Pediatric-based intervention to motivate mothers to seek follow-up for depression screens

The Motivating Our Mothers (MOM) trial

Erik Fernandez y Garcia, Jill G Joseph, Machelle D. Wilson, W Ladson Hinton, Gregory Simon, Evette Ludman, Fiona Scott, Richard L Kravitz

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Abstract Objective To determine the initial effectiveness of a novel, pediatric office-based intervention in motivating mothers to seek further assessment of positive depression screens. Methods In this pilot randomized controlled trial, English-speaking mothers (n = 104) with positive 2-question depression screens and presenting with children 0 to 12 years old for well-child care to a general pediatric training clinic received interventions from a trained research assistant. The Motivating Our Mothers (MOM) intervention included office-based written and verbal targeted depression education and motivational messages encouraging further depression assessment and a semistructured telephone booster delivered 2 days later. The control intervention included nontargeted written and verbal messages and 2 days later, an attention control telephone survey. Both groups received a list of depression care resources. The primary outcome was the proportion of mothers in each group who reported trying to contact any of 6 types of resources to discuss the positive screen at 2 weeks after intervention (ClinicalTrials.gov NCT01453790). Results Despite 6 contact attempts, 10 MOM and 9 control mothers were lost to follow-up. More mothers in the MOM intervention tried to contact a resource compared to control (73.8% vs 53.5%, difference 20.3%, 95% confidence interval for difference -0.1 to 38.5, P =.052). Conclusions Mothers receiving the MOM intervention made more attempts to contact a resource for follow-up of positive depression screens. If found effective in larger studies, MOM may prove a promising approach for motivating depression screen-positive mothers identified in general pediatric settings within and beyond the postpartum period to seek further depression assessment and support.

Original languageEnglish (US)
Article number669
Pages (from-to)311-318
Number of pages8
JournalAcademic Pediatrics
Volume15
Issue number3
DOIs
StatePublished - May 1 2015

Fingerprint

Mothers
Depression
Pediatrics
Telephone
Lost to Follow-Up
Child Care
Postpartum Period
Randomized Controlled Trials
Confidence Intervals
Education
Research

Keywords

  • depression care seeking
  • maternal depression
  • motivational intervention
  • primary care
  • screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Pediatric-based intervention to motivate mothers to seek follow-up for depression screens : The Motivating Our Mothers (MOM) trial. / Fernandez y Garcia, Erik; Joseph, Jill G; Wilson, Machelle D.; Hinton, W Ladson; Simon, Gregory; Ludman, Evette; Scott, Fiona; Kravitz, Richard L.

In: Academic Pediatrics, Vol. 15, No. 3, 669, 01.05.2015, p. 311-318.

Research output: Contribution to journalArticle

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abstract = "Abstract Objective To determine the initial effectiveness of a novel, pediatric office-based intervention in motivating mothers to seek further assessment of positive depression screens. Methods In this pilot randomized controlled trial, English-speaking mothers (n = 104) with positive 2-question depression screens and presenting with children 0 to 12 years old for well-child care to a general pediatric training clinic received interventions from a trained research assistant. The Motivating Our Mothers (MOM) intervention included office-based written and verbal targeted depression education and motivational messages encouraging further depression assessment and a semistructured telephone booster delivered 2 days later. The control intervention included nontargeted written and verbal messages and 2 days later, an attention control telephone survey. Both groups received a list of depression care resources. The primary outcome was the proportion of mothers in each group who reported trying to contact any of 6 types of resources to discuss the positive screen at 2 weeks after intervention (ClinicalTrials.gov NCT01453790). Results Despite 6 contact attempts, 10 MOM and 9 control mothers were lost to follow-up. More mothers in the MOM intervention tried to contact a resource compared to control (73.8{\%} vs 53.5{\%}, difference 20.3{\%}, 95{\%} confidence interval for difference -0.1 to 38.5, P =.052). Conclusions Mothers receiving the MOM intervention made more attempts to contact a resource for follow-up of positive depression screens. If found effective in larger studies, MOM may prove a promising approach for motivating depression screen-positive mothers identified in general pediatric settings within and beyond the postpartum period to seek further depression assessment and support.",
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