The final resubmission of a Mentored Patient-Oriented Career Development Award Application (K23) to support Dr. Lisa Segre's development as an academic research scientist with expertise in the development of perinatal depression treatments for low-income and ethnic minority women. Dr. Segre intends to obtain additional training through formal coursework, directed readings under supervision of her mentor, and direct interactions with members of her external advisory panel while pursuing a program of research to develop new treatments for perinatal depression. Perinatal depression is a serious disorder affecting approximately 13% of new mothers, with low-income and African-American women particularly at risk. Depression also has a pervasive and long-lasting impact on the physical, social-emotional, and cognitive development of children of depressed mothers. Dr. Segre's research will focus on the implementation and subsequent evaluation of supportive listening/problem solving (SUPS), a treatment with established effectiveness in the United Kingdom. This treatment is provided by non-threatening professionals, delivered in the home, and conveys an important sense of mutual respect. Dr. Segre intends to import, implement, and evaluate the effectiveness of this treatment for depressed low- income and ethnic minority women who are unlikely, unwilling, or unable to seek more traditional treatment from mental health professionals. A special emphasis will be placed on adapting the treatment to the context of the US mental health and social service system, as well as evaluating the treatment's effectiveness. The central hypotheses of the Phase II treatment evaluation trial are (1) that supportive listening/problem solving (SL/PS) will be significantly more effective than standard enhanced case management in reducing depressive symptoms at the end of treatment and follow-up, (2) SL/PS will be significantly more effective than standard enhanced case management in improving social adjustment at the end of treatment and follow-up, (3) clients and case managers will find SL/PS to be an acceptable treatment, and (4) participation in SL/PS will be associated with significantly more use of professional mental health services than participation in standard enhanced case management. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH075964-02
Application #
7497866
Study Section
Special Emphasis Panel (ZMH1-ERB-P (01))
Program Officer
Pearson, Jane L
Project Start
2007-09-19
Project End
2012-06-30
Budget Start
2008-07-01
Budget End
2009-06-30
Support Year
2
Fiscal Year
2008
Total Cost
$114,573
Indirect Cost
Name
University of Iowa
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
062761671
City
Iowa City
State
IA
Country
United States
Zip Code
52242
Brock, Rebecca L; O'Hara, Michael W; Segre, Lisa S (2017) Depression Treatment by Non-Mental-Health Providers: Incremental Evidence for the Effectiveness of Listening Visits. Am J Community Psychol 59:172-183
Orengo-Aguayo, Rosaura E; Segre, Lisa S (2016) Depression treatment delivered at the point-of-care: a qualitative assessment of the views of low-income US mothers. J Reprod Infant Psychol 34:35-48
Segre, Lisa S; Brock, Rebecca L; O'Hara, Michael W (2015) Depression treatment for impoverished mothers by point-of-care providers: A randomized controlled trial. J Consult Clin Psychol 83:314-24
Chuffo Siewert, Rebecca; Cline, Michelle; Segre, Lisa S (2015) Implementation of an innovative nurse-delivered depression intervention for mothers of NICU infants. Adv Neonatal Care 15:104-11
Segre, Lisa S; Pollack, Lauren O; Brock, Rebecca L et al. (2014) Depression screening on a maternity unit: a mixed-methods evaluation of nurses' views and implementation strategies. Issues Ment Health Nurs 35:444-54
Segre, Lisa S; McCabe, Jennifer E; Chuffo-Siewert, Rebecca et al. (2014) Depression and anxiety symptoms in mothers of newborns hospitalized on the neonatal intensive care unit. Nurs Res 63:320-32
Voutilainen, Ari; Kvist, Tarja; Sherwood, Paula R et al. (2014) A new look at patient satisfaction: learning from self-organizing maps. Nurs Res 63:333-45
Rhodes, Ann M; Segre, Lisa S (2013) Perinatal depression: a review of US legislation and law. Arch Womens Ment Health 16:259-70
Segre, Lisa S; O'Hara, Michael W; Fisher, Sheehan D (2013) Perinatal depression screening in healthy start: an evaluation of the acceptability of technical assistance consultation. Community Ment Health J 49:407-11
Segre, L S; Chuffo-Siewert, R; Brock, R L et al. (2013) Emotional distress in mothers of preterm hospitalized infants: a feasibility trial of nurse-delivered treatment. J Perinatol 33:924-8

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