Examining Participant Dosage and Skill Utilization Associated with Receipt of a Perinatal Depression Preventive Intervention

Tandon, SD (通讯作者),Northwestern Univ, Ctr Community Hlth, Inst Publ Hlth & Med, Feinberg Sch Med, 750 N Lake Shore Dr,Suite 680, Chicago, IL 60611 USA.
2022-10
This study assessed participant, facilitator, and program-level characteristics associated with intervention dosage among women receiving an evidence-based perinatal depression preventive intervention, Mothers and Babies (MB). We also explored how intervention dosage affected the use and maintenance of core skills taught in the six-session group-based intervention. We conducted a secondary analysis of data from a cluster-randomized controlled trial in which 679 women enrolled in home visiting (HV) programs received MB prenatally. High dose of intervention was defined as attendance at > 50% of MB sessions, while MB skill utilization was measured by asking participants to indicate at 12 and 24 weeks postpartum the extent to which they used 12 core MB skills taught during the intervention. Age and racial concordance between participant and facilitator were significantly associated with intervention dosage. Those receiving higher intervention dosage tended to be older (27.25 +/- 5.96 vs. 24.99 +/- 5.60, p < 0.01, OR = 1.068 [1.038-1.098]), and received MB from a facilitator with a self-identified race similar to their own (58% vs. 48%, p = 0.04, OR = 1.485 [1.014-2.176]). Primary language of participants was marginally associated with dosage. Participants receiving a higher dose of intervention tended to exhibit greater MB skill utilization, on average at 24 weeks postpartum. These results can be used to identify strategies to promote intervention engagement. They further suggest that greater intervention dosage leads to increased use of core intervention skills that can promote improvements in participants' behaviors and thoughts.
PREVENTION SCIENCE
卷号:23|期号:7|页码:1241-1250
ISSN:1389-4986|收录类别:SSCI
语种
英语
来源机构
Northwestern University; Feinberg School of Medicine; Northwestern University; Feinberg School of Medicine
资助信息
This study was funded by Patient-Centered Outcomes Research Institute (PCORI)* Comparing the Effectiveness of Clinicians and Paraprofessionals to Reduce Disparities in Perinatal Depression (AD-1507-31473). The views, statements, and opinions in this manuscript are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee. REDCap is supported at FSM by the Northwestern University Clinical and Translational Science (NUCATS) Institute. Research reported in this publication was supported, in part, by the National Institutes of Health's National Center for Advancing Translational Sciences, Grant Number UL1TR001422. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
2
2013以来使用计数
2
EISSN
1573-6695
出版年
2022-10
DOI
10.1007/s11121-022-01395-z
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Postpartum depression Fidelity Home visiting Intervention Implementation science
资助机构
Patient-Centered Outcomes Research Institute (PCORI)* Comparing the Effectiveness of Clinicians and Paraprofessionals to Reduce Disparities in Perinatal Depression Northwestern University Clinical and Translational Science (NUCATS) Institute National Institutes of Health's National Center for Advancing Translational Sciences