Peer Support Programs for Perinatal Anxiety and Postpartum Depression
(Pathways Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests two methods to support mental health for individuals experiencing anxiety or depression during pregnancy and up to a year postpartum. One group will use a healthcare system model called Program in Support of Moms (PRISM), while the other will use PRISM plus support from community specialists. The researchers aim to determine which approach better improves mental health care access for pregnant and postpartum individuals. The trial seeks participants who have received care at one of the study's partner clinics and can communicate in English or Spanish. As an unphased trial, it offers a unique opportunity to contribute to enhancing mental health support for new and expecting mothers.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on mental health support rather than medication changes.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research shows that the Program in Support of Moms (PRISM) and PSI Peer Support have been well-received by participants. PRISM has effectively treated depression during and after pregnancy in various settings. Past studies reported that participants handled it well, with no major safety issues. It offers quick access to helpful resources and referrals.
Similarly, PSI Peer Support has shown positive results. Studies have found that peer support can reduce symptoms of depression after childbirth. Participants in earlier research also found it safe, with no significant negative effects.
In summary, both PRISM and PSI Peer Support have been studied and are considered safe for participants. They aim to provide support and improve mental health during and after pregnancy without serious side effects.12345Why are researchers excited about this trial?
Researchers are excited about the trial for Peer Support Programs for Perinatal Anxiety and Postpartum Depression because it explores innovative approaches to mental health care. Unlike traditional treatments like medication and therapy, this trial investigates peer support systems, which can offer a more personal and relatable form of assistance. The PRISM model focuses on healthcare professionals providing support, while the PSI Peer Support approach includes community members who have shared experiences. This combination might offer more comprehensive care by integrating professional guidance with empathetic peer support, potentially leading to better outcomes for new moms.
What evidence suggests that this trial's treatments could be effective for perinatal anxiety and postpartum depression?
Research has shown that the Program in Support of Moms (PRISM), available to participants in this trial, effectively reduces depression symptoms in pregnant and new mothers. One study found that PRISM decreased both the severity of depression and the number of women with high depression scores. Another treatment option in this trial is the Healthcare-Community Partnership approach, which includes PSI Peer Support specialists. Studies indicate that peer support can lessen the severity and occurrence of postpartum depression. This method involves receiving help from others who have faced similar challenges, which can be very beneficial. Both treatments in this trial aim to improve mental health during pregnancy and after childbirth by providing specific support and resources.12467
Who Is on the Research Team?
Nancy Byatt, DO, MS, MBA
Principal Investigator
UMass Chan Medical School and UMass Memorial Health
Are You a Good Fit for This Trial?
This trial is for individuals who have experienced mental health conditions during pregnancy or up to one year postpartum. Participants must speak English, have received care at a partnering setting during the study period, and be involved in perinatal care as professionals.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Implementation
Implementation of either the healthcare system-focused approach or the healthcare-community partnership approach, including screening, assessment, and treatment of mood and anxiety disorders
Follow-up
Participants are monitored for safety and effectiveness after treatment, including follow-up for mental health concerns
Evaluation and Adaptation
Evaluation of the effectiveness of the approaches and adaptation for wider implementation, including meetings with advisory councils and stakeholders
What Are the Treatments Tested in This Trial?
Interventions
- Program in Support of Moms (PRISM)
- PSI Peer Support
Trial Overview
The study compares two models of mental health care: a healthcare system approach versus a healthcare-community partnership model. It aims to determine which method should receive resources for improving perinatal mental health.
How Is the Trial Designed?
2
Treatment groups
Active Control
The Healthcare system approach will include the PRogram In Support of Moms (PRISM) model alone.
The Healthcare-Community Partnership approach will include the PRISM model plus PSI Peer Support specialists.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Massachusetts, Worcester
Lead Sponsor
Patient-Centered Outcomes Research Institute
Collaborator
Citations
The Effect of Peers Support on Postpartum Depression - PMC
Introduction: Postpartum depression and its consequences not only involve mothers and their children but it will also affect their families.
2.
womensmentalhealth.org
womensmentalhealth.org/posts/essential-reads-peer-support-interventions-for-perinatal-depression/Essential Reads: Peer Support Interventions for Perinatal ...
Peer support interventions can reduce the incidence of postpartum depression and the severity of depressive symptoms.
Review article Effectiveness of psychological interventions ...
Women with depression during pregnancy are at increased risk of experiencing postpartum psychiatric disorders (Robertson et al., 2004) and ...
Evaluation of a Technology-Based Peer-Support ...
them susceptible to postpartum psychological disorders such as postnatal depression (PND). Social support has been found to be effective in ...
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