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?

Appropriate training for perinatal mental health care is an important public health concern as mental health disorders are common pregnancy complications. Perinatal and mental health care providers report the difficulty of treating perinatal individuals due to insufficient information available regarding mental health treatment decisions, differences in beliefs and attitudes, and concerns about adverse effects on patients, such as self-harm and suicide. Effective shared decision-making skills can improve perinatal and mental health care providers' competencies to meet the unique decision needs of perinatal individuals, particularly those with mental health disorders. The proposed project titled "DECIDE to Improve Maternal Mental Health Care Delivery" aims to adapt the DECIDE Provider Training developed by Dr. Alegria and her team,1 to improve the rapid and wide dissemination and implementation of DECIDE in meeting the mental health needs of perinatal individuals. DECIDE stands for Decide the problem; Explore the questions; Closed or open-ended questions; Identify the who, why, or how of the problem; Direct questions to your health care professional; Enjoy a shared solution. The DECIDE provider training was developed based on theories of intergroup contact in social psychology and a patient-centered framework.28-30 DECIDE teaches mental health providers how to improve perspective-taking, reduce attributional errors, and increase receptivity to the client population.1,15-17 The proposed project will (1) make content adaptation (i.e., adding topical training content to fit perinatal mental health care) and process adaption (i.e., creating asynchronous training modules to reduce the burden for care providers) to the DECIDE Provider Training and (2) assess the acceptability, appropriateness, and usability of adapted DECIDE provider training for rapid and wide dissemination and implementation of DECIDE in maternal mental health care delivery.

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+