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Evaluating Mothers and Babies Implementation

As MB is scaled up, we are interested in continually evaluating effectiveness and implementation to understand how MB functions in various settings and communities.

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Evaluation and Assessments

Mothers and Babies (MB) is being increasingly sought out as a way for programs to address depression and anxiety among their participants. As MB is scaled across the United States, we are continually interested in understanding how the intervention functions in the real world.

Our evaluation efforts fall into two buckets: 1) measuring implementation outcomes via a survey that is administered to those trained in MB on annual basis for three years post-training, and 2) collecting de-identified client-level data on an annual basis for three years post-training to look at MB outcomes and effectiveness via depression scores (and other measures) pre- and post- MB implementation. Below you will find a list of recommended and optional assessments that can be administered to clients or service providers.

We hope that our evaluation efforts will be collaborative in nature. We will work with you to formulate an evaluation plan that makes the most sense for your program. Please reach out to us as you have questions, concerns or comments about evaluation at mothersandbabies@northwestern.edu

Assessments

Assessment Tool & Outcome Measured Pre-Implementation Post-Implementation
SERVICE PROVIDER ASSESSMENTS (5-10 Minutes)
Service Provider Demographics X
Implementation Fidelity (MB Group, MB 1-on-1) (Completed after each session) X
Perceived self-efficacy in delivering MB (Completed after full MB Course delivery) X
CLIENT ASSESSMENTS (5-10 minutes)
Client Demographics X
Client Acceptability of MB (English and Spanish) (Completed after full MB Course delivery) X
Client MB Skills Utilization (English and Spanish) (Completed after each MB session) X
4-item Perceived Stress Scale X X
Edinburgh Postnatal Depression Scale X X
Patient Health Questionnaire (PHQ-9) X X
Beck Depression Inventory (BDI) X X

 

Outcome Indicator Assessment Tool Description Pre- and Post-Implementation
Behavioral Activation Behavioral Activation Depression Scale 9-item self-report measures changes in avoidance and activation behaviors X
Mood Regulation Negative Mood Regulation Scale This 30-item self-report scale measures behaviors and cognitions during times when the subject is upset X
Social Support Medical Outcomes Study Social Support Scale 19-item self-report scale designed to measure social support in 4 domains: emotional/informational, tangible, affectionate, and positive social interaction X
Decentering Experiences Questionnaire 20-item self-report scale designed to measure decentering and rumination X
Stress Perceived Stress Scale-10-items This 10-item self-report scale measures the degree to which situations in one’s life are perceived as stressful. You can also view the 4-item Perceived Stress Scale here. X
Pleasant Activities Pleasant Events Schedule 22 questions from this 320-item scale evaluate the frequency of occurrence and subjective enjoyability of a number of commonly rewarding events X
Relationship with Partner Dyadic Adjustment Scale This 32-item scale has a 7-item version that measures consensus in decision-making, satisfaction in relationship, and cohesion X
Subjective Well Being Flourishing Scale 8-item self-report measure of self-perceived success in areas such as relationships, self-esteem, purpose, and optimism X
Anxiety Generalized Anxiety Disorder 7-item Scale (GAD-7) A 7-item self-report measure of anxiety symptoms  X
Emotional Distress  PROMIS Emotional Distress-Anger X
Other Commonly Used Depression Symptom Measures
Center for Epidemiological Studies Depression Scale 20-item self-report measure of depressive symptoms X
Psychometric Assessment of the Postpartum Depression Predictors Inventory-Revised Composed of 10 prenatal risk factors for postpartum depression, measured by this 32-item scale X
Patient Health Questionnaire-2 2-item self-report measure of depressive symptoms (depressed mood and loss of interest) X
Quick Inventory of Depressive Symptomatology 16-item self-report measure of depressive symptoms X
Outcome Indicator  Assessment Tool  Description *Pre-/Post-Implementation
Parenting Behavior Parental Cognitions and Conduct Toward the Infant Scale This 31-item self-report measure assesses 4 parenting dimensions: parental self-efficacy, perceived parental impact, parental hostile-reactive behaviors, and parental overprotection  X
Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO) The  PICCOLO is a checklist of 29 observable developmentally supportive parenting behaviors with children ages 10–47 months in four domains. X
Child Temperament  Infant Characteristics Questionnaire This 9-item self-report measures parent perceptions of infant temperament X
Infant Social and Emotional Health Infant Toddler Social Emotional Assessment(ITSEA) In-depth analysis of emerging social-emotional development and intervention guidance17 subscales address four domains

166-item Parent Form and Child Care Provider Form

 X
Infant Development Ages and Stages Questionnaire (ASQ) Ages & Stages Questionnaires, Third Edition (ASQ-3) is a developmental screening tool designed for use by early educators and health care professionals. It relies on parents as experts, is easy-to-use, family-friendly and creates the snapshot needed to catch delays and celebrate milestones. X

*Pre and post tests may be used with postpartum clients. If clients are enrolled prenatally, then post-test only.

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