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Preventing postpartum depression among immigrant Latinas through a virtual group intervention

通过虚拟团体干预预防拉丁美洲移民产后抑郁症

基本信息

批准号：
10706420
负责人：
Rheanna Edith Platt
金额：
$ 68.56万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-18 至 2027-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10706420
关键词：
Address Adoption Affect Area Cellular Phone Characteristics Child Child Rearing Clinical Code Cognitive Therapy Communities Consolidated Framework for Implementation Research Counseling Data Discrimination Educational process of instructing Effectiveness Electronics Emotions Enrollment Ethnic Population Evidence based intervention Exhibits Future Immigrant Impairment Individual Informal Social Control Insurance Interpersonal Relations Intervention Interview Language Latin American Latina Population Learning Maintenance Maryland Measures Mental Depression Mental Health Mental Health Services Methods Modality Mothers National Institute on Minority Health and Health Disparities Outcome Participant Patient Self-Report Perinatal Persons Pilot Projects Population Postpartum Depression Poverty Provider Randomized, Controlled Trials Reach, Effectiveness, Adoption, Implementation, and Maintenance Readiness Reporting Research Resources Risk Risk Factors Role Schools Self Efficacy Series Services Site Social Network Social support Strategic Planning Stress Structure Surveys Tablets Testing Text Messaging Training Trauma United States United States Preventative Services Task Force Woman acceptability and feasibility aged comparison control contextual factors depression prevention depressive symptoms disparity reduction dosage early childhood effectiveness evaluation effectiveness-implementation RCT evidence base experience family support food insecurity group intervention health care settings implementation determinants implementation outcomes implementation process implementation science implementation strategy improved informant intervention delivery intervention effect intervention participants laptop mood regulation multidisciplinary participant enrollment perinatal women pilot test post intervention postnatal pregnant prevent preventive intervention programs racial population service providers skills social health determinants social stigma theories therapy design trial enrollment virtual virtual delivery virtual group virtual intervention virtual platform

项目摘要

PROJECT SUMMARY Postpartum depression (PPD) affects 10-20% of women, with immigrant Latinas disproportionately affected. PPD prevention and treatment is limited among immigrant Latinas due to an array of structural and cultural factors, suggesting the need to deliver interventions outside of traditional healthcare settings. Virtual interventions have the potential to reduce barriers to mental health services for immigrant Latinas, but there is little research on the effectiveness of virtual interventions to reduce PPD symptoms. Mothers and Babies is an evidence-based group intervention based on principles of cognitive-behavioral therapy and attachment theory aimed at PPD prevention. Mothers and Babies was adapted for delivery via a virtual group format (Mothers and Babies Virtual Group; MB-VG), with a pilot study suggesting good feasibility and acceptability as well as improved mental health outcomes for immigrant Latinas. The proposed project is a Type 1 Effectiveness- Implementation randomized controlled trial among pregnant individuals and new mothers at risk for PPD based on elevated depressive symptoms and/or other established risk factors who are enrolled in early childhood programs across Maryland. A total of 300 women will be enrolled; 150 will receive MB-VG while 150 will receive usual family support services. The project aims to evaluate: 1) the effectiveness of MB-VG to reduce depressive symptoms, prevent onset of PPD, and improve parenting self-efficacy and responsiveness; 2) implementation of MB-VG; and 3) contextual factors influencing MB-VG effectiveness and implementation. An exploratory aim will also examine child self-regulation and school readiness outcomes among participants (~N=150) who have older children aged 2.5-4.5 years. Trained early childhood center staff will deliver MB-VG sessions, with intervention participants receiving virtual group sessions via Zoom using any electronic device (smartphone, tablet, laptop). Maternal self-report surveys are conducted at baseline, 1 week, 3 months, and 6 months post-intervention, with structured clinical interviews also conducted at 3- and 6-months post- intervention. Key informant interviews with MB-VG facilitators and recipients, as well as early childhood program directors will provide data on MB-VG implementation and contextual factors influencing implementation. Fidelity of MB-VG delivery will be assessed via rigorous coding of intervention session audio recordings. Our study is the first to deliver a virtual PPD preventive intervention to immigrant Latinas and to evaluate its impact. Given its virtual delivery modality, MB-VG can be easily replicated and scaled to other family support programs and settings serving immigrant Latinas. If effective and implemented broadly, more immigrant Latinas will receive mental health services and fewer will suffer the negative consequences associated with PPD. The proposed project is aligned with NIMHD’s high priority areas, including developing and testing interventions to reduce disparities.

项目总结