Trial reportAnnals of family medicine
Adapting psychosocial intervention research to urban primary care environments: a case example.
Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06295250 (ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women), which is not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Preventing postpartum depression: a meta-analytic review.Clinical psychology review · 2013Pooled it
- Psychosocial and psychological interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2013Pooled it
- Collaboration between local health and local government agencies for health improvement.The Cochrane database of systematic reviews · 2012Pooled it
- On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.The Cochrane database of systematic reviews · 2009Pooled it
- Six-month outcomes from a randomized controlled trial to prevent perinatal depression in low-income home visiting clients.Maternal and child health journal · 2014Trial
- Antenatal psychosomatic programming to reduce postpartum depression risk and improve childbirth outcomes: a randomized controlled trial in Spain and France.BMC pregnancy and childbirth · 2014Trial
- Implementation of a lifestyle program in primary care by nurse practitioners.Journal of the American Academy of Nurse Practitioners · 2010Trial
- Participant recruitment and retention in a pilot program to prevent weight gain in low-income overweight and obese mothers.BMC public health · 2009Trial
- The design, implementation and acceptability of an integrated intervention to address multiple behavioral and psychosocial risk factors among pregnant African American women.BMC pregnancy and childbirth · 2008Trial
- Performance of a Culturally Tailored Cognitive-Behavioral Intervention Integrated in a Public Health Setting to Reduce Risk of Antepartum Depression: A Randomized Controlled Trial.Journal of midwifery & women's healthTrial
- Trial
- Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders: A systematic review using an implementation science framework.Global mental health (Cambridge, England) · 2025Review
- Implementing Group CBT for Depression Among Latinos in a Primary Care Clinic.Cognitive and behavioral practice · 2018Article
- Retaining Low-Income Minority Cancer Patients in a Depression Treatment Intervention Trial: Lessons Learned.Community mental health journal · 2015Article
- Preventing postpartum depression: review and recommendations.Archives of women's mental health · 2015Review
- The feasibility of cell phone based electronic diaries for STI/HIV research.BMC medical research methodology · 2012Article
- Recruitment and retention strategies in longitudinal clinical studies with low-income populations.Contemporary clinical trials · 2011Article
- Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression prevention.BMC public health · 2010Article
- Recruiting Urban Latina Adolescents and Their Families: Challenges and Lessons Learned in Suicide Attempts Research.Youth & society · 2009Article
- Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care.Maternal and child health journal · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
purposeWe wanted to describe the unique issues encountered by our research team in testing an intervention to reduce perinatal depression in real-world community health centers.
methodWe used a case study of an experience in conducting a randomized controlled trial designed to test the effectiveness of a low-cost multimodal psychosocial intervention to reduce prenatal and postpartum depression. Low-income minority women (N = 187) with low-risk pregnancies were randomly assigned to the intervention or treatment as usual. Outcomes of interest were depressive symptoms and social support assessed at 3 months' postpartum.
resultsOur intervention was not associated with changes in depressive symptoms or social support. Challenges in implementation were related to participant retention and intervention delivery. Turnover of student therapists affected continuity in participant-therapist relationships and created missed opportunities to deliver the intervention. The academic-community partnership that was formed also required more involvement of health center personnel to facilitate ownership at the site level, especially for fidelity monitoring. While attentive to cultural sensitivity, the project called for more collaboration with participants to define common goals and outcomes. Participatory research strategies could have anticipated barriers to uptake of the intervention and achieved a better match between outcomes desired by researchers and those of participants.
conclusionSeveral criteria for future research planning emerged: assessing what the population is willing and able to accept, considering what treatment providers can be expected to implement, assessing the setting's capacity to accommodate intervention research, and collecting and using emerging unanticipated data.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.