TY - JOUR
AU - A. Turco
AU - E. Feinberg
AU - A. Chu
AU - D. Williams
AU - A. S. Barber de Brito
AU - M. Silverstein
AU - L. E. Schlichting
AU - S. Sharma
AU - J. Pineda
AU - Z. M. Diaz
AU - E. S. Miller
A1 - 
AB - Perinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy, affecting 600,000 to 900,000 birthing people in the United States annually. Less-than-optimal outcomes necessitates innovations in care delivery to better meet the needs of birthing people. The perinatal Collaborative Care Model (pCCM) represents one promising approach to improving patient outcomes. The pCCM includes a Care Manager, patient registry, and weekly clinical huddles, collectively designed to reflect the committment to ensuring all patients referred to the pCCM achieve remission of their mental health symptoms. While CCMs show great success in Primary Care settings, research on their efficacy in obstetric clinics is limited. In addition, while the CCM is an acceptable and accessible model of care, community based participatory research practices can optimize these implementation outcomes by centering the voices of the community the program intends to serve. Community engagement has led to the creation of an adapted version of the pCCM, COMPASS PLUS (Collaborative Care Model for Perinatal Wellness Support Services - Population Level Equity-Centered Systems Change). Herein, we describe the design of a stepped wedge randomized trial with an effectiveness-implementation design to assess the effectiveness of COMPASS+ and evaluate implementation strategies for the COMPASS+ model.
AD - Warren Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: alexandra_turco@brown.edu.; Hassenfeld Child Health Innovation Institute, Brown University School of Public Health, Providence, RI, USA.; Women and Infants Hospital, Providence, RI, USA.; Warren Alpert Medical School of Brown University, Providence, RI, USA; Women and Infants Hospital, Providence, RI, USA.; Warren Alpert Medical School of Brown University, Providence, RI, USA; Hassenfeld Child Health Innovation Institute, Brown University School of Public Health, Providence, RI, USA; Women and Infants Hospital, Providence, RI, USA.
AN - 42031232
BT - Contemp Clin Trials
C5 - Healthcare Disparities; Education & Workforce
DA - 06/2026
DO - 10.1016/j.cct.2026.108326
DP - NLM
ET - 20260422
JF - Contemp Clin Trials
LA - eng
N2 - Perinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy, affecting 600,000 to 900,000 birthing people in the United States annually. Less-than-optimal outcomes necessitates innovations in care delivery to better meet the needs of birthing people. The perinatal Collaborative Care Model (pCCM) represents one promising approach to improving patient outcomes. The pCCM includes a Care Manager, patient registry, and weekly clinical huddles, collectively designed to reflect the committment to ensuring all patients referred to the pCCM achieve remission of their mental health symptoms. While CCMs show great success in Primary Care settings, research on their efficacy in obstetric clinics is limited. In addition, while the CCM is an acceptable and accessible model of care, community based participatory research practices can optimize these implementation outcomes by centering the voices of the community the program intends to serve. Community engagement has led to the creation of an adapted version of the pCCM, COMPASS PLUS (Collaborative Care Model for Perinatal Wellness Support Services - Population Level Equity-Centered Systems Change). Herein, we describe the design of a stepped wedge randomized trial with an effectiveness-implementation design to assess the effectiveness of COMPASS+ and evaluate implementation strategies for the COMPASS+ model.
PY - 2026
SN - 1551-7144 (Print); 1551-7144
SP - 108326
ST - Collaborative Care Model for Perinatal Wellness Support Services - Population-Level Upstream Systems Change (COMPASS+): A Hybrid Type 2 Cluster Randomized Trial
T1 - Collaborative Care Model for Perinatal Wellness Support Services - Population-Level Upstream Systems Change (COMPASS+): A Hybrid Type 2 Cluster Randomized Trial
T2 - Contemp Clin Trials
TI - Collaborative Care Model for Perinatal Wellness Support Services - Population-Level Upstream Systems Change (COMPASS+): A Hybrid Type 2 Cluster Randomized Trial
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1016/j.cct.2026.108326
VL - 165
VO - 1551-7144 (Print); 1551-7144
Y1 - 2026
ER -