Evidence map›Paper›PMID 21667323›Full record

Trial reportArchives of women's mental health2011

Problem-solving education to prevent depression among low-income mothers of preterm infants: a randomized controlled pilot trial.

Michael Silverstein, Emily Feinberg, Howard Cabral, Sara Sauder, Lucia Egbert, Elisabeth Schainker, Karen Kamholz, Mark Hegel, William Beardslee

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of women's mental health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. A Compassion-Focused Approach to Support Parents After Preterm Birth.Clinical child and family psychology review · 2025
    Review
  10. Article
  11. Article
  12. Home visiting for postpartum depression.The Cochrane database of systematic reviews · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Internal and External Resources and the Adjustment of Parents of Premature Infants.Journal of clinical psychology in medical settings · 2019
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Michael SilversteinDepartment of Pediatrics, Boston University School of Medicine, Boston, MA, USA. michael.silverstein@bmc.org
Emily Feinberg
Howard Cabral
Sara Sauder
Lucia Egbert
Elisabeth Schainker
Karen Kamholz
Mark Hegel
William Beardslee

Funding

Maternal Depression and Early Head StartK23MH074079 · NIMH · BOSTON MEDICAL CENTER · PI SILVERSTEIN, MICHAEL · 2006 to 2010
$875k
Pevention of Depression among Mothers of Young Children with Developmental DelayK23NR010588 · NINR · BOSTON MEDICAL CENTER · PI FEINBERG, EMILY · 2007 to 2009
$341k
Problem Solving Education Among Parents of Premature InfantsR03HD058075 · NICHD · BOSTON MEDICAL CENTER · PI SILVERSTEIN, MICHAEL · 2008 to 2009
$199k
NICHD NIH HHS R03 HD058075NICHD NIH HHS R03HD058075NIMH NIH HHS K23 MH074079NIMH NIH HHS K23MH074079NINR NIH HHS K23 NR010588NINR NIH HHS K23NR010588
6 · The paper itself

Abstract

We sought to assess the feasibility and document key study processes of a problem-solving intervention to prevent depression among low-income mothers of preterm infants. A randomized controlled pilot trial (n = 50) of problem-solving education (PSE) was conducted. We assessed intervention provider training and fidelity; recruitment and retention of subjects; intervention acceptability; and investigators' ability to conduct monthly outcome assessments, from which we could obtain empirical estimates of depression symptoms, stress, and functioning over 6 months. Four of four bachelor-level providers were able to deliver PSE appropriately with standardized subjects within 4 weeks of training. Of 12 randomly audited PSE sessions with actual subjects, all met treatment fidelity criteria. Nineteen of 25 PSE subjects (76%) received full four-session courses; no subjects reported negative experiences with PSE. Eighty-eight percent of scheduled follow-up assessments were completed. Forty-four percent of control group mothers experienced an episode of moderately severe depression symptoms over the follow-up period, compared to 24% of PSE mothers. Control mothers experienced an average 1.19 symptomatic episodes over the 6 months of follow-up, compared to 0.52 among PSE mothers. PSE appears feasible and may be a promising strategy to prevent depression among mothers of preterm infants.

Indexed as

PovertyAdultCognitive Behavioral TherapyDepression, PostpartumFeasibility StudiesFemaleFollow-Up StudiesHumansInfant, NewbornInfant, PrematureMothersObstetric Labor, PrematurePatient Education as TopicPilot ProjectsPostnatal CarePregnancy

Identifiers

PMID21667323
PMCPMC6013041

What OpenQuestion holds

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Registered trials

None linked

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.