Evidence map›Paper›PMID 22488220›Full record

Trial reportObstetrics and gynecology2012

Reducing postpartum depressive symptoms among black and Latina mothers: a randomized controlled trial.

Elizabeth A Howell, Amy Balbierz, Jason Wang, Michael Parides, Caron Zlotnick, Howard Leventhal

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01312883 (Center for Achieving and Sustaining Improved Health in Harlem), which is not on this map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
5.3field-weighted citation impact, top 5% of its field
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.

NCT01312883 nacompletednot on this map

Center for Achieving and Sustaining Improved Health in Harlem: Patient Education to Reduce Postpartum Depressive Symptoms Among Minority Women

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2007 to 2010Enrolled540ConditionsPostpartum DepressionArmsBehavioral education intervention
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  5. Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Pooled it
  6. A culturally grounded prenatal coparenting intervention: Results of a randomized controlled trial with unmarried Black parents.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2022
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  16. Clinicians Speak: We Need to Redesign Postpartum Care.The Journal of perinatal education · 2024
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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

6 authors at 1 institution in 1 country.

Elizabeth A HowellDepartment of Health Evidence & Policy, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. elizabeth.howell@mountsinai.org
Amy Balbierz
Jason Wang
Michael Parides
Caron Zlotnick
Howard Leventhal
Island Institute · US

Funding

RESEARCH COREP60MD000270 · NIMHD · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI HOROWITZ, CAROL R · 2002 to 2011
$15.1M
Preparation and Patient Education to Reduce Postpartum Depressive SymptomsR01MH077683 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOWELL, ELIZABETH A · 2009 to 2010
$1.7M
NIMHD NIH HHS 5P60MD000270-10NIMHD NIH HHS P60 MD000270NIMH NIH HHS 5R01MH77683-2NIMH NIH HHS R01 MH077683
6 · The paper itself

Abstract

objectiveTo estimate the effectiveness of a behavioral educational intervention to reduce postpartum depressive symptoms among minority mothers.

methodsWe recruited 540 self-identified black and Latina mothers during their postpartum hospital stay and randomized them to receive a behavioral educational intervention or enhanced usual care. Those in the intervention arm received a two-step behavioral educational intervention that prepares and educates mothers about modifiable factors associated with symptoms of postpartum depression (physical symptoms, low social support, low self-efficacy, and infant factors), bolsters social support, enhances management skills, and increases participants' access to resources. Enhanced usual care participants received a list of community resources and received a 2-week control call. Participants were surveyed before randomization and, 3 weeks, 3 months, and 6 months later to assess depressive symptoms. The primary outcome, depression, was assessed using the Edinburgh Postnatal Depression Scale (score of 10 or greater).

resultsPositive depression screens were less common among intervention compared with enhanced usual care posthospitalization: 3 weeks (8.8% compared with 15.3%, P=.03), 3 months (8.4% compared with 13.24%, P=.09), and 6 months (8.9% compared with 13.7%, P=.11). An intention-to-treat repeated-measures analysis for up to 6 months of follow-up demonstrated that mothers in the intervention group were less likely to screen positive for depression compared with enhanced usual care (odds ratio 0.67, 95% confidence interval [CI] 0.47-0.97; number needed to treat 16, 95% CI 9-112).

conclusionAn action-oriented behavioral educational intervention reduced positive depression screens among black and Latina postpartum mothers. CLINICAL

trial registrationClinicaltrials.gov, www.clinicaltrials.gov, NCT01312883. LEVEL OF EVIDENCE: I.

Indexed as

Black or African AmericanHispanic or LatinoAdolescentAdultDepression, PostpartumFemaleFollow-Up StudiesHealth EducationHumansLogistic ModelsMiddle AgedNew York CityPostnatal CarePregnancySingle-Blind MethodSurveys and Questionnaires

Identifiers

PMID22488220
PMCPMC3336015
OpenAlexW1967533840

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.