Case Management Study for Postpartum Depression and Intimate Partner Violence

This study has been completed.
Sponsor:
Collaborator:
Leonard & Helen R. Stulman Charitable Foundation
Information provided by (Responsible Party):
Barry Solomon, Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT00560027
First received: November 16, 2007
Last updated: May 26, 2015
Last verified: May 2015
  Purpose

The objective of the study was to assess the prevalence, timing, and co-occurrence of positive screens for maternal postpartum depression (PPD) and intimate partner violence (IPV) for women bringing their young infants for pediatric primary care and examine relationships between PPD, IPV and children's healthcare utilization from birth to 2 years.


Condition Intervention
Postpartum Depression
Intimate Partner Violence
Other: Case Management by Family Support Counselor (not RCT)

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Screening
Official Title: Screening, Referral and Case Management for Postpartum Depression and Intimate Partner Violence in an Urban Pediatric Practice

Resource links provided by NLM:


Further study details as provided by Johns Hopkins University:

Primary Outcome Measures:
  • Positive screens for PPD and/or IPV [ Time Frame: 12 months ]

Secondary Outcome Measures:
  • Healthcare utilization over 2 years (acute care, emergency and well visits) [ Time Frame: 12 months ]

Enrollment: 173
Study Start Date: July 2010
Study Completion Date: June 2013
Primary Completion Date: June 2013 (Final data collection date for primary outcome measure)
Intervention Details:
    Other: Case Management by Family Support Counselor (not RCT)
    N/A. Had planned to study RCT of case management intervention but unable to carry out RCT. Instead studied screening practice and healthcare utilization in mothers with PPD, IPV or both.
Detailed Description:

Post-partum depression (PPD) and intimate partner violence (IPV) negatively affect the health and well-being of millions of women each year. In turn, PPD and IPV frequently compromise women's ability to form a strong mother-infant bond, which potentially impacts their children's health and well-being. Limited information exists regarding the prevalence of PPD, IPV, and the co-occurrence of the two. Similarly, empirically tested interventions designed to improve outcomes for these women and their infants are lacking.

The objective of the research was to assess the prevalence, timing, and co-occurrence of positive screens for maternal postpartum depression and intimate partner violence and examine their relationships with children's healthcare utilization from birth to 2 years.

As per routine protocol in the Harriet Lane Clinic (HLC), all mothers bringing their infants for a well baby visit (birth to 6 month visit) are screened for PPD and IPV using a brief, self-administered paper-based questionnaire at the start of the visit. Appropriate resource and referral materials will be provided by a Family Support Counselor (FSC) in the clinic. Between February and March 2008, mothers bringing newborn, 2-, 4-, or 6-month-old children to an urban primary care clinic were screened for postpartum depression and intimate partner violence. A retrospective chart review abstracted demographic data, maternal responses on the postpartum depression/intimate partner violence screen at the initial and subsequent visits, and, from the child's birth to second birthday, adherence with well-child care and use of pediatric acute care and emergency department visits. Descriptive, bivariate, and multivariate analyses were conducted.

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • English-speaking mothers of infants presenting for their newborn, two, four or six month visits to their primary care provider in the Harriet Lane Clinic

Exclusion Criteria:

  • none
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00560027

Locations
United States, Maryland
Harriet Lane Clinic
Baltimore, Maryland, United States, 21287
Sponsors and Collaborators
Johns Hopkins University
Leonard & Helen R. Stulman Charitable Foundation
Investigators
Principal Investigator: Barry S Solomon, MD, MPH Johns Hopkins University
Principal Investigator: Megan Bair-Merritt, MD, MHS Johns Hopkins University
  More Information

Publications:
Responsible Party: Barry Solomon, Associate Professor of Pediatrics, Johns Hopkins University
ClinicalTrials.gov Identifier: NCT00560027     History of Changes
Other Study ID Numbers: 20064046
Study First Received: November 16, 2007
Last Updated: May 26, 2015
Health Authority: United States: Institutional Review Board

Keywords provided by Johns Hopkins University:
postpartum depression
intimate partner violence

Additional relevant MeSH terms:
Depression
Depression, Postpartum
Depressive Disorder
Behavioral Symptoms
Mental Disorders
Mood Disorders
Pregnancy Complications
Puerperal Disorders

ClinicalTrials.gov processed this record on August 27, 2015