Trial Outcomes & Findings for Virtual Group Psychoeducational Discussions With Spanish-Speaking Mothers of Infants in Pediatric Primary Care (NCT NCT05423093)

NCT ID: NCT05423093

Last Updated: 2025-09-03

Results Overview

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.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

Within 2 weeks of attending video group session

Results posted on

2025-09-03

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Delivery
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Consented Participants - Baseline Comple
STARTED
26
Consented Participants - Baseline Comple
COMPLETED
22
Consented Participants - Baseline Comple
NOT COMPLETED
4
Attended Intervention Session
STARTED
22
Attended Intervention Session
COMPLETED
19
Attended Intervention Session
NOT COMPLETED
3
Completed Post-intervention Measures
STARTED
19
Completed Post-intervention Measures
COMPLETED
16
Completed Post-intervention Measures
NOT COMPLETED
3
6-month Post Intervention Data Collected
STARTED
16
6-month Post Intervention Data Collected
COMPLETED
14
6-month Post Intervention Data Collected
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Delivery
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Consented Participants - Baseline Comple
Lost to Follow-up
2
Consented Participants - Baseline Comple
Withdrawal by Subject
2
Attended Intervention Session
Lost to Follow-up
3
Completed Post-intervention Measures
Lost to Follow-up
3
6-month Post Intervention Data Collected
Lost to Follow-up
2

Baseline Characteristics

Virtual Group Psychoeducational Discussions With Spanish-Speaking Mothers of Infants in Pediatric Primary Care

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Delivery
n=22 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Age, Continuous
32.6 years
STANDARD_DEVIATION 6.5 • n=99 Participants
Sex: Female, Male
Female
22 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Race/Ethnicity, Customized
Race · White, Hispanic
9 Participants
n=99 Participants
Race/Ethnicity, Customized
Race · Multiracial, Hispanic
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Race · Black
0 Participants
n=99 Participants
Race/Ethnicity, Customized
Race · Other, Hispanic
12 Participants
n=99 Participants
Race/Ethnicity, Customized
Race · American Indian/Alaska Native
0 Participants
n=99 Participants
Race/Ethnicity, Customized
Race · Asian/Pacific Islander
0 Participants
n=99 Participants
Region of Enrollment
United States
22 Participants
n=99 Participants
Country of origin
El Salvador
6 Participants
n=99 Participants
Country of origin
Guatemala
3 Participants
n=99 Participants
Country of origin
Honduras
6 Participants
n=99 Participants
Country of origin
Ecuador
2 Participants
n=99 Participants
Country of origin
Mexico
5 Participants
n=99 Participants
Maternal Education
8th grade or less
14 Participants
n=99 Participants
Maternal Education
Some high school
3 Participants
n=99 Participants
Maternal Education
High school or greater
5 Participants
n=99 Participants
Time in United States
11.5 years
STANDARD_DEVIATION 5.7 • n=99 Participants
Ever had mental health treatment
Yes
6 Participants
n=99 Participants
Ever had mental health treatment
No
16 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Within 2 weeks of attending video group session

Population: Participants who completed the survey are reported

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.

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=16 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Satisfaction as Assessed by the Intervention Satisfaction Survey
4.06 score on a scale
Standard Deviation 0.63

PRIMARY outcome

Timeframe: Within 2 weeks of attending video group session

Population: Participants who completed the survey are reported

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)

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=16 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Acceptability of Intervention Measure
4.17 units on a scale
Interval 4.0 to 5.0

SECONDARY outcome

Timeframe: Baseline (pre-session); within 2 weeks post-session

Population: Participants who completed both pre and post-intervention survey are reported

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

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=16 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Pre-Post Intervention Change in Mental Health Care Stigma as Assessed by the Stigma Concerns About Mental Health Care (SCMHC) Scale
-0.49 score on a scale
Standard Deviation 0.97

SECONDARY outcome

Timeframe: Baseline (pre-session); within 2 weeks post-session

Population: Participants who completed both pre and post-intervention surveys are reported

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.

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=16 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Change in Depression Stigma as Assessed by the Adapted Personal Stigma Scale (PSS)
-0.27 score on a scale
Standard Deviation 0.31

SECONDARY outcome

Timeframe: Completed by participants at baseline (pre-session); within 2 weeks post-session; 6 months post session

Population: 22 participants completed this measure at baseline; 16 participants completed this measure 2 weeks post intervention; and 14 completed 6 months post intervention.

