Evidence map›Paper›PMID 26345179›Full record

Trial reportDepression and anxiety2015

COLLABORATIVE CARE FOR PERINATAL DEPRESSION IN SOCIOECONOMICALLY DISADVANTAGED WOMEN: A RANDOMIZED TRIAL.

Nancy K Grote, Wayne J Katon, Joan E Russo, Mary Jane Lohr, Mary Curran, Erin Galvin, Kathy Carson

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Depression and anxiety, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01045655 (For Moms), which is not on this map. Cited by 78 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 13 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.

NCT01045655 nacompletednot on this map

For Moms: Culturally Relevant Treatment Services for Perinatal Depression

TypeinterventionalSponsorUniversity of WashingtonRan2010 to 2014Enrolled168ConditionsDepressionArmsMOMCare
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 13 syntheses or guidelines pooled it.

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  8. Interpersonal Psychotherapy to Reduce Psychological Distress in Perinatal Women: A Systematic Review.International journal of environmental research and public health · 2020
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  13. 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
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18 more citing papers are in PubMed but not listed here.

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

7 authors.

Nancy K GroteSchool of Social Work, University of Washington, Seattle, Washington.
Wayne J KatonDepartment of Psychiatry and Behavioral Sciences, University of Washington Medical School, Seattle, Washington.
Joan E RussoDepartment of Psychiatry and Behavioral Sciences, University of Washington Medical School, Seattle, Washington.
Mary Jane LohrSchool of Social Work, University of Washington, Seattle, Washington.
Mary CurranSchool of Social Work, University of Washington, Seattle, Washington.
Erin GalvinSchool of Social Work, University of Washington, Seattle, Washington.
Kathy CarsonPublic Health Seattle and King County (PHSKC), Seattle, Washington.

Funding

FOR MOMS:Culturally Relevant Treatment for Perinatal DepressionR01MH084897 · NIMH · UNIVERSITY OF WASHINGTON · PI GROTE, NANCY K · 2009 to 2013
$3.2M
NIMH NIH HHS R01 MH084897NIMH NIH HHS R01-MH084897
6 · The paper itself

Abstract

backgroundBoth antenatal and postpartum depression have adverse, lasting effects on maternal and child well-being. Socioeconomically disadvantaged women are at increased risk for perinatal depression and have experienced difficulty accessing evidence-based depression care. The authors evaluated whether "MOMCare,"a culturally relevant, collaborative care intervention, providing a choice of brief interpersonal psychotherapy and/or antidepressants, is associated with improved quality of care and depressive outcomes compared to intensive public health Maternity Support Services (MSS-Plus).

methodsA randomized multisite controlled trial with blinded outcome assessment was conducted in the Seattle-King County Public Health System. From January 2010 to July 2012, pregnant women were recruited who met criteria for probable major depression and/or dysthymia, English-speaking, had telephone access, and ≥18 years old. The primary outcome was depression severity at 3-, 6-, 12-, 18-month postbaseline assessments; secondary outcomes included functional improvement, PTSD severity, depression response and remission, and quality of depression care.

resultsAll participants were on Medicaid and 27 years old on average; 58% were non-White; 71% were unmarried; and 65% had probable PTSD. From before birth to 18 months postbaseline, MOMCare (n = 83) compared to MSS-Plus participants (n = 85) attained significantly lower levels of depression severity (Wald's χ(2) = 6.09, df = 1, P = .01) and PTSD severity (Wald's χ(2) = 4.61, df = 1, P = .04), higher rates of depression remission (Wald's χ(2) = 3.67, df = 1, P = .05), and had a greater likelihood of receiving ≥4 mental health visits (Wald's χ(2) = 58.23, df = 1, P < .0001) and of adhering to antidepressants in the prior month (Wald's χ(2) = 10.00, df = 1, P < .01).

conclusionCompared to MSS-Plus, MOMCare showed significant improvement in quality of care, depression severity, and remission rates from before birth to 18 months postbaseline for socioeconomically disadvantaged women. Findings suggest that evidence-based perinatal depression care can be integrated into the services of a county public health system in the United States. CLINICAL

trial registrationClinicalTrials.govNCT01045655.

Indexed as

Outcome Assessment, Health CareAdolescentAdultCooperative BehaviorDepression, PostpartumDysthymic DisorderFemaleHumansMajor Depressive DisorderMedicaidPovertyPregnancyPregnancy ComplicationsPsychotherapySingle-Blind MethodStress Disorders, Post-Traumaticantenatal depressionantidepressantscollaborative careinterpersonal psychotherapyperinatal depressionPTSD

Identifiers

PMID26345179
PMCPMC4630126

What OpenQuestion holds

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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.