African-American Social Support Effectiveness Treatment- Partners Alleviating Perinatal Depression (ASSET-PPD)

非裔美国人社会支持有效性治疗 - 缓解围产期抑郁症的伴侣 (ASSET-PPD)

• 批准号: 10248553
• 负责人: Sheehan David Fisher
• 金额: $ 24.59万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-27 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10248553
• 关键词: Address; African American; Aftercare; American; Anxiety Disorders; Behavior; Behavioral; Breast Feeding; Caring; Caucasians; Clinical; Cognitive; Communication; Couples; Data; Development; Distress; Educational Curriculum; Effectiveness; Emotional; Environment; Evaluation; Family; Fathers; Feedback; Focus Groups; Future; Generations; Housekeeping; Individual; Infant; Intervention; Learning; Manuals; Maternal Behavior; Measures; Mental Depression; Mental Health; Meta-Analysis; Moods; Mothers; Outcome; Parents; Participant; Performance; Perinatal; Postpartum Depression; Postpartum Period; Prevalence; Protocols documentation; Psychiatric therapeutic procedure; Psychotherapy; Randomized; Recording of previous events; Research Project Grants; Resources; Risk; Risk Factors; Self Care; Severities; Social Environment; Social support; Stress; Testing; Theoretical model; Thinking; Training; Treatment Effectiveness; Woman; acceptability and feasibility; antepartum depression; base; comparison group; depressive symptoms; design; effective intervention; efficacy evaluation; experience; health care disparity; health care service utilization; high risk; improved; male; maternal depression; maternal risk; maternal stress; novel; patient engagement; perinatal mental health; perinatal period; peripartum depression; post intervention; postpartum outcome; prenatal; prevent; primary outcome; programs; psychoeducation; psychosocial; recruit; secondary outcome; skills; social; stressor; theories; therapy development; treatment comparison; treatment group

Project Summary/Abstract This Exploratory/Developmental Research Grant Program (R21) addresses perinatal depression in African- American (AA) women. AA mothers have a higher risk for perinatal depression than Caucasian women that is attributable to increased socio-environmental stressors. AA women have poor healthcare utilization and compliance with psychiatric treatment compared to Caucasian women. An intervention is required to supplement and support the clinical objectives of the mother’s depression care without requiring the mother’s direct involvement. Fathers are an underutilized resource to reduce the mother’s environmental stress and encourage healthy maternal behaviors. The PI will test the African-American Social Support Effectiveness Treatment- Partners alleviating Perinatal Depression (ASSET-PPD) protocol, a supplemental intervention to maternal perinatal psychiatric treatment. ASSET-PPD will target the fathers’ support of the mothers’ mental health treatment and their active engagement in the family to reduce maternal stress. The ASSET-PPD intervention will be designed to have 4 active modules that address key factors to reduce maternal stress during the prenatal period and 2 postpartum review sessions. ASSET-PPD is designed as individual sessions. The intervention is based on the theoretical models of the stress-generation and cognitive- behavior theories. The modules will be individual sessions constructed to provide training, information, and behavioral assignments to increase fathers’: 1) prenatal and postpartum family involvement; 2) mental health psychoeducation; 3) interparental communication and relationship skills; and 4) balanced division of family tasks. A post-intervention focus group of mothers and fathers will inform the PI of the utility and acceptability of the intervention. In addition, a panel of subject matter experts will be part of an external advisory board to provide feedback on the intervention development. The finalization of the manual will be executed based on the intervention’s performance, and the focus groups’ and advisory board’s feedback. ASSET-PPD will be evaluated in a pilot RCT with 50 cohabitating fathers and AA mothers who will be randomized into the ASSET-PPD intervention or the comparator group. Fathers only will participate in the intervention, and mothers and fathers will complete measures of mental health and parental experiences. Maternal depressive symptoms will be assessed as a primary outcome, and breastfeeding and parent-infant interactions will be assessed as secondary outcomes to inform the utility of the selected measures for a future large-scale RCT. The objective of this protocol is to: 1) assess the acceptability of the intervention to couples; 2) determine the recruitment rate; 3) evaluate the utility of each module’s key components; 4) assess the adequacy of each measure to evaluate the outcomes targeted by the interventions; and 5) determine whether the pilot data warrant a large-scale RCT.

项目概要/摘要 该探索性/发展性研究资助计划 (R21) 致力于解决非洲围产期抑郁症问题 美国（AA）女性。 AA 母亲比白人女性患围产期抑郁症的风险更高 归因于社会环境压力增加。 AA 女性的医疗保健利用率较差 与白人女性相比，对精神科治疗的依从性。需要干预 补充和支持母亲抑郁症护理的临床目标，而不需要母亲的同意 直接参与。父亲是一种未充分利用的资源，可以减少母亲的环境压力， 鼓励健康的孕产妇行为。 PI将测试非裔美国人的社会支持有效性 治疗 - 伴侣减轻围产期抑郁症 (ASSET-PPD) 方案，一种补充干预措施 产妇围产期精神科治疗。 ASSET-PPD 将以父亲对母亲精神上的支持为目标 健康治疗和她们积极参与家庭，以减轻产妇压力。 ASSET-PPD 干预措施将设计为具有 4 个主动模块，旨在解决减少风险的关键因素 产前期间的母亲压力和 2 次产后检查。 ASSET-PPD 设计为 个别会议。干预措施基于压力产生和认知的理论模型 行为理论。这些模块将是单独的课程，旨在提供培训、信息和 提高父亲的行为分配：1）产前和产后家庭参与； 2）心理健康 心理教育； 3）父母间的沟通和人际关系技巧； 4）家庭的平衡分配 任务。由母亲和父亲组成的干预后焦点小组将告知 PI 的实用性和可接受性 的干预。此外，一个主题专家小组将成为外部顾问委员会的一部分，以 提供有关干预措施发展的反馈。本手册的定稿将根据 干预措施的绩效，以及焦点小组和顾问委员会的反馈。 ASSET-PPD 将在一项试点随机对照试验中进行评估，该试验涉及 50 名同居父亲和 AA 母亲，他们将 随机分为 ASSET-PPD 干预组或比较组。只有父亲才会参加 干预，母亲和父亲将完成心理健康和父母经历的测量。 母亲抑郁症状将作为主要结局进行评估，母乳喂养和亲子关系将被评估 相互作用将作为次要结果进行评估，以告知所选措施对未来的效用 大规模随机对照试验。该协议的目的是： 1）评估夫妻干预的可接受性； 2）确定录用率； 3）评估各模块关键部件的效用； 4）评估 评估干预措施目标结果的每项措施的充分性； 5) 确定是否 试点数据需要进行大规模随机对照试验。