
| Secondary |
Rate of participants who received evidence-based care defined by psychotherapy or antidepressant medication prescription |
The investigators have adapted the services section of the Collaborative Psychiatric Epidemiology Surveys, operationalized into evidence-based care reflecting either psychotherapy or antidepressant medication. |
2, 4, 6, 8, 10, 12 months |
|
| Secondary |
Rate of participants who received primary-care based services |
The investigators have adapted the services section of the Collaborative Psychiatric Epidemiology Surveys, operationalized into primary care-based services. |
2, 4, 6, 8, 10, 12 months |
|
| Secondary |
Burden of illness for depression |
The Individual Burden of Illness Index for Depression (IBI-D) is a valid and reliable quality of life (QoL) scale, calculated as a composite of the QIDS, the QoL Enjoyment and Satisfaction Questionnaire, and the Work and Social Adjustment Scale |
baseline; 6, 12 months |
|
| Secondary |
Child absenteeism from Head Start |
Head Start centers will furnish us with monthly absentee rates for all families that provide explicit permission. These will be analyzed as count data against day of eligible attendance. |
baseline; 6, 12 months |
|
| Secondary |
Caregiver-Teacher Report Form |
This valid and reliable scale will be filled out by Head Start teachers. It measures emotional reactivity, anxiety/depression, somatic complaints, emotional withdrawal, attention problems, and aggressive behavior. |
baseline; 6, 12 months |
|
| Secondary |
Social Skills Improvement System - Rating Scales |
This valid and reliable scale will be filled out by Head Start teachers. It assesses social skills and problem behaviors for children at risk of interpersonal difficulties. |
baseline; 6, 12 months |
|
| Secondary |
Bracken School Readiness Assessment |
This scale assesses 85 foundational concepts, including colors, letters, numbers, size/ comparison, and shapes. Assess effect of intervention on child cognitive functioning and school readiness. |
baseline; 6, 12 months |
|
| Secondary |
Perceived Stress |
Assess with The Perceived Stress Scale, domains of which include unpredictability, lack of control, burden overload, and stressful circumstances. |
baseline, 4, 8, 12 months |
|
| Secondary |
Behavioral Activation for Depression |
Assess with The Behavioral Activation for Depression Scale (BADS) includes four affective and functional dimensions: activation, avoidance/rumination, work/school impairment, and social impairment. |
baseline, 4, 8, 12 months |
|
| Secondary |
Coping Strategies |
Assess with The Brief COPE (Coping Orientation to Problems) which measures 14 different adaptive and problematic coping styles. Will also use problem-focused and avoidant subscales. |
baseline, 4, 8, 12 months |
|
| Secondary |
Parent-Child Interaction |
Assess with The Dyadic Parent-Child Interaction Coding System (4th Edition). |
baseline, 6, 12 months |
|
| Secondary |
Family Conflict |
Assess with The 80-item Conflicts and Problem-Solving Scale. Likert scales rate aspects of family conflict known to affect children: 1) number of major and minor conflicts in the past year; 2) family disagreement in 21 areas; 3) frequency of 13 conflict resolution strategies; 4) frequency of 44 conflict tactics. |
Baseline, 6, 12 months |
|
