Minding the Gatekeepers: Referral and Recruitment of Postpartum Mothers with Depression into a Randomized Controlled Trial of a Mobile Internet Parenting Intervention to Improve Mood and Optimize Infant Social Communication Outcomes.
Minding the Gatekeepers: Referral and Recruitment of Postpartum Mothers with Depression into a Randomized Controlled Trial of a Mobile Internet Parenting Intervention to Improve Mood and Optimize Infant Social Communication Outcomes.
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DOI：
10.3390/ijerph17238978
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发表时间：
2020-12-02
影响因子：
--
通讯作者：
Feil EG
中科院分区：
文献类型：
--
作者：
Baggett KM;Davis B;Sheeber LB;Ammerman RT;Mosley EA;Miller K;Feil EG
Mothers in the United States（美国）非主流文化和社会经济弱势群体的母亲在产后患抑郁症的比率比一般人群中的母亲高3至4倍，但这些母亲最不可能接受改善情绪的服务。很少有研究关注招募这些母亲参加临床干预试验。本文的目的是报告一项研究，该研究提供了一个独特的背景，在此背景下，可以观察三种转诊方法（即，社区机构工作人员转诊、研究人员转诊和产妇自我转诊）。它还使人们能够初步审查不同战略是否产生了不同的样本，这些样本在不利的孕产妇和儿童结果的风险因素方面存在差异。这项检查是在一项移动的干预临床试验中进行的，该试验旨在改善母亲的情绪，增加父母的做法，促进婴儿的社会沟通发展。样本是在美国南部一个大城市的城市核心招募的，主要由非主流文化的母亲组成，她们正经历着严重的社会经济劣势。结果表明，母亲自我介绍的比率是社区机构工作人员或研究人员介绍的比率的3.5倍以上。此外，与研究人员转介的妇女相比，自我转介的妇女和社区看门人转介的妇女最终可能同意参与研究并启动干预措施。结果进行了讨论，优化转诊到临床干预试验方面的影响。
Mothers in the United States (U.S.) who are of non-dominant culture and socioeconomically disadvantaged experience depression during postpartum at a rate 3 to 4 times higher than mothers in the general population, but these mothers are least likely to receive services for improving mood. Little research has focused on recruiting these mothers into clinical intervention trials. The purpose of this article is to report on a study that provided a unique context within which to view the differential success of three referral approaches (i.e., community agency staff referral, research staff referral, and maternal self-referral). It also enabled a preliminary examination of whether the different strategies yielded samples that differed with regard to risk factors for adverse maternal and child outcomes. The examination took place within a clinical trial of a mobile intervention for improving maternal mood and increasing parent practices that promote infant social communication development. The sample was recruited within the urban core of a large southern city in the U.S. and was comprised primarily of mothers of non-dominant culture, who were experiencing severe socioeconomic disadvantage. Results showed that mothers self-referred at more than 3.5 times the rate that they were referred by either community agency staff or research staff. Moreover, compared to women referred by research staff, women who self-referred and those who were referred by community gatekeepers were as likely to eventually consent to study participation and initiate the intervention. Results are discussed with regard to implications for optimizing referral into clinical intervention trials.
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DOI：
10.1177/1740774518792277
发表时间：
2018-10
期刊：
Clinical trials (London, England)
影响因子：
--
作者：
Cho HL;Danis M;Grady C
通讯作者：
Grady C
影响因子：
4.6
作者：
Goodman SH;Garber J
通讯作者：
Garber J
DOI：
10.1016/j.ijgo.2014.09.015
发表时间：
2015-03-01
影响因子：
3.8
作者：
Allbaugh, Lucy J.;Marcus, Sheila M.;Flynn, Heather A.
通讯作者：
Flynn, Heather A.
影响因子：
9.7
作者：
Lillie-Blanton, M;Hoffman, C
通讯作者：
Hoffman, C
影响因子：
1.7
作者：
Miller, Laura J.;LaRusso, Elizabeth M.
通讯作者：
LaRusso, Elizabeth M.