Perinatal Depression and Adverse Childhood Experiences: Prevention Trial (PPD-ACE)
Perinatal Depression
About this trial
This is an interventional prevention trial for Perinatal Depression
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 years At least one prenatal visit at Northwestern Medicine Less than 24 weeks gestation Non-anomalous pregnancy English- or Spanish- speaking ACE score ≥ 2 Singleton gestation Exclusion Criteria: Intent to delivery outside of Prentice Women's Hospital Active major depressive episode Active substance use disorder Participation in a study with a competing intervention or outcome
Sites / Locations
- Northwestern MedicineRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Enhanced treatment as usual
ROSE intervention
Those randomized to enhanced treatment as usual will receive brief psychoeducation about perinatal depression and the associations between ACEs and perinatal depression. Information about the collaborative care program will be provided. Individuals will be followed with monthly self-reported screens for depression, without any prevention programming for perinatal depression. Those identified to have incident depression symptoms will receive recommendations for treatment within the collaborative care model.
Those randomized to the intervention will be offered 4 group-based prenatal sessions and one individual postpartum "booster" session guided by the Reach Out, Stand Strong, Essentials for New Mothers (ROSE) program embedded within the collaborative care model. Participants will be followed with monthly self-reported screens for depression, and those identified to have incident depression symptoms will receive treatment within the collaborative care model.