Scaling Up Maternal Mental Healthcare by Increasing Access to Treatment (SUMMIT)
A legfontosabb adatok
- Ki végzi
- Mount Sinai Hospital, Canada
- Hol
- Chapel Hill és Evanston (Egyesült Államok)Mind a 2 helyszín megnézéseMég 1 másik országban, 3 helyszínen
- Azonosító
- Állapot
- Befejeződött
- Résztvevők
- 1230 fő vett részt
- Kezdés
- 2020. jan. 6.
- Befejezés
- 2025. febr. 13.
- A vizsgálat típusa
- Beavatkozással járó, 4 csoportAz egyik csoport egy már használt kezelést kap, összehasonlításként.
- A vizsgált kezelések
- Brief Behavioral Activation Treatment
- A regiszteradat frissítve
- 2025. augusztus 14.
Ki vehet részt
- Életkor
- 18 év felett
- Nem
- Csak nők
- Egészséges önkéntesek
- Nem vehetnek részt
A regiszter feltételei, szó szerint
Mind a 10 feltétel megnézéseKevesebb
Ki vehet részt
- EPDS≥10
- ≥18 years
- Pregnant up to 36 weeks or 4-30 weeks postpartum
- Speaks English or (US sites) Spanish
Ki nem vehet részt
- Psychotropic medication dose or medication change within two weeks of enrollment or beginning treatment
- Active suicidal intent (ideation and plan), active symptoms of psychosis or mania
- Ongoing psychotherapy (no more than once every 8 weeks or during the duration of the intervention)
- Active substance abuse or dependence
- Severe fetal anomalies, stillbirth or infant death at time of enrollment for index pregnancy
- Non-English, non-Spanish speakers
Helyszínek itt: Egyesült Államok
Még 1 másik országban, 3 helyszínen
- University of North CarolinaChapel Hill, Egyesült Államok
- Northshore University Health SystemEvanston, Egyesült Államok
A vizsgálatról
Mit akar kideríteni a vizsgálat
SUMMIT's (Scaling Up Maternal Mental health care by Increasing access to Treatment) overarching goal is to examine the scalability and patient-centered provision of brief, evidence-based psychological treatments for perinatal depression and anxiety (N=1226). Specifically, and through a multi-site, randomized, pragmatic trial, the trial examines whether a brief, behavioral activation (BA) treatment delivered via telemedicine is as effective as the same treatment delivered in person; and whether BA delivered by non-mental health providers (e.g., nurses), with appropriate training is as effective as when delivered by specialist providers (psychiatrists, psychologists and social workers) in reducing perinatal depressive and anxiety symptoms. The study will be conducted in Toronto, NorthShore University HealthSystem in Evanston and surrounding areas including Chicago, and North Carolina. The trial will also identify relevant underlying implementation processes and determine whether, and to what extent, these strategies work differentially for certain women over others.
A vizsgálat 4 csoportja
- Non-specialistA vizsgált kezelés
Trained non-mental health providers (e.g., nurses or midwives) with general healthcare professional skills (as assessed during recruitment) with no previous experience delivering psychological treatments implementing a brief, manualized behavioral activation treatment
Kezelés: Brief Behavioral Activation Treatment
- SpecialistMár használt kezelés, összehasonlításként
Psychiatrists, psychologists and social workers with experience in treating perinatal mental illness and a minimum of 5 years of experience delivering psychological treatments delivering a brief, manualized behavioral activation treatment
Kezelés: Brief Behavioral Activation Treatment
- TelemedicineA vizsgált kezelés
A brief, manualized behavioral activation treatment delivered over Zoom™ in Toronto, via Webex™ in Chapel Hill, and via Zoom™ in NorthShore
Kezelés: Brief Behavioral Activation Treatment
- In-PersonMár használt kezelés, összehasonlításként
A brief, manualized behavioral activation treatment delivered in-person held at participating clinical care sites within UToronto, UNC and NorthShore
Kezelés: Brief Behavioral Activation Treatment
Adatok és források
- Regiszteradat
- Szerepel a ClinicalTrials.gov-on.
- Hivatalos cím
- Scaling Up Maternal Mental Healthcare by Increasing Access to Treatment (SUMMIT): A Pragmatic, Non-inferiority Trial for Perinatal Depression and Anxiety
- Publikációk
- Behavioral Activation for Perinatal Suicide Ideation: Secondary Analysis of a Noninferiority Randomized Clinical Trial.JAMA psychiatry, 2025
- Bridges to treatment satisfaction: the roles of trauma, social support, race and ethnicity among perinatal women receiving behavioural activation therapy.BMC medicine, 2025
- Task-sharing and telemedicine delivery of psychotherapy to treat perinatal depression: a pragmatic, noninferiority randomized trial.Nature medicine, 2025
- Culturally sensitive psychotherapy for perinatal women: A mixed methods study.Journal of consulting and clinical psychology, 2022
- Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT) through non-specialist providers and telemedicine: a study protocol for a non-inferiority randomized controlled trial.Trials, 2021
- A regiszteradat frissítve
- 2025. augusztus 14.