Web based interactive program to prevent post partum depression in high risk women

Project Summary Postpartum depression PPD constitutes a general health problem occurring in of recently delivered mothers The impact of PPD is profound with considerable emotional pain for the mother as well as disturbances in infant development and later child adjustment Although the prevention of this disorder has garnered much attention few preventative interventions have demonstrated efficacy replicated findings used validated diagnostic measures for PPD or used heterogeneous samples of women The ROSE Program Reach Out Stay Strong Essentials for mothers of newborns an intervention that has been found in three clinical trials to significantly reduce cases of PDD in at risk pregnant women on public assistance targets those factors that play a significant role in the development of PPD i e poor social support role transition and life stressors and is administered during weeks of pregnancy and within weeks postpartum The aims of the phase of this SBIR proposed project is to develop a high reach easily implementable low cost prototype of the ROSE Program and test its acceptability and feasibility among pregnant women at risk for PPD More specifically the team will develop a functional prototype of a ROSE Program session improve the clarity content acceptability and feasibility of the ROSE session using information gathered from a preliminary group of pregnant women and antenatal healthcare providers and assess the acceptability feasibility and usability of the ROSE Program prototype for pregnant women at risk for PPD through pilot testing with our target population Thus phase I development will be accomplished by an iterative process of feedback and refinement through collaboration with Debra Fox President and CEO of Fox Learning Systems Inc Dr Zlotnick at Women and Infants Hospital WIH and Dr Sarah Noble at Paley OB GYN Clinic of the Albert Einstein Healthcare Network Fox Learning Systems brings expertise in the development of multimedia health education tools across a range of technology platforms Dr Zlotnick at WIH developed the ROSE Program and tested the in person version of ROSE in randomized control trials with pregnant women on public assistance at risk for PPD with rural African American pregnant women and with pregnant teens Dr Noble will provide supervisory and clinical support at the research site in Philadelphia Phase will lay the foundation for the Phase II development and testing of a Web based version of ROSE Program that will provide individualized and interactive feedback retain the core features of the ROSE Program and represent a low threshold low cost service with a high reach This Web based intervention to reduce the risk of PPD that is grounded in an empirically supported intervention would improve on products currently available in the marketplace It will be accessible on kiosks in OB offices on home devices and smart phones Finally it will be integrated into the prenatal clinic visits of Federally Qualified Health Centers or other inner city obstetric programs caring for women at high risk for PPD Project Narrative Postpartum depression PPD constitutes a significant health problem that affects hundreds of thousands of American mothers annually Although the prevention of this disorder has garnered much attention few preventative interventions for PPD exist with demonstrated efficacy The proposed project will develop a prototype of an empirically supported intervention to reduce PPD the ROSE Program and test its acceptability and feasibility among pregnant women at risk for PPD laying the foundation for the complete development and testing of a Web based version of ROSE Program a low threshold low cost service with a high reach