Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women

Johnson, Jennifer E.; Stirman, Shannon Wiltsey; Sikorskii, Alla; Miller, Ted R.; King, Amanda; Blume, Jennifer; Pham, Xuan Dung; Simas, Tiffany A. Moore; Poleshuck, Ellen L.; Weinberg, Rebecca J.; Zlotnick, Caron

doi:10.1186/s13012-018-0807-9

Cited by 32 publications

(27 citation statements)

References 67 publications

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“…Implementation trial designs, including sequential multiple assignment randomized trial (SMART) designs and adaptive approaches, afford the flexibility to compare combinations of interventions and implementation strategies to determine differential effects and optimal delivery across populations. [69][70][71][72] Interventions that have been shown to reduce cardiovascular disparities in Blacks may be especially salient to adapt and scale out for populations living with HIV in order to achieve health equity. 73…”

Section: Scaling Out Known Ebis For Cvd To People Living With Hivmentioning

confidence: 99%

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

et al. 2019

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Implementation science has great potential to improve the health of communities and individuals who are not achieving health equity. However, implementation science can exacerbate health disparities if its use is biased toward entities that already have the highest capacities for delivering evidence-based interventions. In this article, we examine several methodologic approaches for conducting implementation research to advance equity both in our understanding of what historically disadvantaged populations would need—what we call scientific equity—and how this knowledge can be applied to produce health equity. We focus on rapid ways to gain knowledge on how to engage, design research, act, share, and sustain successes in partnership with communities. We begin by describing a principle-driven partnership process between community members and implementation researchers to overcome disparities. We then review three innovative implementation method paradigms to improve scientific and health equity and provide examples of each. The first paradigm involves making efficient use of existing data by applying epidemiologic and simulation modeling to understand what drives disparities and how they can be overcome. The second paradigm involves designing new research studies that include, but do not focus exclusively on, populations experiencing disparities in health domains such as cardiovascular disease and co-occurring mental health conditions. The third paradigm involves implementation research that focuses exclusively on populations who have experienced high levels of disparities. To date, our scientific enterprise has invested disproportionately in research that fails to eliminate health disparities. The implementation research methods discussed here hold promise for overcoming barriers and achieving health equity.Ethn Dis. 2019;29(Suppl 1):83-92; doi:10.18865/ed.29.S1.83.

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Section: Scaling Out Known Ebis For Cvd To People Living With Hivmentioning

confidence: 99%

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

et al. 2019

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“…Another cohort study performed at 2 and 6 months postpartum included 513 questionnaires reporting on three scales: the Karitane Parenting Confidence Scale (KPCS), the Edinburgh Postnatal Depression Scale (EPDS), and the Parental Stress Scale (PSS). This study demonstrated that KPCS scores at 2 months postpartum were the strongest predictors for both maternal and parental stress, symptoms that generally involved the underlying symptoms of postpartum depression (20).…”

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confidence: 68%

Postpartum depression: Prevention and multimodal therapy

Stănescu¹,

Balalau²,

Pleș³

et al. 2018

JMMS

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A woman goes through many biological (hormonal, physical), psychological (emotional), and socio-cultural changes during pregnancy. Furthermore, changes also occur in the mother's familial and interpersonal world after childbirth. While some mothers have positive emotions at birth, such as joy and pleasure, others complain of negative experiences varying from sadness and depression to psychosis. Thus, the risk of depression is higher for women during the postpartum period, having a tendency to decrease in most cases over the first 2 weeks after delivery. Unfortunately, this favorable evolution does not happen in about 1 in 4-7 women, who develops postpartum depression. Postpartum depression has generally the same features as any common depressive episode encountered at any other time in life. However, assessment of depressive symptoms in the parental period implies not only general tools (such as the Depression Scale of the Center for Epidemiological Studies or the Beck Depression Inventory), but also a specific evaluation using the Edinburgh Postnatal Depression Scale. Taking into account all changes that occur during the peripartum period, a multimodal approach for postpartum depression would be recommended, including an appropriate lifestyle (walks, ambient environments), counseling, cognitive-behavioral therapy, and finally antidepressant medication when required. As a conclusion, postpartum depression may range from a mild and reversible episode to a severe and persistent form. Antepartum and postpartum screening, an early diagnosis, and a tailored approach to depression are essential for better results and prognosis related to both mother and child.

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“…Routine screening for anxiety and depression before birth for women of fertile age might help anticipate birth consequences for both mothers and offspring, especially among vulnerable populations (16,17,18). Given that 92,000 women give birth annually through elective cesarean section in the UK, the implications for delivery type are significant: For example, women with anxiety and depression prior to birth revealed symptoms more than a year after delivery (19). Furthermore, postpartum depression is a challenge for clinicians because it can have severe and long-term consequences not only for the patient but for the rest of the family.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perception of childbirth according to the delivery method: The experience in our clinic

Alexandroaia¹,

Sima²,

Bălălău³

et al. 2019

JMMS

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Introduction: The aim of this study is to identify the way in which childbirth in general, and the delivery method in particular, influenced the maternal psychosocial status and the perception upon birth during postpartum. Material and method: We conducted a cohort type 2 prospective study. We included patients who had given birth at "Bucur" Maternity of Hospital "St. John" Bucharest from the 1st of January 2017 until the 1st of January 2018. Results: The majority of the patients (21.05%) who chose to give birth vaginally assigned the maximum degree (10) to the difficulty of birth. The patients who gave birth through cesarean section experienced the feeling of sadness in a higher percentage than those who gave birth vaginally (30.52% versus 21.05%). Among the patients who were in favor of having more children, 85.45% preferred the same delivery method. All the patients who gave birth vaginally wished to have other children using the same method, while 81.4% from the patients who gave birth through cesarean section were in favor of more children. Conclusion: The patients' perception of childbirth was a subjective parameter. Further studies with standardized questionnaires should be applied for more reliable results.

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Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women

Cited by 32 publications

References 67 publications

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

Postpartum depression: Prevention and multimodal therapy

Patients’ perception of childbirth according to the delivery method: The experience in our clinic

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