Preventing perinatal depression in low-income home visiting clients: A randomized controlled trial.
Abstract
OBJECTIVE: To assess the efficacy of a 6-week cognitive-behavioral intervention in preventing the onset of perinatal depression and reducing depressive symptoms among low-income women in home visitation programs. METHOD: Sixty-one women who were pregnant or who had a child less than 6 months of age and who were assessed as at risk for perinatal depression were randomized to a 6-week, group-based cognitive-behavioral intervention or usual home visiting services. Study participants were predominately African American, unmarried, and unemployed. Intervention sessions were led by a licensed clinical social worker or clinical psychologist. Home visitors provided 1-on-1 reinforcement of key intervention messages between group sessions. Depressive symptoms were measured with the Beck Depression Inventory-II (Beck, Steer, & Brown, 1996), and major depressive episodes were measured with the Maternal Mood Screener (MMS; Le & Muñoz, 1998). Outcomes were assessed at baseline and at 1 week and 3 months postintervention. RESULTS: Repeated measures analysis of variance indicated that there was a significant Time × Condition interaction, F(2, 112) = 4.1, p = .02. At 3 months postintervention, 9 of 27 (33%) women receiving usual care reported levels of depressive symptoms that met clinical cutoff for depression on the MMS compared with 3 of 32 (9%) women in the intervention condition, χ²(1, N = 59) = 5.18, p < .05. CONCLUSION: This study provides preliminary data on the efficacy of a cognitive-behavioral intervention to prevent perinatal depression among home visiting clients and suggests it is feasible to embed such an intervention in home visitation programs. A larger trial is warranted to attempt to replicate study findings.
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Existing perinatal mental health interventions have been designed for low-risk outpatients and are not aligned with the unique needs of hospitalized antepartum patients.
“Existing perinatal mental health interventions have been designed for low‐risk outpatients [22, 23, 24, 25], and they are not aligned with the unique needs of hospitalized antepartum patients.”
From Mental health needs among patients experiencing extended antepartum hospitalization: A qualitative study (2026) · cites this paper as [23]
Existing perinatal mental health interventions have been designed for low‐risk outpatients and are not aligned with the perspectives and needs of high‐risk inpatients facing acute stressors.
“However, existing perinatal mental health interventions have been designed for low‐risk outpatients [22, 23, 24, 25]; they are not aligned with the perspectives and needs of high‐risk inpatients facing acute stressors.”
From Mental health needs among patients experiencing extended antepartum hospitalization: A qualitative study (2026) · cites this paper as [23]
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“Maternal stress and depression’s high prevalence, adverse influence on parenting, and moderation of home visiting effects underscore the need to prevent and address these conditions within the context of home visiting (Ammerman et al. 2007; McFarlane et al. 2014; Tandon et al. 2011).”
BackgroundMethodDarcy, A., Beaudette, A., Chiauzzi, E., Daniels, J., Goodwin, K., Mariano, T. Y., Wicks, P., & Robinson, A. (2022) · Expert Review of Medical Devices · doi:10.1080/17434440.2022.2075726 · Cited by 40 · see citing works
RetractedDarius Tandon, S., Leis, J. A., Ward, E. A., Snyder, H., Mendelson, T., Perry, D. F., Carter, M., Hamil, J., & Le, H.-N. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-1726-0 · Cited by 24 · see citing works
“The most recent of these RCT’s have been conducted in HV settings [29, 31, 32].”
BackgroundSelf-citationFeasibility of perinatal mood screening and text messaging on patients’ personal smartphones
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“…example, the two most widely used programs for preventing perinatal depression, the cognitive behavioral therapy (CBT)-based Mothers and Babies [22, 23] program and the inter-personal psychotherapy–based Reach Out, Stand Strong, Essentials for New Mothers (ROSE) [24, 25] program, are administered…”
- Authors
- Tandon, S. D., Perry, D. F., Mendelson, T., Kemp, K., & Leis, J. A.
- Affiliations
- Johns Hopkins University (US)
- Georgetown University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2011-10
- Volume
- 79
- Issue
- 5
- Pages
- 707-712
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1988959853
- Cited by
- 105
- References
- 23
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 11 · 2020: 6 · 2019: 10 · 2018: 8 · 2017: 3 · 2016: 5 · 2015: 11 · 2014: 10 · 2013: 11 · 2012: 3
- FWCI
- 8.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- perinatal depression, depression prevention, cognitive-behavioral intervention, home visits, low-income women, pregnant women, postpartum depression, maternal mental health, African American women, intervention feasibility
- MeSH terms
- Adult, Black or African American, Depression, Female, House Calls, Humans, Postnatal Care, Poverty, Pregnancy, Prenatal Care, Reinforcement, Psychology, Cognitive Behavioral Therapy, Young Adult
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