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Virtual Group Psychoeducational Discussions With Spanish-Speaking Mothers of Infants in Pediatric Primary Care
NA trial testing Single-Session Virtual Group Psychoeducational Session about Postpartum Depression in Postpartum Depression in 26 participants. Completed in 28 April 2025.
| Lead sponsor | Johns Hopkins University |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | health services research |
| Enrollment | 26 |
| Start date | 9 June 2022 |
| Primary completion | 30 November 2024 |
| Estimated completion | 28 April 2025 |
| Sites | 1 location across United States |
Johns Hopkins University
Adults 16 to 99, female only, with Postpartum Depression or Postpartum Anxiety. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Completed by parent participants. 5-point likert scale from 1 (strongly disagree) to 5 (strongly agree), higher scores indicative of higher satisfaction. No established cutoff.
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 4.06 | ± 0.63 |
Completed by parent participants. 4-question pragmatic measure designed to assess construct of intervention acceptability as perceived by participant. 1 = Completely disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5 = Completely agree. Higher scores indicate greater acceptability. Score for each participant calculated as mean score for each item (range 1-5)
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 4.17 | 4 – 5 |
Completed by parent participants. The SCMHC is a 3-item measure assessing stigma-related barriers to the utilization of depression treatment (internalized stigma, fear of stigmatization, and stigma from family in seeking mental health care). Responses are coded as (0) disagree, (1) agree, and (7) don't know/refuse. Respondents receive one point for each response of "agree," which indicates agreement with the stigma-related barrier. The total scores range from 0 to 3 with higher scores indicating an increased internalization of stigma to mental health care
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | -0.49 | ± 0.97 |
7 items, assess personal attitudes towards people with depression. Items answered on 5-point Likert scale ranging from 0 (strongly disagree) to 4 (strongly agree). Calculated as average item score, higher scores indicate higher levels of depression stigma.
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | -0.27 | ± 0.31 |
Measure of participant knowledge about postpartum depression knowledge- adapted and translated from the Ontario Rapid Risk Factor Surveillance Survey. Questions include whether the participant has heard of the concept of postpartum depression, asks participants to name symptoms of postpartum depression, and asks participants how common they would estimate the condition to be. There is no standard scale/scoring. Percent of participants answering affirmatively to the question "Have you heard of postpartum depression?" is reported.
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 14 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 8 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 15 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 11 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 3 |
Completed by parent participants. Single-question item: If I felt down, depressed, hopeless, or having little interest or pleasure in doing things I would try to contact someone at this clinic. Response options were No or Yes.
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 22 | |
| Intervention Delivery | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 15 | |
| Intervention Delivery | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 14 | |
| Intervention Delivery | 0 |
Developed for this study, single likert scale question asked of participants who did not have an identified primary care doctor: As a result of the video group session, I plan to identify a doctor that I can see regularly for my own check-ups. Adapted from National Latino and Asian American Study. Scale range from 1-5, 1= strongly agree; 2=agree; 3=neutral/no opinion, 4=disagree, 5=strongly disagree
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 2.71 | ± 1.03 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 1.83 | ± 0.37 |
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 2.07 | ± 0.35 |
Single item, adapted from National Latino and Asian American Study; question: "within the past 6 months, have you had a therapy session with a psychologist or therapist or another professional that lasted 30 minutes or longer"?. Response options included "Yes", "No", "Unsure", and "Prefer Not to Answer".
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 2 | |
| Intervention Delivery | 12 | |
| Intervention Delivery | 0 | |
| Intervention Delivery | 0 |
Completed by participant. Question developed for this project and translated/certified, assessing use of clinic ancillary services discussed in the intervention: In the past 2 months, have you used any of the resources that were discussed in the video session or on the clinic website? Responses could include "Yes", "No", or "Unsure"
| Group | Value | 95% CI |
|---|---|---|
| Intervention Delivery | 4 | |
| Intervention Delivery | 9 | |
| Intervention Delivery | 1 |
The goal of the proposed research is to test the feasibility and acceptability of a virtual group session which is intended to be offered universally to Spanish-speaking parents of newborns/infants attending pediatric primary care. The virtual session is intended to (1) enhance patient/family education about postpartum depression (PPD) and (2) Provide an orientation to families regarding relevant clinic and community psychosocial support resources available. The investigators will conduct a single-arm, open pilot of the session, which will be co-delivered by existing clinic staff (including social work and community outreach staff). Session contents include (1) Introduction to clinic staff, contacts, and resources (2) A video-recorded testimonial of a patient with a history of perinatal depression followed by a group discussion about/reflection on the video; (3) Review of prevalence and signs of PPD; (4) Discussion of clinic PPD screening procedures and rationale for screening; (5) Discussion of self-care and mood monitoring; (6) Discussion of relevant local resources, including information about availability of primary care resources for parents (including uninsured parents) and information about resources addressing social needs. The overall aim of the project is to Develop and pilot a virtual group augmentation of standard individual well-child care to improve (1) clinic screening procedures, discussion about and initial management of maternal depressive symptoms with immigrant Latinas and (2) patient symptom recognition, symptom disclosure, and subsequent treatment engagement
1 peer-reviewed publication reference this trial (live from Europe PMC):
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