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.

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=22 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Postpartum Depression Knowledge as Assessed by Adapted Postpartum Depression Knowledge Measure
No - Within 2 Weeks Post-session
1 participants
Postpartum Depression Knowledge as Assessed by Adapted Postpartum Depression Knowledge Measure
Yes - 6 Months Post-session
11 participants
Postpartum Depression Knowledge as Assessed by Adapted Postpartum Depression Knowledge Measure
No - 6 Months Post-session
3 participants
Postpartum Depression Knowledge as Assessed by Adapted Postpartum Depression Knowledge Measure
Yes - Baseline/Pre-session
14 participants
Postpartum Depression Knowledge as Assessed by Adapted Postpartum Depression Knowledge Measure
No - Baseline/Pre-session
8 participants
Postpartum Depression Knowledge as Assessed by Adapted Postpartum Depression Knowledge Measure
Yes - Within 2 weeks Post-session
15 participants

SECONDARY outcome

Timeframe: Baseline (pre-session); within 2 weeks post-session; and 6 months post-session

Population: 22 completed at baseline, 16 completed post-intervention, 14 completed at 6-month follow up

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.

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=22 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Intention to Disclose if Developed Postpartum Depression Symptoms as Assessed by Questionnaire
Pre-intervention · Yes
22 Participants
Intention to Disclose if Developed Postpartum Depression Symptoms as Assessed by Questionnaire
Pre-intervention · No
0 Participants
Intention to Disclose if Developed Postpartum Depression Symptoms as Assessed by Questionnaire
Post-Intervention · Yes
15 Participants
Intention to Disclose if Developed Postpartum Depression Symptoms as Assessed by Questionnaire
Post-Intervention · No
1 Participants
Intention to Disclose if Developed Postpartum Depression Symptoms as Assessed by Questionnaire
6-month post intervention · Yes
14 Participants
Intention to Disclose if Developed Postpartum Depression Symptoms as Assessed by Questionnaire
6-month post intervention · No
0 Participants

SECONDARY outcome

Timeframe: Baseline, Within 2 weeks of attending video group session, 6 months post intervention

Population: This question was only asked of participants who indicated not having a primary care provider at baseline, since it is about intention to identify/obtain a primary care provider in the future (so is not relevant to those who already have a primary care provider). Due to a technical error, the survey was inadvertently only administered to 6 of the 16 participants who completed 2 week post-intervention survey. It was administered to 14 participants 6-mo post intervention

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

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=14 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Intention to Seek Primary Care as Assessed by Survey Question
Baseline
2.71 score on a scale
Standard Deviation 1.03
Intention to Seek Primary Care as Assessed by Survey Question
Post-intervention (within 2 weeks post intervention)
1.83 score on a scale
Standard Deviation 0.37
Intention to Seek Primary Care as Assessed by Survey Question
6-months post intervention
2.07 score on a scale
Standard Deviation 0.35

SECONDARY outcome

Timeframe: 6 months post-intervention

Population: Participants who completed the 6-month post-intervention survey included in the analysis

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".

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=14 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Self-reported Mental Health Service Utilization Within the Past 6 Months
Yes
2 Participants
Self-reported Mental Health Service Utilization Within the Past 6 Months
No
12 Participants
Self-reported Mental Health Service Utilization Within the Past 6 Months
Unsure
0 Participants
Self-reported Mental Health Service Utilization Within the Past 6 Months
Prefer not to answer
0 Participants

SECONDARY outcome

Timeframe: 6-months post-intervention

Population: colleted from those who completed 6 month follow up survey (N=14)

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"

Outcome measures

Outcome measures
Measure
Intervention Delivery
n=14 Participants
Participants will receive a 45-60 minute single-session video group psychoeducational intervention delivered by clinic staff. Single-Session Virtual Group Psychoeducational Session about Postpartum Depression: 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.
Psychosocial Resource Utilization as Assessed by Questionnaire
Yes
4 Participants
Psychosocial Resource Utilization as Assessed by Questionnaire
No
9 Participants
Psychosocial Resource Utilization as Assessed by Questionnaire
Unsure
1 Participants

Adverse Events

Intervention Delivery

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Rheanna Platt

Johns Hopkins University

Phone: 410-550-8753

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place