THE ROSE SUSTAINMENT STUDY: IMPLEMENTING POSTPARTUM DEPRESSION PREVENTION IN PRENATAL AGENCIES SERVING LOW-INCOME WOMEN

JUNE 10, 2020

2:00 P.M. – 3:00 P.M. EDT

ABOUT THE WEBINAR

Postpartum depression is a significant and common public health problem for families that affects one in seven women and one in three low-income women. Reach Out, Stay Strong, Essentials for mothers of newborns (ROSE) is an evidence-based intervention that has been found to reduce cases of postpartum depression in low-income women by half. It has recently been recommended by the U.S. Preventive Services Task Force for the prevention of post-partum depression. One of the attractive features of this intervention is that it is designed for and can be successfully implemented in low-resource settings. The ROSE Sustainment (ROSES) Study, funded by NIMH (project number R01 MH114883) is an implementation trial that uses a sequential multiple assignment randomized (SMART) design to evaluate the effectiveness and cost-effectiveness of a stepwise approach to sustainment of ROSE in 90 outpatient agencies providing prenatal care to pregnant women on public assistance. Operational and methodological strategies for conducting a clinical trial in a low resource setting, as well as lessons learned from implementation and scale-up of ROSE in low resource settings will be presented.

ABOUT THE SPEAKERS

Jennifer E. Johnson, Ph.D.
C. S. Mott Endowed Professor of Public Health, Professor of OB/GYN
Michigan State University

Dr. Johnson is C. S. Mott Endowed Professor of Public Health, Professor of OB/GYN, and Professor of Psychiatry and Behavioral Medicine at Michigan State University (MSU). She is a licensed clinical psychologist who conducts policy-relevant randomized trials of effectiveness, cost-effectiveness, and implementation of mental health and substance use interventions for vulnerable populations, including perinatal women and individuals involved in the criminal justice system. She has been Principal Investigator of numerous National Institutes of Health (NIH)-funded studies.

After spending more than a decade as faculty at Brown University, Dr. Johnson came to MSU to help MSU build its new Division of Public Health in partnership with the Flint community. The result, the only academic unit in the country developed fully in partnership with those it seeks to serve, has been extremely successful in terms of federal research dollars and sustained community change, demonstrating the power of participatory processes.

Caron Zlotnick, Ph.D.
Professor of Psychiatry and Human Behavior
Brown University

Dr. Zlotnick is a Professor in the Department of Psychiatry and Human Behavior, Department of Medicine and Department of Obstetrics and Gynecology at Warren Alpert Medical School at Brown University. She is Honorary Professor in the Department of Psychiatry and Mental Health at the University of Cape Town, South Africa. Dr. Zlotnick’s primary research focus is intervention research to reduce risks including depression, intimate partner violence, HIV/STI, and substance use in perinatal women. In addition, Dr. Zlotnick has conducted intervention research with other vulnerable women, including women in battered women’s shelters, incarcerated women, and Veteran women with histories of sexual trauma. She has been principal investigator on several National Institutes of Health (NIH)-funded studies that include testing computerized interventions and psychosocial interventions to reduce health risk factors among high-risk women.

ABOUT THE MODERATOR

Dawn Morales, Ph.D.
Program Chief, Rural and American Indian/Alaskan Native Mental Health Programs Director
Office of Disparities Research and Workforce Diversity (ODWD)
National Institute of Mental Health

Dr. Morales is currently the Program Chief for Rural Mental Health Research in the Office of Rural Mental Health Research and the Office for Disparities Research Workforce Diversity at the National Institute of Mental Health (NIMH) serving as point of contact for American Indian, Alaskan Native, and Rural Mental Health Research. Prior to joining the National Institutes of Health, she served as a research statistician at a Veterans Administration Hospital Research Unit in South Carolina, where she served on a wide range of projects from pharmacy, nursing, heart surgery, oral health, cancer genetics, as well as mental health. Her content interests focus on health disparities, special populations, data science, valid use of statistical techniques, and how policy can influence sound choices in methodological and analytic strategies and improve replicability. She earned her doctorate from the University of California at San Diego in Experimental Psychology, and with the support of a NRSA fellowship she completed a 2-year post-doctoral appointment at the University of Pennsylvania at the Center for Cognitive Neuroscience, where her studies focused on executive function and cognitive control on aging adults, as well as how to make inferences about causality from diverse empirical literatures.