Managing PPD at Gouverneur

Study Overview
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Brief Summary
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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: 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. Train non specialty MH providers to systematically identify maternal depression. Assess how effective integration of maternal depression intervention is as part of well baby visits. 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.

Official Title
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Stepped Care for Postpartum Depression in Pediatric Primary Care: A Pilot Project at Gouverneur Health Services

Conditions
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Post-Partum Depression

Intervention / Treatment
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* Behavioral: STRONG


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Subjects PHQ-9 scores in the 10-19 range Women with infants 6 months and younger at time of screening Inclusion Criteria for Providers Exclusion Criteria: 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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: STRONG<br>A brief 3-session IPT-based preventive intervention, on maternal and child health outcomes. | Behavioral: STRONG<br>* A brief 3-session IPT-based preventive intervention, on maternal and child health outcomes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Health Questionnaire-9 (PHQ-9) | A validated 9-item self-administered version of the PRIME-MD that assesses depression severity. | One year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal Depression Management Inventory | It is a fifty-nine (59) item survey of primary care provider beliefs, attitudes and practices related to the assessment and management of maternal depression. | One year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Psychosocial, Psychotherapy, Maternal