DECIDE to Improve Maternal Mental Health Care Delivery
ConditionMental Health Disorders
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-64
SponsorRutgers, The State University of New Jersey
About this trial
Appropriate training for perinatal mental health care is an important public health concern as mental health disorders are common pregnancy complications. Perinatal and mental health care providers report the difficulty of treating perinatal individuals due to insufficient information available regarding mental health treatment decisions, differences in beliefs and attitudes, and concerns about adverse effects on patients, such as self-harm and suicide. Effective shared decision-making skills can improve perinatal and mental health care providers' competencies to meet the unique decision needs of perinatal individuals, particularly those with mental health disorders. The proposed project titled "DECIDE to Improve Maternal Mental Health Care Delivery" aims to adapt the DECIDE Provider Training developed by Dr. Alegria and her team,1 to improve the rapid and wide dissemination and implementation of DECIDE in meeting the mental health needs of perinatal individuals. DECIDE stands for Decide the problem; Explore the questions; Closed or open-ended questions; Identify the who, why, or how of the problem; Direct questions to your health care professional; Enjoy a shared solution. The DECIDE provider training was developed based on theories of intergroup contact in social psychology and a patient-centered framework.28-30 DECIDE teaches mental health providers how to improve perspective-taking, reduce attributional errors, and increase receptivity to the client population.1,15-17 The proposed project will (1) make content adaptation (i.e., adding topical training content to fit perinatal mental health care) and process adaption (i.e., creating asynchronous training modules to reduce the burden for care providers) to the DECIDE Provider Training and (2) assess the acceptability, appropriateness, and usability of adapted DECIDE provider training for rapid and wide dissemination and implementation of DECIDE in maternal mental health care delivery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Perinatal or mental health care providers who currently provide perinatal mental health care within health systems
Ages between 18 and 64
Must be able to understand the training content in English and comfortably complete the assessments and share feedback in English
Disqualifiers
Healthcare providers who do not practice as part of a healthcare system
Healthcare providers who do not practice in the U.S.
Healthcare providers who do not currently provide perinatal mental health care
Trial design
Design model
Single group
Treatments tested in this trial
DECIDE for MOM Provider Training
BehavioralParticipants will take an asynchronous online DECIDE for MOM provider training (approximately 2 hours). DECIDE stands for Decide the problem; Explore the questions; Closed or open-ended questions; Identify the who, why, or how of the problem; Direct questions to your health care professional; Enjoy a shared solution. The 5 modules will cover shared decision-making, perspective-taking, patient activation, attributional errors, and being a responsive provider to perinatal individuals.
Treatment groups
35 Participants
are divided into 1 treatment groupGroup A: Intervention ProvidersExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Acceptability, Feasibility, and Appropriateness Scale (AFAS)
The Acceptability, Feasibility, and Appropriateness Scale (AFAS)42 developed for the assessment of implementation outcomes for training in EBPs will be used. The measure demonstrates a good fit to the hypothesized three-factor structures (RMSEA = .058, CFI = .990, TLI = .987) and acceptable internal consistency (α = .86 to α = .91).42 The AFAS uses a 5-point Likert scale with 1 indicating "not at all" and 5 indicating "extremely." A few examples of the times are: "To what extent are you satisfied with the training you received and the practices covered?", "How comfortable are you with the practices contained within the training?", "How well do the information and practices fit with your overall approach to service delivery and the setting in which you provide care?" AFAS has demonstrated sensitivity to assessing workshop-specific perceptions about training acceptability and feasibility.42
Time frame
Immediately after and 1 month after the training2
Training Experience
We will ask a set of open-ended questions to obtain detailed information on user acceptability, appropriateness and feasibility. The example questions include: (1) Share your experience of taking the asynchronous online training regarding login, course navigation, module organization, and other aspects of accessing the training (2) Did the training change how participants interact with perinatal individuals with mental health disorders? What are the specific examples? (3) What are the best strategies to effectively implement the DECIDE for MOM provider training within your organization?
Time frame
Immediately after the training3
Focus groups
We will conduct focus groups with training participants one month after the training to gain an in-depth understanding of participants' perceptions of acceptability, appropriateness, and usability of adapted DECIDE and thoughts about strategies to promote the high-quality implementation of the DECIDE training.
Time frame
1 month after the trainingSponsors and contacts
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Source ClinicalTrials.gov