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Table 3 Outcomes and timing of assessments

From: Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT) through non-specialist providers and telemedicine: a study protocol for a non-inferiority randomized controlled trial

Study variable

Instrument

Outcome (range)

Maternal: measured at baseline and 3a-, 6-, and 12-month post-randomization

Maternal characteristicsb

Trial Baseline Questionnaire [54, 55]

Self-reported age, education level, gender and sexual orientation, marital status, race, immigrant status and ethnicity, clinical history with depression or anxiety (severity, chronicity, number of prior episodes, and age at first episode), occupational status, number of children, pregnancy intention, pregnancy history, delivery, and birth.

Depressive symptoms

Edinburgh Postnatal Depression Scale (EPDS) [44]

Mean continuous score of a 10-item scale (0–30)

Anxiety symptoms

Generalized Anxiety Disorder Scale (GAD-7) [45]

Mean continuous score of a 7-item scale (0–21)

Response and remission

Patient Health Questionnaire-9 (PHQ-9) [56]

Response: PHQ < 10

Remission is defined as PHQ < 5

Perceived support

Multidimensional Scale of Perceived Social Support [57]

Mean continuous score of a 12-item scale (1–84)

Disability assessment

World Health Organization Disability Assessment Schedule (WHODAS) [58]

Mean continuous score of a 12-item scale (0–48)

Quality of life assessment

EQ 5D-5 Level [59]

Mean continuous score of a 5-item scale (1–25)

Trauma symptoms

Abbreviated PTSD Checklist (PCL-6) [60]

Mean continuous score of a 6-item scale (1–30)

Patient-reported activation

Premium Abbreviated Activation Scale [41, 61]

Mean continuous score of a 5-item scale (0–20)

Patient satisfactionc

Client Satisfaction Questionnaire-8 (CSQ-8) [62]

Mean continuous score of an 8-item scale (1–32(

Therapeutic alliancec

Working Alliance Inventory-Short Revise (WAI-SR) [63]

Mean continuous score of a 12-item scale (1–60)

Health service utilization

Health Service Utilization Form

Total score of a 16-item scale (0–32)

Treatment preferenceb

Delivery of treatment and treatment provider preference

Score of 0 or 1

COVID-19 exposure

1-item question on COVID-19 exposure

Self-reported

Treatment: measured at every session during treatment, unless otherwise indicated

Dosage

Treatment log [64]

Frequency of sessions attended

Therapy qualityd

Quality of Healthy Activity Program (Q-HAP) [51]

Mean continuous score of treatment-specific BA skills (0–4) and general counseling skills (0–4)

Session depressive/anxiety

Session-by-session EPDS [44] and GAD-7 [45] scores

Mean continuous score of a 10-item scale (0–30) on EPDS and of a 7-item scale (0–21) on GAD-7

Homework adherence

Treatment log [64]

Mean continuous score of a 1-item question (0–2)

Adverse or serious AEs

Anytime an adverse event (AE) or serious AE occurs

Any event that represents a series threat to the safety of the mother or her child

Health service utilization

Health Service Utilization Form [65]

Total score of a 16-item scale (0–32)

List of medications

List of medications

Self-reported list of medications

COVID-19 exposure

1-item question on COVID-19 exposure

Self-reported

Child: measured at 9 to 15 months post-child birth unless otherwise indicated

Birth weight and length

Retrieved from hospital chart or self-reporte

Assessed at birth

Breastfeeding

Whether breastfeeding and if stopped age stopped [55].

Total number of months (0–12)

Psychosocial stimulation

Home Observation Measurement Evaluation [66]

Total score of a 45-item checklist

Mental development

Bayley Mental Development Scales IV [67]

Mean continuous score of cognitive, receptive, and expressive language development

  1. aAssessment period will be extended to account for post-treatment outcomes when there are perinatal-related interruptions to treatment (e.g., giving birth, obstetrical complications, COVID-19)
  2. bOnly at baseline
  3. cMeasured at 3 months post-randomization only
  4. dRandomly selected for supervision, rated by self, peers, expert supervisor
  5. eSelf-report will be used when hospital charts are outside of the recruiting site