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.

项目摘要/摘要 这项探索/发展研究赠款计划（R21）解决了非洲 - 美国（AA）妇女。 AA母亲患围产期抑郁症的风险高于白人妇女 归因于增加社会环境压力源。 AA妇女的医疗保健利用不良， 与高加索妇女相比，遵守精神病治疗。需要干预 补充和支持母亲抑郁症护理的临床目标，而无需母亲 直接参与。父亲是减少母亲的环境压力和 鼓励健康的孕产妇行为。 PI将测试非裔美国人的社会支持效果 治疗伴侣减轻了围产期抑郁症（资产-PPD）方案，这是一种补充干预措施 孕产妇围产期精神病治疗。资产-PPD将针对父亲对母亲的精神的支持 健康治疗及其在家庭中积极参与以减轻重大压力。 资产-PPD干预措施将设计为有4个主动模块，以解决关键因素以减少 产前期间的孕产妇压力和2个产后审查课程。资产-PPD被设计为 个别会议。干预措施基于应力产生和认知的理论模型 行为理论。这些模块将是为提供培训，信息和 行为分配以增加父亲的身份：1）产前和产后家庭参与； 2）心理健康 心理教育； 3）父母的沟通和关系技能； 4）家庭平衡的划分 任务。干预后的焦点小组的母亲和父亲将告知PI的效用和可接受性 干预。此外，主题专家小组将成为外部咨询委员会的一部分 提供有关干预开发的反馈。手册的最终确定将根据 干预的表现以及焦点小组和顾问委员会的反馈。 资产-PPD将在飞行员RCT中进行评估，其中50位同居父亲和AA母亲 随机分为资产-PPD干预措施或比较组。父亲只会参加 干预措施，母亲和父亲将完成心理健康和父母经历的测量。 孕产妇抑郁症状将被评估为主要结果，母乳喂养和父母喂养 互动将作为次要结果评估，以告知所选措施的未来措施的效用 大规模RCT。该协议的目的是：1）评估夫妻干预的可接受性； 2）确定招聘率； 3）评估每个模块的关键组件的效用； 4）评估 每种措施的充分性，以评估干预措施针对的结果； 5）确定是否 飞行员数据需要大规模的RCT。