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.

项目总结/文摘