Minding the Gatekeepers: Referral and Recruitment of Postpartum Mothers with Depression into a Randomized Controlled Trial of a Mobile Internet Parenting Intervention to Improve Mood and Optimize Infant Social Communication Outcomes
Open accessAbstract
Mothers in the United States (U.S.) who are of non-dominant culture and socioeconomically disadvantaged experience depression during postpartum at a rate 3 to 4 times higher than mothers in the general population, but these mothers are least likely to receive services for improving mood. Little research has focused on recruiting these mothers into clinical intervention trials. The purpose of this article is to report on a study that provided a unique context within which to view the differential success of three referral approaches (i.e., community agency staff referral, research staff referral, and maternal self-referral). It also enabled a preliminary examination of whether the different strategies yielded samples that differed with regard to risk factors for adverse maternal and child outcomes. The examination took place within a clinical trial of a mobile intervention for improving maternal mood and increasing parent practices that promote infant social communication development. The sample was recruited within the urban core of a large southern city in the U.S. and was comprised primarily of mothers of non-dominant culture, who were experiencing severe socioeconomic disadvantage. Results showed that mothers self-referred at more than 3.5 times the rate that they were referred by either community agency staff or research staff. Moreover, compared to women referred by research staff, women who self-referred and those who were referred by community gatekeepers were as likely to eventually consent to study participation and initiate the intervention. Results are discussed with regard to implications for optimizing referral into clinical intervention trials.
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Bagget et al. found that women who self-referred and those referred by community gatekeepers were as likely to eventually consent to study participation and initiate the intervention in comparison with those referred by research staff.
“women who self-referred and those who were referred by community gatekeepers were as likely to eventually consent to study participation and initiate the intervention in comparison with those referred by research staff.”
From Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment (2021) · cites this paper as [18]
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- [36]Baggett K.M. DiPetrillo B. Beacham C. Patterson A. Miller K. Davis B. Feil E. Sheeber L. Built Pathways to Resilience: Engaging Mothers with Depression in a Mobile Intervention to Improve Infant Social-Emotional Outcomes Proceedings of the Conference on Research Innovations in Early Intervention San Diego, CA, USA 27–29 February 2020
Cited by
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Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment
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- Authors
- Baggett, K. M., Davis, B., Sheeber, L. B., Ammerman, R. T., Mosley, E. A., Miller, K., & Feil, E. G.
- Affiliations
- Georgia State University (US)
- Oregon Research Institute (US)
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Baggett, Kathleen M.
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-12-02
- Volume
- 17
- Issue
- 23
- Pages
- 8978
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7730083
- OpenAlex
- W3109687762
- Cited by
- 15
- References
- 38
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 6 · 2022: 2 · 2021: 4
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD086894)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- postpartum depression, trial recruitment, referral strategies, self-referral, socioeconomic deprivation, maternal mood
- MeSH terms
- Internet-Based Intervention, Child, Communication, Depression, Female, Humans, Infant, Mothers, Referral and Consultation, Parenting, Depression, Postpartum, Internet, Postpartum Period
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