Postpartum Depression Clinical Trial
Official title:
Adapting Collaborative Care Perinatal Depression Treatment to a Pediatric Setting - Pilot Phase
The purpose of this project is to test whether a new model of collaborative care depression treatment adapted to the needs and preferences of low-income, urban mothers with perinatal depression and to a pediatric clinic setting increases engagement in and adherence to perinatal depression treatment.
This research project consists of two phases that are designed, in sequence, to adapt
standard collaborative care depression treatment to the unique needs of low-income depressed
postpartum women and to the pediatric setting where women will receive the treatment. These
adaptations, in turn, are designed to improve maternal engagement in and adherence to
depression treatment, the primary outcomes at this early stage of intervention development.
Phase I is the initial pilot project in which the model will be developed. We will 1) adapt
standard collaborative care depression models into the Mother-Infant Treatment Team (MITT)
intervention and develop a procedure manual based on maternal and provider input, 2) pilot
the MITT intervention with 10 depressed mothers to test the feasibility of implementing the
model, and 3) evaluate the experiences of participating mothers and providers to revise and
finalize MITT processes and procedures.
Phase II will be an open label trial of MITT to determine whether MITT is associated with
improved maternal engagement and adherence to depression treatment.
We will pilot MITT with 10 mothers to determine the feasibility of implementing MITT. We
will collect recruitment and logistical feasibility measures. We will also determine
engagement and adherence rates to treatment as well as the effort required to engage women
in treatment.
We will determine mothers' and providers' perceptions of their experiences with MITT and
will use all of this information to revise the MITT protocol in preparation for Phase II.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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