Implementation of a Clinical Decision Support Tool for Postpartum Depression

Conditions studied

Postpartum Depression

About this study

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).

Interventions

• Other: Clinical Decision Support Tool — The CDS in and AI algorithm that 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 prevention 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.

Primary outcomes

• Acceptability as measured by Unified Theory of Technology Acceptance Theory (UTAUT). (One month after initiation of tool use and three months after use.)
• Appropriateness as measured by Appropriateness Measure (IAM). (One month after initiation of tool use and three months after use.)
• Feasibility as measured by Feasibility of Intervention Measure (FIM). (One month after initiation of tool use and three months after use.)
• Mental Health service utilization as measured by number of mental health visits (one month and three month)

Eligibility information

Study locations

• Center for Community Health: 515 6th street (3rd floor), Brooklyn, New York 11215 United States
• Ob GYN Lower Manhattan 156 William street, New York City, New York, New York 10038 United States
• Weill Cornell Medicine OBGYN practice 72 street, New York, New York 10065 United States
• Weill Cornell Medicine- Women's Health practice 505 East 70th street, New York City, New York, New York 10065 United States