PRogram In Support of Moms: An Innovative Stepped-Care Approach for Obstetrics and Gynecology Clinics (PRISM)

The primary goal of this study is to refine, evaluate, and disseminate a new low-cost and sustainable stepped care program for Obstetrics/Gynecology (Ob/Gyn) clinics that will improve perinatal womens' treatment rates and outcomes. We propose to compare two active interventions, enhanced usual care (access to MCPAP for Moms) vs. PRISM in a cluster randomized controlled trial (RCT) in which we will randomize 12 Ob/Gyn clinics to either PRISM or enhanced usual care. We will compare differences in depression severity and treatment participation among 300 depressed women (n=150 per group) that receive care from PRISM or enhanced usual care clinics.


This research study is led by Dr. Heather Sankey.

Contact: Padma Sankaran, 508-856-8505

Participation details:

February 17, 2017
Pregnancy, OB Gyn
Baystate Medical Center, 759 Chestnut Street, Springfield, MA

Inclusion Criteria:

  • Female
  • Age 18-55 years
  • English speaking, able to communicate in written and spoken English
  • >4 weeks gestational age (GA) until 4 months postpartum
  • Edinburgh Postnatal Depression Scale score (EPDS) ≥10
  • Cognitively able to participate in informed verbal consent

Exclusion Criteria:

  • Provider and staff subjects will be excluded from the study if they are not a prenatal care provider or support person as indicated above from either Wesson Women’s Clinic or Pioneer Women's Health.
  • Women subjects will be excluded from the study for any of the following:
    • Lack of verbal and written English fluency
    • Under age 18 or over age 55
    • Substance use disorder (as determined by substance use disorder questions in4P’s)
    • Screen positive for bipolar disorder via the MDQ (Mood Disorder Questionnaire)
    • Prisoner
As part of this study, you will be asked to answer survey questions over the phone, up to 5 times throughout your pregnancy. Each phone interview will take <60 minutes of your time. We will also be asking you questions about your baby’s health. All interviews will be audiotaped using a digital recorder attached to the telephone to quality check data that will be collected during the interviews. We will keep in contact with you by phone or mail in between assessments so we can ask about and keep track of any changes in your contact information.
Interventional (Clinical Trial), Randomized