Follow up of Mothers Suspected of Postpartum Depression

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02559986
Recruitment Status : Completed
First Posted : September 25, 2015
Last Update Posted : September 25, 2015
Information provided by (Responsible Party):
Nerissa Bauer, Indiana University

Brief Summary:
Postpartum depression (PD) is a serious and disabling mental health condition that affects 10-15% of women after childbirth. Low-income minority women are disproportionately affected. Untreated PD can lead to significant negative outcomes for both mother and child. Pediatricians are being asked to routinely screen for PD and while screening rates are improving, little is known about whether mothers actually adhere to pediatrician recommendations to seek additional help after a positive PD screen. The objective of this study is to describe the rate at which mothers seek treatment for suspected PD after a positive screen at the pediatrician office. Additional examination will look at factors that predict whether a mother recalls a recommendation to seek treatment.

Condition or disease Intervention/treatment
Depression, Postpartum Other: telephone interview

Detailed Description:

The primary outcome of interest is whether mothers suspected of having PD seek treatment after discussion with the pediatrician. In order to evaluate whether discussion with pediatricians leads mothers to seek care, data collection efforts should focus on what information was exchanged, the level of shared decision-making about possible treatment options and whether an agreed upon plan was reached between both parties. The investigators will examine the effectiveness of these discussions by interviewing mothers who were suspected of having PD and referred for treatment. The investigators hypothesize that pediatricians who are able to engage mothers in a shared decision will result in more of those mothers seeking help and getting into appropriate treatment for PD.

The specific research aims of this proposal are to:

Aim 1: Describe the rate at which mothers suspected by pediatricians of having PD seek treatment.

Aim 2: Explore what factors predict whether mothers suspected of PD seek treatment, including maternal sociodemographic characteristics, family centeredness of pediatrician care, and extent of shared decision-making strategy used by the pediatrician.

This will be a cohort study examining the rate at which mothers suspected of having PD seek care and the relationship between shared decision-making and seeking mental health care. Data for both specific aims will be collected by a single telephone interview with mothers suspected of having PD by the pediatrician and referred. For this study, investigators will be focusing recruitment efforts in the four Wishard community health centers (now Eskenazi Health) that use CHICA. In 2007, these four clinics saw 8,528 patients between the ages of 0 and 3 years. These clinics serve a large proportion of families that are underserved, economically disadvantaged and are ethnically and racially diverse.

Study Type : Observational
Actual Enrollment : 73 participants
Observational Model: Cohort
Time Perspective: Cross-Sectional
Official Title: Follow-up of Postpartum Depression After Referral From Pediatric Clinics
Study Start Date : January 2012
Actual Primary Completion Date : December 2014
Actual Study Completion Date : December 2014

Resource links provided by the National Library of Medicine

Intervention Details:
  • Other: telephone interview
    telephone interview about their care received during the first year of life and associated events

Primary Outcome Measures :
  1. Rate at which mothers sought treatment for suspected PD [ Time Frame: Within 1 year of index visit ]
    Defined broadly as a positive response to either called adult care provider (primary care provider, obstetrician, or mental health therapist) for appointment or community resource

Secondary Outcome Measures :
  1. Factors associated with help seeking behavior [ Time Frame: Within 1 year of index visit ]
    socio-demographics and other characteristics

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Mothers whose children received care at one of 4 community general pediatrics clinic with the Child Health Improvement through Computer Automation (CHICA) system who had a positive PD screen and brought the child to the majority of the child's visits to the study clinic

Inclusion Criteria:

-mothers with a positive PD screen who brought their child to seek medical care at participating study clinics, who were present for a majority of the child's visits.

Exclusion Criteria:

-not biological mother, did not bring child to majority of clinic visits

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02559986

Sponsors and Collaborators
Indiana University
Principal Investigator: Nerissa S Bauer, MD, MPH Indiana University School of Medicine

Responsible Party: Nerissa Bauer, Assistant Professor, Indiana University Identifier: NCT02559986     History of Changes
Other Study ID Numbers: 1111007501
First Posted: September 25, 2015    Key Record Dates
Last Update Posted: September 25, 2015
Last Verified: September 2015

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