Social Media-Based Parenting Program for Women with Postpartum Depressive Symptoms

产后抑郁症症状很常见，也是一个主要的公共卫生问题。12个月 全国流行病学调查估计产后抑郁症（PPD）的患病率为9.3 酒精及相关疾病PPD已被证明不仅干扰个体功能， 有效的养育也会使儿童在成年后面临许多适应不良的风险。 尽管PPD症状的流行和长期后果，但有大量证据表明， 对这一人群的精神卫生服务利用不足。服务障碍包括后勤、个人和 组织方面的问题，如缺乏关于在哪里寻求治疗，治疗选择，保险， 耻辱，以及对治疗效果的怀疑。目前资助的R61奖旨在确定 一项基于社交媒体的育儿计划，针对患有PPD症状的女性进行响应式育儿。所有 参与者接受在线抑郁症治疗计划，并评估他们的PPD症状 每月一次。目前，60%的母亲在干预后3个月仍有高于临界值的PPD症状。 当前的COVID-19大流行导致了广泛的公共遏制和缓解策略， 来减少SARS-CoV-2病毒的传播。这些策略迫使许多患有PPD的女性 症状，以庇护在家里的地方，社会隔离，并限制与心理健康提供者的直接接触。 初步数据表明，患有心理健康障碍的人难以获得服务。 尽管有远程保健服务，但此时精神健康症状仍在恶化。 本管理补充的主要目的是调整患者亲自导航干预， 促进有产后抑郁症症状的低收入妇女获得虚拟精神保健。这样做的目的是 补充是使患者导航干预适应虚拟使用并评估其可行性， 可接受性和目标参与度。为了实现这些目标，我们建议进行10个半结构化 与当前参与者进行访谈，了解心理健康服务的障碍和促进因素， 现有的心理健康导航干预和参与措施。在此之后，我们建议 使用快速循环测试，招募30名患有持续性PPD症状的母亲，以适应虚拟导航 在3个月内进行干预，以评估可行性、可接受性和目标参与度。这种补充剂 是响应NOT-MH-20-053，因为它旨在促进获得循证远程精神病学服务 患有持续性产后抑郁症的城市有色人种母亲中本补充资料中的信息可以 用于在未来的NIMH应用中测试适配的虚拟干预。

Depression symptoms in the postpartum period are common and a major public health concern. The 12-month prevalence of postpartum depression (PPD) has been estimated at 9.3% by the National Epidemiologic Survey on Alcohol and Related Conditions. PPD has been shown to interfere not only with individual functioning but also with effective parenting that places children at risk for numerous maladaptive outcomes into adulthood. Despite the prevalence and long-term consequences of PPD symptoms, there is substantial evidence of the underutilization of mental health service for this population. Service barriers include logistical, personal, and organizational ones, such as lack of knowledge about where to seek treatment, treatment options, insurance, stigma, and doubt about treatment effectiveness. The current funded R61 award aims to determine the effects of a social media-based parenting program on responsive parenting among women with PPD symptoms. All participants receive access to an online depression treatment program and their PPD symptoms are assessed monthly. Currently, 60% of the mothers still have PPD symptoms above cut-off at 3 months post-intervention. The current COVID-19 pandemic has led to widespread public containment and mitigation strategies, designed to decrease the spread of the SARS-CoV-2 virus. These strategies have forced many women with PPD symptoms to shelter in place at home, socially isolate, and limit direct contact with mental health providers. Preliminary data suggests that individuals with mental health disorders are having difficulty accessing services and experiencing worsening mental health symptoms at this time despite the availability of telehealth services. The main objective of this administrative supplement is to adapt an in-person patient navigation intervention to facilitate access to virtual mental health care among low-income women with PPD symptoms. The aims of this supplement are to adapt a patient navigation intervention for virtual use and to assess its feasibility, acceptability, and target engagement. To accomplish these aims, we propose to conduct 10 semi-structured interviews with current participants to understand barriers and facilitators to mental health services and adapt an existing mental health navigation intervention and engagement measure. Following this, we propose to enroll 30 mothers with persistent PPD symptoms using rapid cycle testing to the adapted virtual navigation intervention to assess feasibility, acceptability, and target engagement over a 3-month period. This supplement is responsive to NOT-MH-20-053 in that it seeks to facilitate access to evidence-based telepsychiatry services among vulnerable urban mothers of color with persistent PPD symptoms. Information from this supplement can be used to test the adapted virtual intervention in a future NIMH application.