Conditions

Anxiety Depression Pregnancy Substance Use

Keywords

PregnancyDepressionSubstance UseAnxiety

Outcome Measures

Primary Outcomes (4)

Completion of SBIRT (Specific Aim 1)
We will compare the proportion of participants that complete a screen for mental health and substance use among those assigned to LTWP, compared to TAU.
Baseline
Screened Positive (Specific Aim 1)
We will compare the proportion of those screening positive that are referred to treatment among those assigned to LTWP, compared to TAU.
Baseline
Referred to Treatment (Specific Aim 1)
We will compare the proportion of participants referred to treatment that had at least one mental health and/or substance use disorder treatment appointment among those assigned to LTWP, compared to TAU.
Baseline

Study Arms (2)

Listening to Women and Pregnant and Postpartum People

EXPERIMENTAL

Participants are enrolled in text message-based screenings with immediate automated feedback, paired with remote care coordination and, if appropriate, home-based telemedicine mental health and substance use disorder treatment services. The text screenings contain the SBIRT which is a survey with 9 questions related to depression, anxiety, substance abuse (alcohol, cigarettes, other drugs including prescription medication), and domestic violence.

Behavioral: Listening to Women and Pregnant and Postpartum People

Usual Care

NO INTERVENTION

This group will receive in-person screening and referral to treatment by a nurse or physician per usual prenatal care. The in person screenings contain the SBIRT which is a survey with 9 questions related to depression, anxiety, substance abuse (alcohol, cigarettes, other drugs including prescription medication), and domestic violence.

Interventions

Listening to Women and Pregnant and Postpartum PeopleBehavioral

Participants are enrolled in text message-based screenings with immediate automated feedback, paired with remote care coordination and, if appropriate, referral to telemedicine mental health and substance use disorder treatment services.

Listening to Women and Pregnant and Postpartum People

Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.

Eligibility Criteria

Age18 Years - 41 Years

Sexfemale

Healthy VolunteersNo

Age GroupsAdult (18-64)

You may qualify if:

\) age 18-41; 2) currently pregnant or postpartum; 3) if pregnant, receiving prenatal care; 4) English fluency; 5) owner of a cell phone with short message service (SMS) text-message based capability; 6) access to Wireless Fidelity (WIFI) and a device to allow audio and video teleconferencing; 7) able to provide informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Medical University of South Carolina
Otherlead

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

MeSH Terms

Conditions

Substance-Related DisordersDepressionAnxiety Disorders

Interventions

Gravidity

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersMental DisordersBehavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

Reproductive Physiological PhenomenaReproductive and Urinary Physiological PhenomenaPregnancyReproduction

Limitations and Caveats

Limited data capture of primary outcomes in EHR, particularly for treatment attendance. Treatment may have occurred in other settings not captured by EHR. It is possible that participants in TAU were screened and referred but findings were not recorded in the EHR. The study took place within a single health system and findings may not be generalizable. It is unknown whether the screening completion rates within LTWP would differ in settings where staff do not enroll patients into LTWP.

Results Point of Contact

Title: Constance Guille
Organization: The Medical University of South Carolina

Publication Agreements

PI is Sponsor Employee: No
Restrictive Agreement: No

Pilot Randomized Controlled Trial (RCT): Remote SBIRT Vs. In-Person SBIRT

Brief Summary

Registry Overview

Trial Relationships

Study Timeline

First Submitted

First Posted

Study Start

Primary Completion

Study Completion

Results Posted

Conditions

Keywords

Outcome Measures

Primary Outcomes (4)

Study Arms (2)

Listening to Women and Pregnant and Postpartum People

Usual Care

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (1)

MeSH Terms

Conditions

Interventions

Condition Hierarchy (Ancestors)

Intervention Hierarchy (Ancestors)

Limitations and Caveats

Results Point of Contact

Publication Agreements

Enrollment

Study Design

Study Record Dates

Secondary Outcomes (3)

Data Sharing

Source record

Documents

Locations

Brief Summary

Registry Overview

Trial Relationships

Related Scientific Literature

Study Timeline

First Submitted

First Posted

Study Start

Primary Completion

Study Completion

Results Posted

Conditions

Keywords

Outcome Measures

Primary Outcomes (4)

Study Arms (2)

Listening to Women and Pregnant and Postpartum People

Usual Care

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (1)

MeSH Terms

Conditions

Interventions

Condition Hierarchy (Ancestors)

Intervention Hierarchy (Ancestors)

Limitations and Caveats

Results Point of Contact

Publication Agreements

Enrollment

Study Design

Study Record Dates

Secondary Outcomes (3)

Data Sharing

Source record

Documents

Locations