Table 5 Data collection schedule and measures

PHASE I

Demographics (education, income, maternal age at recruitment, ethnicity) (Items from Maternity Experiences Survey, ^bMES [120])

X

Obstetric and medical history (parity, chronic and pregnancy complications, type of delivery, weight - pre-pregnancy, delivery, 6 weeks postpartum) (Items from MES)

X

X

Mental health history (history of depression, anxiety, stress; age of onset of previous episodes of mental health problems) (Items from MES)

X

Pharmacologic therapy for depression/anxiety (past; current) (Items from Canadian Community Health Survey, CCHS)

X

X

X

X

X

Social support (Interpersonal Support Evaluation List, ISEL [121])

X

X

X

X

X

Prenatal depression, anxiety, stress symptoms (Depression, Anxiety, and Stress Scale, DASS-21 [107] - presence (percent above cut-off point) and severity (mean score, standard deviation)

X

X

Postnatal depression, anxiety, stress symptoms (Depression, Anxiety, and Stress Scale, DASS-21 [107] - presence (percent above cut-off point) and severity (mean score, standard deviation)

X

X

X

X

X

^aPsychosocial assessment (Antenatal Risk Questionnaire-Revised, ANRQ-R; includes substance use and violence) [1, 31]

X

X

X

X

X

Depression (Edinburgh Postnatal Depression Scale, EPDS) [111]

X

X

X

X

X

^aANRQ-R acceptability

X

Mastery (Pearlin’s Mastery Scale) [122]

X

X

X

X

X

Self-efficacy (Generalized Self-Efficacy Scale) [123]

X

X

X

X

X

Self-esteem [124]

X

X

X

X

X

Resilience (Connor-Davidson Resilience Scale) [91]

X

X

X

X

X

Sleep (Pittsburgh Sleep Quality Index) [125, 126]

X

X

X

X

X

Parenting competence (Parenting Sense of Competence Scale, PSCS; subscales Efficacy, Interest, Satisfaction) [127]

X

X

X

Parenting stress (Parental Stress Scale) [128]

X

X

X

Relationship quality and adjustment (Dyadic Adjustment Scale, DAS-7) [7, 129]

X

X

X

X

X

Coping (Brief Cope) [130]

X

X

X

X

X

Maternal-infant attachment (Condon and Corkindale) [131]

X

X

X

Infant behavior (Infant Behavior Questionnaire) [132]

X

X

X

Infant development (Ages and Stages Questionnaire, 3^rd edition, ASQ-3; The Baby Pediatric Symptom Checklist for Social/Emotional Screening) [91, 133]

X

X

X

Birth weight (medical record)

X

Gestational age (medical record)

X

5-minute Apgar score (medical record)

X

Other factors related to infant outcomes: feeding method (medical record and parent-report); neonatal/infant health (medical record and parent-report) (Parent report items from the All Our Babies birth cohort study^c)

X

X

X

Patient diaries [134] (For economic analysis - including health service use, medication use, productivity loss, personal cost)

X

X

X

X

X

Quality of life (For economic analysis - SF-36,SF-6D to calculate QALY) [135]

X

X

X

X

X

Efficiency of intervention (percent of women with psychosocial assessment, referral, and care in IG versus CG; self-report and medical record)

X

X

X

Utility of intervention (one question asked at the end of each cognitive behavior therapy (CBT) homework exercise: This exercise was useful to me with four response options of I strongly agree, I somewhat agree, I somewhat disagree, I strongly agree; one question asked at the end of each CBT module: The information in this module was useful to me with same response options)

X

Usability of intervention (one question asked at the end of each CBT homework exercise: This exercise was clear and easy to understand with response options; 2 questions asked at the end of each module: 1) The information in this module was clear and easy to understand; 2) It was easy to work through the module (for example, it was easy for me to get from one part to the other, easy to find what I needed) with same response options)

X

Acceptability: Tablet-based psychosocial assessment (one question at end of completing ANRQ-R: I would recommend a tablet-based approach to asking about emotional health to a pregnant friend with four response options of I strongly agree, I somewhat agree, I somewhat disagree, I strongly agree)

X

Acceptability: CBT (one question at end of each CBT module: I would recommend this module to a pregnant friend who was struggling with stress, depression, or anxiety with 4 response options of I strongly agree, I somewhat agree, I somewhat disagree, I strongly agree)

X

Overall assessment (two open-ended questions at the end of every CBT module: 1) The thing I liked most about this module was….; 2) The thing I liked least about this module was….)

X

Log of interactions with participants (completed by research nurse)

X

X

X

PHASE 2

Efficiency (Providers’ views of the efficiency of the process of clinic-based online psychosocial assessment)

X

Utility (Women’s views of how useful the modules in were in meeting their needs)

Usability (Women’s views of how easy/difficult the modules were to navigate)

X

Feasibility (providers’ views of feasibility of conducting integrated intervention in their setting; women’s views of the feasibility of doing the modules; Google Analytics for example, percent of women accessing CBT within 2 weeks postassessment; percent of women accessing each CBT module within 1 to 2 weeks; percent completion of all six CBT modules; percent completion of CBT modules within 8 weeks)

X

Acceptability (women’s and providers’ views of acceptability/ability to promote disclosure)

X

Mechanisms (women’s views of why and how the intervention did/did not improve outcomes; how the intervention benefitted/did not benefit them)

X