Table 1.
Glossary of Terms and Abbreviations
| CSQ: Cooper Survey Questionnaire, a measure of risk for postpartum depression |
| ECAU: Enhanced Care as Usual |
| EHR: Electronic health record |
| EPDS: Edinburgh Postnatal Depression Scale, a commonly used measure of current perinatal depressive symptoms |
| False negatives: Cases originally identified as not at risk by a screening tool that go on to develop PPD |
| HFH: Henry Ford Health, a large regional healthcare system in Southeast Michigan, serving Detroit and surrounding areas |
|
ISAT: Intervention Scalability Assessment Tool, a measure of provider perceptions of scalability LIFE: Longitudinal Interview Follow-Up Evaluation, which provides a structured way to assess presence or absence of major depressive episode over time. |
| MDE: Major depressive episode |
| PPD: Postpartum depression, a major depressive episode in the postpartum period |
| Prevention approaches |
| Universal prevention: ROSE is provided to all pregnant people. |
| Selective prevention: ROSE is provided only to pregnant people at risk for developing PPD. This trial will compare ways of operationalizing selective prevention (i.e., determining risk for developing PPD), including: Medicaid enrollment, CSQ score, past MDE assessed via structured clinical interview (SCID-5), and past MDE assessed using EHR diagnoses (see Section 2.2) Indicated prevention: ROSE is provided only to pregnant people with already elevated depressive symptoms (operationalized in this trial as having elevated EPDS scores as study baseline). |
| QALY: Quality adjusted life year |
| ROSE: Reach Out, Stand Strong, Essentials for New Mothers, a 5-session educational intervention offered during pregnancy that prevents ~50% of PPD cases. It can be offered by nurses, health educators, and other non-mental health providers. |
| SCID-5: Structured Clinical Interview for DSM-5 Axis I disorders, the gold standard method of assessing major depressive disorder |
| USPSTF: United States Preventive Services Task Force |
| VR-12: Veterans Rand 12-item Health Survey (VR-12) variant of the Short Form Health Survey, a widely used measure of physical and mental health functioning |