ArticlePsychiatric services (Washington, D.C.)2009
Depression screening of perinatal women: an evaluation of the healthy start depression initiative.
Article in Psychiatric services (Washington, D.C.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02935504 (PRogram In Support of Moms), which is not on this map. Cited by 37 papers, 3 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.
PRogram In Support of Moms (PRISM): A Pilot Group Randomized Controlled Trial
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Interventions to improve the detection of depression in primary healthcare: systematic review.Systematic reviews · 2023Pooled it
- Enhancing Participation in Depression Care in Outpatient Perinatal Care Settings: A Systematic Review.Obstetrics and gynecology · 2015Pooled it
- Risk of bias from inclusion of patients who already have diagnosis of or are undergoing treatment for depression in diagnostic accuracy studies of screening tools for depression: systematic review.BMJ (Clinical research ed.) · 2011Pooled it
- Outcomes of the ROSE Sustainment (ROSES) Study, a sequential multiple assignment randomized implementation trial to determine the minimum necessary intervention to sustain a postpartum depression prevention program in agencies serving low-income pregnant people.Implementation science : IS · 2025Trial
- Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women.Implementation science : IS · 2018Trial
- A Toddler Parenting Intervention in Primary Care for Caregivers With Depression Symptoms.The journal of primary prevention · 2017Trial
- Randomized controlled trial to prevent postpartum depression in mothers on public assistance.Journal of affective disorders · 2016Trial
- Repeated depression screening during the first postpartum year.Annals of family medicineTrial
- TRIPPD: a practice-based network effectiveness study of postpartum depression screening and management.Annals of family medicineTrial
- Effectiveness of smartphone-based music intervention on perinatal depression: protocol for a randomized controlled trial.BMC psychology · 2024Article
- Reducing psychiatric illness in the perinatal period: A review and commentary.World journal of psychiatry · 2023Review
- Psychometric properties of screening questionnaires to detect depression in primary healthcare setting in rural Ethiopia.BMC primary care · 2022Article
- Optimizing Social-Emotional-Communication Development in Infants of Mothers With Depression: Protocol for a Randomized Controlled Trial of a Mobile Intervention Targeting Depression and Responsive Parenting.JMIR research protocols · 2021Article
- Preventing Perinatal Depression Now: A Call to Action.Journal of women's health (2002) · 2020Article
- Addressing Maternal Depression, Substance Use, and Intimate Partner Violence in Home Visiting: a Quasi-Experimental Pilot Test of a Screen-and-Refer Approach.Prevention science : the official journal of the Society for Prevention Research · 2019Article
- Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients.Children and youth services review · 2017Article
- Substance Use and Depression in Home Visiting Clients: Home Visitor Perspectives on Addressing Clients' Needs.Journal of community psychology · 2017Article
- In Their Own Words: Exploring Family Pathways to Housing Instability.Journal of family nursing · 2017Article
- Trajectories of Depressive Symptoms Throughout the Peri- and Postpartum Period: Results from the First Baby Study.Journal of women's health (2002) · 2016Article
- Perinatal program evaluations: methods, impacts, and future goals.Maternal and child health journal · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo address problems with low rates of detection and treatment of depression of pregnant and postpartum women, many advocate depression screening in obstetrical settings. This study evaluated the Healthy Start depression initiative to assess whether it resulted in diminished rates of depressive symptoms and increased rates of detection, referral, and treatment among pregnant and postpartum women.
methodsThree cohorts were used to examine the program impact: a pre-Healthy Start depression initiative cohort, a post-Healthy Start depression initiative cohort that was enrolled in New Haven Healthy Start, and a post-Healthy Start depression initiative cohort not enrolled in the New Haven program. Participants included 1,336 pregnant and postpartum women receiving obstetrical care at publicly funded health care clinics. Measures included the Primary Care Evaluation of Mental Disorders Brief Patient Health Questionnaire; the PTSD Symptom Scale; a five-item modification of the Conflict Tactics Scale; and questions regarding alcohol, illicit substances, and general medical and obstetrical history.
resultsThe Healthy Start depression initiative changed neither levels of depressive symptoms nor use of depression treatment in unselected populations. The initiative may have decreased the rate of referral for depression in the cohort under study.
conclusionsUniversal screening and support for treatment referral by paraprofessionals did not reduce the overall rates of depressive symptoms of perinatal women who received care at publicly funded obstetrical clinics. Future work on depression screening should consider strategies to engage women who are more severely affected by a depressive disorder in behavioral health treatment.
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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.