Journal
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
Volume 47, Issue 4, Pages 597-605Publisher
SPRINGER
DOI: 10.1007/s10488-020-01022-5
Keywords
Perinatal depression; Fidelity; Adherence; Competency
Funding
- Patient-Centered Outcomes Research Institute (PCORI) Award [AD-1507-31473]
- Northwestern University Clinical and Translational Science (NUCATS) Institute
- National Institutes of Health's National Center for Advancing Translational Sciences [UL1TR001422]
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Mothers and Babies (MB), a perinatal depression preventive intervention, has proven effective in decreasing depressive symptoms and preventing onset of major depression. An ongoing cluster-randomized trial is comparing the effectiveness of the six-session MB group intervention led by paraprofessionals versus mental health professionals. Twenty percent of all audio-recorded intervention sessions were randomly selected for fidelity checks. Analyses assessed mean facilitator adherence and competency overall, by study arm, and by session; and, examined site, facilitator, and client-specific effects. There were no significant differences found between study arms. Findings show paraprofessionals can deliver MB with similar fidelity as mental health professionals.
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