Perinatal Mental Health
Conditions
Keywords
neonatal intensive care unit, perinatal mental health, perinatal depression, perinatal anxiety, posttraumatic stress disorder
Brief summary
The objective of this study is to develop and pilot test a telehealth-based mental health screening and engagement program that supports parents as their infants transition home from the NICU. The program will use a stepped-care approach to screen parents for depression, anxiety, and PTSD; provide a brief behavioral intervention to those who screen as having at least a low risk of these conditions; and provide a warm hand-off to community mental health services for those at medium to high risk.
Interventions
BEHAVIORALBehavioral Treatment
anticipatory guidance, brief behavioral intervention, or referral to community mental health provider
Sponsors
Oregon Health and Science University
National Institute of Mental Health (NIMH)
University of Colorado, Denver
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* NICU parents: Participants will be parents of currently hospitalized preterm infants from either the OHSU NICU or the UCH NICU. We will include parents of live preterm infants who have been admitted in the NICU for at least 2 weeks. Parents must speak English or Spanish. Parents can be of any age. * NICU stakeholders: Participants will be stakeholders from either the OHSU NICU or the UCH NICU. Stakeholders will be social workers, mental health providers responsible for providing more intensive mental health support for NICU parents, nurses, neonatologists, and hospital administrators.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mental health self-efficacy scale | ~2 weeks prior to discharge; 2 weeks post-discharge; 6 weeks post-discharge | Mental health self-efficacy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| City Mental Illness Stigma Scale | ~2 weeks prior to discharge; 2 weeks post-discharge; 6 weeks post-discharge | Mental illness stigma |
| Parenting Sense of Self Confidence Scale | ~2 weeks prior to discharge; 2 weeks post-discharge; 6 weeks post-discharge | Parenting self-efficacy |
Other
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh Postnatal Depression Scale (EDPS) | ~2 weeks prior to discharge; 2 weeks post-discharge; 6 weeks post-discharge | Perinatal depression |
| GAD-7 | ~2 weeks prior to discharge; 2 weeks post-discharge; 6 weeks post-discharge | Anxiety |
| Post-Traumatic Stress Disorder Questionnaire (PPQ) | ~2 weeks prior to discharge; 2 weeks post-discharge; 6 weeks post-discharge | PTSD |
Countries
United States
Contacts
Primary ContactSusanne Klawetter, PhD
Backup ContactSunah S Hwang, MD, PhD, MPH/MSPH
Outcome results
None listed