Abstract
Maternal depression is a prevalent public health problem, particularly for low-income mothers of young children. Intervention development efforts, which often focus on surmounting instrumental barriers to care, have not successfully engaged and retained women in treatment. Task-sharing approaches like Listening Visits (LV) could overcome key instrumental and psychological barriers by leveraging the access of trusted, community caregivers to deliver treatment. A recent randomized controlled trial (RCT) demonstrated the efficacy of LV delivered by non-mental-health providers as compared to usual care. The present report presents results from a follow-up phase of that RCT during which participants who had completed LV were followed for an additional 8 weeks and completed measures of depression and quality of life. In addition, participants who were initially randomized to the wait-list control group received LV and were assessed. Treatment gains previously observed in participants completing LV were enhanced during the 8-week follow-up period. Participants receiving LV during the follow-up period experienced significant improvement in depressive symptoms. Results demonstrate the sustainability of LV delivered by non-mental-health providers, and provide preliminary evidence for the replicability of this approach in a sample of predominately low-income pregnant women and mothers of young children.
Original language | English (US) |
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Pages (from-to) | 172-183 |
Number of pages | 12 |
Journal | American Journal of Community Psychology |
Volume | 59 |
Issue number | 1-2 |
DOIs | |
State | Published - Mar 1 2017 |
Keywords
- Depression
- Listening visits
- Low income
- Mothers of young children
- Non-mental-health providers
- Pregnant women
- Sustainability
ASJC Scopus subject areas
- Health(social science)
- Applied Psychology
- Public Health, Environmental and Occupational Health