Evaluating an Online Intervention to Improve Provider Management of Prenatal Depression: A Randomized Controlled Trial

Introduction: Prenatal depression is associated with numerous deleterious maternal and child health outcomes. Pro-viders play a significant role in managing (i.e., identifying and treating or referring to care for) prenatal depression. We conducted a randomized controlled trial to test the effects of a brief online training on self-reported provider man-agement practices related to prenatal depression. Methods: Providers (i.e., physicians, nurses, mental health specialists, and public health educators) were randomized into intervention (i.e., online training) or waitlist control arms. The online training covered guidelines and evidence-based practices related to managing prenatal depression. Changes in providers' knowledge, attitudes, and self-reported practices were assessed by the Management of Maternal Depression Inventory at baseline (T1), 6 weeks after baseline (T2), and 12 weeks after baseline (T3). Results: A total of 108 providers from Colorado and Virginia participated in the trial. Over the three time periods, repeated measures analysis of variance revealed Time x Group relative improvements for the intervention group with respect to satisfaction with working with mental health services, F(1,97) = 10.89, p = .001, partial 712 = 0.10, and increased self-reported screening, counseling, and referral for prenatal depression, F(1,97) = 6.25, p = .014, partial 712 = 0.06. A similar improving pattern was observed for self-efficacy, F(1,99) = 2.48, p = .13, partial 712 = .02. Conclusions: Findings from our study suggest a brief online training may enhance the likelihood of providers screening, treating, and/or referring at-risk patients for follow-up care for prenatal depression. (c) 2022 Jacobs Institute of Women's Health, George Washington University. Published by Elsevier Inc. All rights reserved.

Automated summary

Prenatal depression has negative effects on maternal and child health, and providers play a crucial role in managing it. A randomized controlled trial tested the effects of an online training on providers' self-reported practices related to prenatal depression. The results showed that the intervention group had improved satisfaction with mental health services and increased screening, counseling, and referral practices for prenatal depression.