PTSD Screening in Pregnant Black Women

Официальное название

Comparing Two Screening Approaches for PTSD to Improve Health Outcomes in Pregnant Black Women

Обзор

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.

Подробное описание

Researchers will examine whether Culturally Responsive Screening, Brief Intervention, and Referral to Treatment (SBIRT) for obstetrics (OB) is more effective in reducing PTSD symptoms compared to brief screening for PTSD. This study will help participating OB clinics to determine the best option for screening for PTSD in Black pregnant persons in their clinic during first-trimester prenatal visits.

The study population will include Black pregnant women receiving medical care in their first trimester of pregnancy. Surveys and chart abstraction will be used in this study to collect data. The approximate study duration for individuals is 4 visits over 12 months.

Вмешательства

• Поведенческое Culturally Responsive SBIRT for OB
  SBIRT is a well-established enhanced screening preventive intervention model that is feasible and acceptable for use with trauma-exposed patients and in minoritized communities and can be delivered in the OB clinic during a prenatal care visit. The elements include: 1. standardized screening for PTSD and depression using the Primary Care Post Traumatic Stress Disorder Screen (PC-PTSD-5) and the Edinburgh Postnatal Depression Screening (EPDS) that will mirror brief screening practice; 2. explici
• Поведенческое Brief Screening for PTSD
  This well-established 5-minute in-clinic interview includes administration of the PC-PTSD-5, a 5-item PTSD screening tool by trained medical staff (nurse, physician's assistant). Providers receive approximately one hour of training in trauma-informed care and how to administer the screening protocol. This method is regularly used in primary care clinic settings with trauma-exposed veterans and is validated for use in civilian samples, including low-income Black adults utilizing urban safety net

Первичные конечные точки

• PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 (PCL-5) Score [Срок оценки: Initial OB visit (weeks 1-13), second trimester (Weeks 14 to 27), third trimester (weeks 28-40), and 6-weeks postpartum]

Вторичные конечные точки (1)

• Adequacy of prenatal care utilization (APNCU) [Срок оценки: 6 weeks postpartum]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• Active suicidality

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

США · 2 центра

• Grady Health System — Atlanta
• Truman Medical Center (TMC) system — Kansas City

Идентификаторы

NCT: NCT06522022 · STUDY00007909

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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