Pathways to Perinatal Mental Health Equity

This study is looking at ways to improve mental health care for people during pregnancy and up to one year after birth (the perinatal period). About 1 in 5 people experience anxiety or depression during this time. The study will compare two approaches: one called Program in Support of Moms (PRISM), which helps obstetric practices offer mental health care, and another that adds peer support from Postpartum Support International (PSI) to that care. Researchers want to see which approach works better to reduce symptoms of depression. You may be able to join if you are between 18 and 70 years old and are pregnant or up to one year postpartum. The study is currently unclear about its status and plans to include 1270 participants.

Study design
This interventional study will include 1270 participants and compare two different approaches to mental health care in 32 perinatal care settings across the United States.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your depression symptoms will be measured from the start of the study up to 13 months after you give birth.

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NCT06790641

Pathways to Perinatal Mental Health Equity

Recruiting
NAAges 18–70InterventionalHealth services
University of Massachusetts, Worcester
~1,270 participants
Updated 2026-04-20 on ClinicalTrials.gov
What's tested:Program in Support of Moms (PRISM)PSI Peer Support

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in perinatal individual depression symptoms as measured by Edinburg Postnatal Depression Scale (EPDS) or Patient Health Questionnaire (PHQ9)
Measured over Baseline to up to 13 months postpartum
Perinatal Anxiety
Perinatal Depression
Social Determinants of Health (SDOH)
Peer Support
Obstetric Care
Substance Use Disorder (SUD)
Perinatal Depression, Substance Use
1 sites across 1 states
Massachusetts1
  • Nancy Byatt, DO, MS, MBA · PRINCIPAL_INVESTIGATOR · UMass Chan Medical School and UMass Memorial Health

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Eligibility criteria

Inclusion

Be employed by a participating perinatal care setting in a clinical role (including as an obstetrician-gynecologist, midwife, nurse practitioner, a nurse, a navigator, or administrative staff member who implemented the respective intervention during the study period).
Be 18 years of age or older
Provide verbal consent prior to the focus group or interview
Be proficient in English
Have completed PSI training to be a peer mentor
Be 18 years of age or older
Provide verbal consent prior to the focus group or interview
Be proficient in English
Have received perinatal care at a study partnering perinatal care setting during the study period
Be 18 years of age or older
Provide verbal consent prior to the focus group or interview
Be proficient in English or Spanish
  • Change in perinatal individual depression symptoms as measured by Edinburg Postnatal Depression Scale (EPDS) or Patient Health Questionnaire (PHQ9)Baseline to up to 13 months postpartum

    Perinatal individual depressive symptoms will be determined from their medical charts, through the screening questionnaire used by their care setting. The screener may be the Edinburgh Postnatal Depression Scale (EPDS) or the Patient Health Questionnaire-9 (PHQ-9). The 10-item EPDS is the most widely used measure of perinatal depression symptoms. The 9-item PHQ-9 is the most widely-used measure of depression symptoms across the lifespan and the second most widely used measure during the perinatal period.