Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention

Alicia Diebold*, Jody D. Ciolino, Jessica K. Johnson, Chen Yeh, Jackie K. Gollan, S. Darius Tandon

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Mothers and Babies (MB), a perinatal depression preventive intervention, has proven effective in decreasing depressive symptoms and preventing onset of major depression. An ongoing cluster-randomized trial is comparing the effectiveness of the six-session MB group intervention led by paraprofessionals versus mental health professionals. Twenty percent of all audio-recorded intervention sessions were randomly selected for fidelity checks. Analyses assessed mean facilitator adherence and competency overall, by study arm, and by session; and, examined site, facilitator, and client-specific effects. There were no significant differences found between study arms. Findings show paraprofessionals can deliver MB with similar fidelity as mental health professionals.

Original languageEnglish (US)
Pages (from-to)597-605
Number of pages9
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume47
Issue number4
DOIs
StatePublished - Jul 1 2020

Keywords

  • Adherence
  • Competency
  • Fidelity
  • Perinatal depression

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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