Group-based Prevention of Postpartum Depression: In-person vs. Virtual Delivery

项目总结 抑郁症是最常见的围产期并发症之一，每7名母亲中就有1人有资格被诊断为 产后抑郁症(PPD)，西班牙裔/拉丁裔、黑人或非洲人的比例甚至更高 美洲印第安人、美洲印第安人或阿拉斯加原住民，或按多个种族或民族划分的。这个项目解决了这个问题 预防产后抑郁的服务存在重大差距，特别是在社会经济上处于不利地位和被小型化的人群中 组。它测试了用英语和西班牙语进行虚拟围产期预防干预以增加机会的好处， 可伸缩性和满足服务不足人群的心理健康需求。该项目将测试虚拟 随机对照服务就绪型有效预防性干预的面对面版本进行验证 对照试验(RCT)。与RFA-MH-21-240中的第三优先顺序一致，该有效性试验将提供 一种预防性干预的测试，具有强大的证据基础，可扩展并可准确交付 在接受产科护理的环境中由服务提供者提供。在这个项目中，孕妇将被 随机接受以证据为基础的团体预防计划(向外伸手，保持强大，关键是 新妈妈；玫瑰)为围产期人群设计的a)亲自在他们所在的医院分娩 接受产前护理或b)由同一工作人员通过视频会议提供虚拟服务，两者均在 英语和西班牙语。本项目将测试以下目标：1：测试虚拟团体预防的有效性 与面对面分娩相比，减少产后抑郁的干预计划。2：确定机制 对于干预和预测谁获得最大好处的特征的变化。3：提供 关于在其他妇女保健中传输和维持方案的执行建议 设置。该项目产生的发现将建立一种预防性干预模式，该模式可以 在不同的医疗保健和社区环境中大规模实施，作为一种低成本、高覆盖率的手段 预防产后抑郁症。

PROJECT SUMMARY Depression is one of the most common perinatal complications, with 1 in 7 mothers qualifying for a diagnosis of postpartum depression (PPD) and even higher rates for those who identify as Hispanic/Latine, Black or African American, American Indian, or Alaska Native, or by multiple races or ethnicities. This project addresses this major gap in services to prevent PPD, particularly among socioeconomically disadvantaged and minoritized groups. It tests the benefit of a virtual perinatal preventive intervention in English and Spanish to increase access, scalability and address the mental health needs of underserved populations. This project will test the virtual verison against the in-person version of a service-ready efficacious preventive intervention in a randomized controlled trial (RCT). Consistent with the third priority from RFA-MH-21-240, this effectiveness trial will provide a test of a preventive intervention with a strong evidence base that is scalable and can be delivered with fidelity by service providers in settings where obstetric care is received. In this project, pregnant women will be randomized to receive an evidence-based group prevention program (Reach Out, Stay Strong, Essentials for New Moms; ROSE) designed for perinatal populations either a) in person, delivered at the hospital where they are receiving prenatal care or b) virtually, delivered by the same staff via video conferencing, both offered in English and Spanish. This project will test the following aims: 1: Test effectiveness of a virtual group preventive intervention program on reducing postpartum depression compared to in-person delivery. 2: Identify mechanisms of change for the intervention and characteristics that predict who receives the greatest benefit. 3: Provide implementation recommendations for transporting and sustaining programs in other women’s healthcare settings. The discoveries generated by this project will establish a preventive intervention model that can be implemented at scale in diverse healthcare and community settings as a low-cost, high reach means of preventing postpartum depression.