Comparing Two Screening Approaches for PTSD to Improve Health Outcomes in Pregnant Black Women
Status: Recruiting
Location: See all (2) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
This study will compare the effectiveness of two active screening interventions in improving post-traumatic stress disorder (PTSD) symptoms, maternal perinatal care utilization, satisfaction utilization of mental healthcare services, and maternal health and birth-related outcomes for Black pregnant women.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:
• 18+ years old,
• Ability to provide informed consent,
• English-speaking,
• Willingness to participate in the study,
• Self-identification as Black or African American,
• Pregnant and in the first trimester attending initial prenatal care visit,
• Endorsement of at least one traumatic event in their lifetime.
Locations
United States
Georgia
Grady Health System
RECRUITING
Atlanta
Missouri
Truman Medical Center (TMC) system
RECRUITING
Kansas City
Contact Information
Primary
Abigail Powers Lott, PhD, ABPP
abigail.lott@emoryhealthcare.org
404-712-0159
Time Frame
Start Date: 2025-02-20
Estimated Completion Date: 2029-03
Participants
Target number of participants: 804
Treatments
Experimental: Culturally Responsive SBIRT for OB
Participants randomized to Culturally Responsive SBIRT for OB will participate in the intervention visit (20-30 minutes) while waiting for their OB visit (or after the visit if time does not allow) and then engage in their prenatal care visit as usual. If any safety concerns emerge during the visit, the lay provider will contact the clinical staff on the study
Experimental: Brief Screening for PTSD
Participants randomized to Brief Screening For PTSD, screening will be conducted as part of regular clinic activities during the initial prenatal care visit. Specifically, clinic staff (nurse, PA) or study staff will ask the questions in the PC-PTSD-5 along with the standard procedure to administer the Edinburgh Postnatal Depression Scale (EPDS), and the provider will review the results with the patient during the prenatal care visit and provide referral resources regardless of screen outcome. Positive PTSD screens (PC-PTSD-5 ≥ 3) will be referred to the hospital's integrated care team following the same model as positive EPDS screens.
Related Therapeutic Areas
Sponsors
Collaborators: University of Missouri, Kansas City, Patient-Centered Outcomes Research Institute
Leads: Emory University