Clinical Trial: Follow up of Mothers Suspected of Postpartum Depression

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: Follow-up of Postpartum Depression After Referral From Pediatric Clinics

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.

Detailed Summary:

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 ser
Sponsor: Indiana University

Current Primary Outcome: 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


Original Primary Outcome: Same as current

Current Secondary Outcome: Factors associated with help seeking behavior [ Time Frame: Within 1 year of index visit ]

socio-demographics and other characteristics


Original Secondary Outcome: Same as current

Information By: Indiana University

Dates:
Date Received: September 23, 2015
Date Started: January 2012
Date Completion:
Last Updated: September 23, 2015
Last Verified: September 2015