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Project Information

PARTICIPATORY DESIGN OF MHEALTH STRATEGIES TO SUPPORT COLLABORATIVE CARE IN PERIN

Agency:
AHRQ

HHS/Agency for Healthcare Research and Quality

Project Number:
1K18HS022441-01
Contact PI / Project Leader:
BENNETT, IAN MOORE
Awardee Organization:
UNIVERSITY OF PENNSYLVANIA

Description

Abstract Text:
Title: Participatory design of mHealth strategies to support collaborative care in perinatal depression Ian M. Bennett MD PhD Project Summary There is a pressing need to expand the reach of perinatal depression care to low income women from race/ethnic minority populations. Large disparities in depression care delivery between women receiving Medicaid and those with private insurance are documented. Strategies to reduce these disparities must address economic, social, and cultural barriers on the patient side as well as limited resources in the safety net system serving these patients. Patient Centered Outcomes Research (PCOR) methods have not been applied to the problem of how to reduce these disparities. This K18 career enhancement award in PCOR proposes, through a program of mentoring, formal coursework, and a linked research project, to build skills in PCOR methods targeting the delivery of evidence based care to low income women with perinatal depression. In the research component a participatory design and rapid prototyping approach will be employed to develop and pilot an mHealth intervention to support sustained implementation of the evidence based collaborative care approach to depression services in non specialty mental health settings. This project will address work needed to prepare for a pragmatic comparative effectiveness trial to be carried out after the development of a beta version of the mHealth system. While over 40 high quality studies now show collaborative care models improve the quality of depression treatment and outcomes in general medical settings, this approach has not been widely implemented or sustained. Central to the collaborative care model is a care manager who monitors patient adherence, response to treatments, and side effects, while providing effective clinical feedback to other members of the depression care team regarding the status of the patient. The resources required for care management are high, however, particularly for relatively under-resourced sites caring for low income women~ this high resource cost reduces the sustained implementation of collaborative care. mHealth approaches, which capitalize on the widespread patient use of mobile phones, hold promise as effective strategies to assist and even enhance the work of care managers. These systems can potentially carry out substantial portions of the monitoring, adherence assessment/support, and clinical feedback functions of care managers. To improve the end user acceptability of the proposed system it will be developed in a participatory manner with patients and care team members from three diverse prenatal clinics serving low income women with established care managers.
Project Terms:
Address; Adverse effects; Award; Car Phone; care delivery; career; Caring; Case Manager; Clinic; Clinical; collaborative care; comparative effectiveness; Compliance behavior; cost; design; Development; Doctor of Philosophy; Economics; effectiveness trial; ethnic minority population; evidence base; Feedback; improved; Insurance; Intervention; K-18 conjugate; Link; Low income; Medicaid; Medical; medical specialties; member; Mental Depression; Mental Health; Mentors; Modeling; Monitor; Outcomes Research; Patient Care Team; Patient-Focused Outcomes; Patients; Perinatal; prenatal; programs; Race; Research; Research Methodology; Research Project Grants; Resources; response; safety net; Services; Side; Site; skills; social; System; targeted delivery; Treatment outcome; Woman; Work

Details

Contact PI / Project Leader Information:
Name:  BENNETT, IAN MOORE
Other PI Information:
Not Applicable
Awardee Organization:
Name:  UNIVERSITY OF PENNSYLVANIA
City:  PHILADELPHIA    
Country:  UNITED STATES
Congressional District:
State Code:  PA
District:  02
Other Information:
Fiscal Year: 2013
Award Notice Date: 30-Aug-2013
DUNS Number: 042250712
Project Start Date: 01-Sep-2013
Budget Start Date: 01-Sep-2013
CFDA Code: 226
Project End Date: 31-Aug-2015
Budget End Date: 31-Aug-2014
Agency: ?

Agency: The entity responsible for the administering of a research grant, project, or contract. This may represent a federal department, agency, or sub-agency (institute or center). Details on agencies in Federal RePORTER can be found in the FAQ page.

HHS/Agency for Healthcare Research and Quality
Project Funding Information for 2013:
Year Agency

Agency: The entity responsible for the administering of a research grant, project, or contract. This may represent a federal department, agency, or sub-agency (institute or center). Details on agencies in Federal RePORTER can be found in the FAQ page.

FY Total Cost
2013 AHRQ

HHS/Agency for Healthcare Research and Quality

$163,166

Results

i

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