DECIDE Training for Maternal Mental Health

Overseen By Christina D Kang-Yi, Ph.D.

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: Rutgers, The State University of New Jersey

Disqualifiers: Non-system providers, Non-U.S. providers, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

35 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve mental health care for pregnant individuals by training health care providers. It focuses on enhancing providers' communication and decision-making skills to support patients facing mental health challenges during pregnancy. The DECIDE for MOM Provider Training helps providers understand patients' needs and collaborate on solutions. Health care providers who work with pregnant individuals and can communicate in English may be suitable for this trial. As an unphased trial, it offers a unique opportunity for patients to benefit from enhanced care through improved provider training.

Do I have to stop taking my current medications for this trial?

The trial does not specify whether you need to stop taking your current medications. It focuses on training for healthcare providers, not on medication use.

What prior data suggests that the DECIDE for MOM Provider Training is safe for perinatal mental health care?

Research has shown that the DECIDE training aims to enhance communication between healthcare providers and pregnant patients. This is crucial because mental health issues during pregnancy are common and can be serious. The training enables providers to make better decisions with their patients, leading to improved outcomes.

No direct evidence from studies addresses the safety of the DECIDE training itself, as it is an educational program for healthcare providers. However, it is based on well-established principles of improving communication and understanding, which are generally safe and beneficial. Reports of negative effects from this type of training do not exist.

The focus is on teaching skills, so there is no risk as there might be with a new drug or medical device. Overall, the DECIDE training is expected to be well-received, as it involves learning techniques to enhance patient care. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the DECIDE for MOM Provider Training because it focuses on enhancing communication between healthcare providers and their perinatal mental health patients. Unlike traditional treatments that mainly revolve around medication or therapy directed at the patient, this approach empowers providers with skills to improve shared decision-making. By training a wide range of healthcare professionals through a flexible online platform, this method aims to create a more supportive environment for new and expecting mothers, potentially leading to better mental health outcomes.

What evidence suggests that the DECIDE for MOM Provider Training is effective for improving maternal mental health care?

Research has shown that collaboration between healthcare providers and patients can enhance care for pregnant and postpartum individuals with mental health issues. The DECIDE training program is being tested in this trial to help providers improve communication with their patients. This results in more informed and shared decisions about treatment options. Studies have found that such training can enhance the quality of care for pregnant and postpartum mothers. By improving communication, the training enables providers to address mental health challenges more effectively during pregnancy and after childbirth. ^{1 6 7 8 9}

Who Is on the Research Team?

Christina D Kang-Yi, Ph.D.

Principal Investigator

Rutgers, The State University of New Jersey

Are You a Good Fit for This Trial?

This trial is for perinatal and mental health care providers. It aims to train them in effective decision-making skills to better address the mental health needs of individuals during pregnancy, particularly those with mental disorders.

Inclusion Criteria

I can understand, complete assessments, and give feedback in English.

Perinatal or mental health care providers who previously or currently provide perinatal mental health care within health systems

I am between 18 and 64 years old.

Exclusion Criteria

Mental health professionals who do not practice in the U.S.

Mental health care providers who do not practice as part of a health care system

Mental health professionals who do not currently provide perinatal mental health care

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Adaptation Phase

Adapt DECIDE Provider Training for maternal mental health care using frameworks and stakeholder engagement

3 months

Multiple virtual focus group sessions

Training Phase

Participants take the adapted DECIDE provider training to assess acceptability, appropriateness, and usability

1 month

Asynchronous online training

Follow-up

Participants are monitored for feedback on training acceptability, appropriateness, and usability

1 month

Focus groups and online assessments

What Are the Treatments Tested in This Trial?

Interventions

• DECIDE for MOM Provider Training

Trial Overview The DECIDE Provider Training program is being adapted and tested. This training helps providers improve their shared decision-making with patients by teaching perspective-taking, reducing errors in judgment about others' intentions, and increasing openness to patient needs.

How Is the Trial Designed?

Group I: Intervention Providers Experimental Treatment 1 Intervention

The intervention targets nurses, midwives, primary care doctors, social workers, psychologists, case managers, counselors, peer specialists, and other obstetrics and gynecology care providers who provide perinatal health, mental health and or behavioral health care in hospitals or other healthcare organizations (e.g., home visit programs, State Medical Assistance and health services programs, Federally Qualified Health Centers). These providers receive an asynchronous online training that teaches them to communicate more effectively with their perinatal mental health care patients in order to improve shared decision making.

Who Is Running the Clinical Trial?

Rutgers, The State University of New Jersey

Lead Sponsor

Trials

471

Recruited

81,700+

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT07098260

DECIDE to Improve Maternal Mental Health Care Delivery Effective shared decision-making skills can improve perinatal and mental health care providers' competencies to meet the unique decision needs of perinatal ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11954265/

The impact of perinatal mental health training on ... The training program's overall impact highlights its importance in improving the quality of care provided to pregnant and postpartum mothers.

3. pcori.org pcori.org/research-results/2020/comparing-three-programs-aim-increase-access-mental-health-care-during-and-after-pregnancy

Comparing Three Programs That Aim To Increase Access ... This study is comparing three programs that aim to improve access to mental health care for pregnant and postpartum women.

4. sciencedirect.com sciencedirect.com/science/article/abs/pii/S1876201820303890

Delivery of perinatal mental health services by training lay ... IMBIs are effective in improving maternal depression and mindfulness and self-compassion. However, limited by the small number of studies included in the ...

5. journals.copmadrid.org journals.copmadrid.org/pi/art/pi2025a12

Mom Supporting Mom: Effective Peer Support Intervention ... The Mom Supports Mom intervention is a remote peer support program that reduced depressive and anxiety symptoms and improved quality of life in ...

6. psnet.ahrq.gov psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health

Maternal Safety and Perinatal Mental Health | PSNet This piece focuses on perinatal mental health and efforts to improve maternal safety.

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC5957550/

Consensus Bundle on Maternal Mental Health Abstract. Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age.

8. policycentermmh.org policycentermmh.org/universal-screening-for-maternal-mental-health-disorders-issue-brief/

Universal Screening for Maternal Mental Health Disorders Screening is the first step to identifying a problem so mothers can receive treatment and care to reduce adverse maternal and infant outcomes.

9. ihi.org ihi.org/sites/default/files/2024-04/AIM-Patient-Safety-Bundles_Change-Package_Perinatal-Mental-Health-Conditions.pdf

Perinatal Mental Health Conditions Change Package This change package supports Perinatal Quality Collaboratives to integrate mental health and obstetric care, as perinatal mental health conditions are a ...