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?
Mental health conditions occurring during pregnancy and up to one year postpartum (the perinatal period) occur in 1 in 5 perinatal individuals. To improve mental health care during the perinatal period, this study will implement and compare a health care model of improving mood and anxiety disorder care in practices with a health care-community partnership model. The study will include 32 perinatal care settings across the United States. Half of them will have the health care model, the other half will have the health care-community partnership model. The study is designed to answer the question, "Should states and healthcare systems put resources into a healthcare system approach or a healthcare-community partnership approach to mental health care?" The results of this study will help states and healthcare systems decide how to develop pathways for increasing access to mental health care for pregnant and postpartum individuals.
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?
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
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