Outcomes of the ROSE Sustainment (ROSES) Study, a sequential multiple assignment randomized implementation trial to determine the minimum necessary intervention to sustain a postpartum depression prevention program in agencies serving low-income pregnant people.

ABSTRACT:

Background

This Sequential Multiple Assignment Randomized Trial (SMART) was conducted to determine minimum implementation support needed for agencies serving pregnant people on public assistance to adopt and sustain the ROSE (Reach Out, Stay Strong, Essentials for mothers of newborns) postpartum depression (PPD) prevention program.

Methods

Enrolled prenatal agencies (N=98) received thorough initial implementation support (initial training + written sustainment planning). Agencies were identified as at risk for non-sustainment within the first 15 months (N=56) were randomized to: (1) no additional implementation support (N=12), or (2) quarterly implementation support (coaching and feedback; N=44). If agencies receiving quarterly implementation supports were still at risk and

SUBMITTER: Johnson JE 

PROVIDER: S-EPMC11812186 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature