Trial reportJournal of psychosomatic obstetrics and gynaecology2018
PRogram In Support of Moms (PRISM): a pilot group randomized controlled trial of two approaches to improving depression among perinatal women.
Trial report in Journal of psychosomatic obstetrics and gynaecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04919967 (Online Training for Addressing Perinatal Depression), which is not on this map. Cited by 19 papers, 2 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.
Online Training for Addressing Perinatal Depression
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Interventions That Integrate Perinatal Mental Health Care Into Routine Maternal Care in Low- and Middle-Income Countries.Frontiers in psychiatry · 2022Pooled it
- A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings.Clinical obstetrics and gynecology · 2018Pooled it
- Addressing perinatal mood and anxiety disorders in obstetric settings: results of a cluster randomized controlled trial of two approaches.American journal of obstetrics & gynecology MFM · 2025Trial
- Understanding Perinatal Depression Care Gaps by Examining Care Access and Barriers in Perinatal Individuals With and Without Psychiatric History.Journal of women's health (2002) · 2023Trial
- The role of clinician assistants in addressing perinatal depression.Journal of psychosomatic obstetrics and gynaecology · 2022Trial
- Positive screening rates for bipolar disorder in pregnant and postpartum women and associated risk factors.General hospital psychiatryTrial
- Effectiveness of psychological interventions for reducing depressive symptoms among women experiencing perinatal depression: a systematic review.AJOG global reports · 2026Review
- The Before Baby Relationship Checkup: A Couples-Based Intervention to Reduce Relationship Risk Factors for Perinatal Mood and Anxiety Disorders.Journal of clinical psychology in medical settings · 2022Article
- Results of a Statewide Survey of Obstetric Clinician Depression Practices.Journal of women's health (2002) · 2022Article
- Integrating SMS Text Messages Into a Preventive Intervention for Postpartum Depression Delivered via In-Home Visitation Programs: Feasibility and Acceptability Study.JMIR formative research · 2021Article
- Building Obstetric Provider Capacity to Address Perinatal Depression Through Online Training.Journal of women's health (2002) · 2021Article
- Development of the Practice Readiness to Evaluate and address Perinatal Depression (PREPD) assessment.Psychiatry research · 2021Article
- Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health.Frontiers in psychiatry · 2021Article
- Advances in virtual care for perinatal mental disorders.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Integrated behavioral health treatments: innovations to achieve population impact.Translational behavioral medicine · 2020Article
- Toward a framework for best practices and research guidelines for perinatal depression research.Journal of neuroscience research · 2020Review
- The PRogram In Support of Moms (PRISM): study protocol for a cluster randomized controlled trial of two active interventions addressing perinatal depression in obstetric settings.BMC pregnancy and childbirth · 2019Article
- Massachusetts Child Psychiatry Access Program for Moms: Utilization and Quality Assessment.Obstetrics and gynecology · 2018Article
- Equitable reach: Patient and professional recommendations for interventions to prevent perinatal depression and anxiety.General hospital psychiatryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
purposeThis pilot study was designed to inform a larger effectiveness trial by: (1) assessing the feasibility of the PRogram In Support of Moms (PRISM) and our study procedures; and, (2) determining the extent to which PRISM as compared to an active comparison group, the Massachusetts Child Access Psychiatry Program (MCPAP) for Moms alone, improves depression among perinatal women.
methodsFour practices were randomized to either PRISM or MCPAP for Moms alone, a state-wide telephonic perinatal psychiatry program. PRISM includes MCPAP for Moms plus implementation assistance with local champions, training, and implementation of office prompts and procedures to enhance depression screening, assessment and treatment. Patients with Edinburgh Postnatal Depression Scales (EPDS) ≥ 10 were recruited during pregnancy, and completed the EPDS and a structured interview at baseline and 3-12 weeks' postpartum.
resultsAmong MCPAP for Moms alone practices, patients' (n = 9) EPDS scores improved from 15.22 to 10.11 (p = 0.010), whereas in PRISM practices patients' (n = 21) EPDS scores improved from 13.57 to 6.19 (p = 0.001); the between groups difference-of-differences was 2.27 (p = 0.341).
conclusionsPRISM was beneficial for patients, clinicians, and support staff. Both PRISM and MCPAP for Moms alone improve depression symptom severity and the percentage of women with an EPDS >10. The improvement difference between groups was not statistically significant due to limited power associated with small sample size.
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Registered trials
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