Implementation of a Clinical Decision Support Tool for Postpartum Depression (CDS)

Weill Cornell Medicine (WCM)

Status: Not yet enrolling

Conditions: Postpartum Depression

Treatments: Other: Clinical Decision Support Tool

Study type: Interventional

Funder types: Other

Identifiers

NCT06818734

24-03027259

Details and patient eligibility

About

This study will evaluate the use of an automated process in the electronic health record (EHR) that will help providers to detect patients at risk of developing postpartum depression (PPD).

Full description

The goal of this randomized clinical trial is to assess the implementation of a clinical decision support (CDS) tool. The tool is designed to assist providers in managing patients at risk of developing of postpartum depression.

Investigators hypothesize that this tool will be acceptable and feasible for use and improve the use of mental health services for postpartum depression.

Patients in the control arm will receive usual care, while those in the intervention arm will receive CDS.

Clinicians will manage patients per usual care, including initiating PPD preventive such as conducting referrals to nutrition and behavioral health, suggest educational readings through patient portals, or no actions. Clinicians in the intervention arm will refer patients based on the CDS.

Enrollment: 160 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 years or older
• being seen at one of participating clinics
• pregnancy at 20 week gestation or more

Exclusion criteria

• Does not speak inclusion
• does not have internet access

Clinician eligibility:

• If they manage patients in the three clinics as a board-certified OBGYN clinician.
• No exclusion criteria apply for clinician based on their knowledge and experience in treating PPD

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 3 patient groups

Intervention: CDS support , clinician

Experimental group

Description:

Clinicians in the intervention arm will refer patients based on the CDS.The CDS will alert clinicians only if patients have high risk of developing PPD, and provide clinicians with risk score, risk factors, and anticipatory actions with an order set to assist with ordering. Clinicians will make the ultimate clinical judgement after receiving CDS aid, including taking no actions towards PPD prevention. Clinicians will manage patients per usual care, including initiating PPD preventive such as conducting referrals to nutrition and behavioral health, suggest educational readings through patient portals, or no actions.

Treatment:

Other: Clinical Decision Support Tool

No intervention: Patients

No Intervention group

Description:

The CDS will alert clinicians only if patients have high risk of developing PPD. Clinicians will manage patients per usual care, including initiating PPD preventive such as conducting referrals to nutrition and behavioral health, suggest educational readings through patient portals, or no actions.

Intervention: Patients

Experimental group

Treatment:

Other: Clinical Decision Support Tool