Study protocol for a randomized, controlled, superiority trial comparing the clinical and cost- effectiveness of integrated online mental health assessment-referral-care in pregnancy to usual prenatal care on prenatal and postnatal mental health and infant health and development: the Integrated Maternal Psychosocial Assessment to Care Trial (IMPACT)

Stress, depression, and anxiety affect 15 to 25% of pregnant women. However, fewer than 20% of prenatal care providers assess and treat mental health problems and fewer than 20% of pregnant women seek mental healthcare. For those who seek treatment, the lack of health system integration and existing...

Full description

Saved in:
Bibliographic Details
Published in:Trials 2014-03, Vol.15 (1), p.72-72, Article 72
Main Authors: Kingston, Dawn, Austin, Marie-Paule, Hegadoren, Kathy, McDonald, Sheila, Lasiuk, Gerri, McDonald, Sarah, Heaman, Maureen, Biringer, Anne, Sword, Wendy, Giallo, Rebecca, Patel, Tejal, Lane-Smith, Marie, van Zanten, Sander Veldhuyzen
Format: Article
Language:English
Subjects:
Anxiety - diagnosis
Anxiety - psychology
Anxiety - therapy
Canada
Child Development
Clinical Protocols
Clinical trials
Cognitive Behavioral Therapy - economics
Cognitive therapy
Comparative analysis
Cost-Benefit Analysis
Delivery of Health Care, Integrated
Depression, Postpartum - diagnosis
Depression, Postpartum - psychology
Depression, Postpartum - therapy
Female
Health Care Costs
Health care industry
Humans
Infant Welfare - economics
Infant, Newborn
Internet
Maternal Health Services - economics
Maternal Welfare - economics
Mental Health - economics
Mental Health Services - economics
Methods
Parenting
Postpartum depression
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - economics
Pregnancy Complications - psychology
Pregnancy Complications - therapy
Prospective Studies
Psychological aspects
Referral and Consultation - economics
Research Design
Stress, Psychological - diagnosis
Stress, Psychological - psychology
Stress, Psychological - therapy
Study Protocol
Therapy, Computer-Assisted - economics
Time Factors
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Stress, depression, and anxiety affect 15 to 25% of pregnant women. However, fewer than 20% of prenatal care providers assess and treat mental health problems and fewer than 20% of pregnant women seek mental healthcare. For those who seek treatment, the lack of health system integration and existing barriers frequently prevent treatment access. Without treatment, poor prenatal mental health can persist for years and impact future maternal, child, and family well-being. The purpose of this randomized controlled trial is to evaluate the effectiveness of an integrated process of online psychosocial assessment, referral, and cognitive behavior therapy (CBT) for pregnant women compared to usual prenatal care (no formal screening or specialized care). The primary outcome is self-reported prenatal depression, anxiety, and stress symptoms at 6 to 8 weeks postrandomization. Secondary outcomes are postpartum depression, anxiety, and stress symptoms; self-efficacy; mastery; self-esteem; sleep; relationship quality; coping; resilience; Apgar score; gestational age; birth weight; maternal-infant attachment; infant behavior and development; parenting stress/competence; and intervention cost-effectiveness, efficiency, feasibility, and acceptability. Pregnant women are eligible if they: 1) are
ISSN:1745-6215
1745-6215
DOI:10.1186/1745-6215-15-72