Parents and Babies Pilot

Primary outcomes

1. Patient Health Questionnaire - 9 (PHQ-9)

   Time frame: T1 (prior to starting intervention), T2 (immediately post-intervention), T3 (3 months post-intervention)

   The Patient Health Questionnaire-9 is the 9 item depression module of the Patient Health Questionnaire. It scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). Higher scores indicate an increased severity of depression symptoms.

2. Perceived Stress Scale (PSS-10)

   Time frame: T1 (prior to starting intervention), T2 (immediately post-intervention), T3 (3 months post-intervention)

   The Perceived Stress Scale (PSS-10; Cohen, Kamarch, & Mermelstein,1983) is a 10 item measure of the degree to which situations in one's life are appraised as stressful with responses rated on a 5-point Likert scale (0 =never to 4 =very often). Higher scores indicate greater perceived stress.

3. Generalized Anxiety Disorder Scale (GAD-7)

   Time frame: T1 (prior to starting intervention), T2 (immediately post-intervention), T3 (3 months post-intervention)

   The Generalized Anxiety Disorder Scale (Spitzer et.al, 2006) is a 7 item self-report measure used to assess anxiety. Participants are queried regarding symptoms during the past two weeks and responses are tallied on a four-point Likert scale. (0 = not at all to 3=nearly every day.) Higher scores indicate an increased severity of anxiety symptoms.

4. Multidimensional Scale of Perceived Social Support (MSPSS)

   Time frame: T1 (prior to starting intervention), T2 (immediately post-intervention), T3 (3 months post-intervention)

   The Multidimensional Scale of Perceived Social Support (Zimet et al. 1988) is a 12-item measure of perceived adequacy of social support from three sources: family, friends, & significant other; using a 5-point Likert scale (0 = strongly disagree, 5 = strongly agree). Higher scores in each subscale indicate greater perceived support from that source.

5. The Acceptability of Intervention Measure (AIM)

   Time frame: T2 (immediately post-intervention)

   The Acceptability of Intervention Measure (Weiner et al., 2017) is a four-item measure of implementation outcomes to determine the extent to which one believes an intervention is appealing and satisfactory on a 5-point Likert scale (1 = completely disagree to 5 = completely agree). Higher scores indicate greater perceived acceptability of the intervention.

6. Intervention Appropriateness Measure (IAM)

   Time frame: T2 (immediately post-intervention)

   Intervention Appropriateness Measure (Weiner et al., 2017) is a four-item measure evaluating the extent to which one believes an intervention is suitable, relevant, compatible, and applicable to one's needs on a 5-point Likert scale (1 = completely disagree to 5 = completely agree). Higher scores indicate greater perceived appropriateness of the intervention.

7. Feasibility of Intervention Measure (FIM)

   Time frame: T2 (immediately post-intervention)

   Feasibility of Intervention Measure (Weiner et al., 2017) is a four-item survey measuring the perceived feasibility of an intervention on a 5-point Likert scale (1 = completely disagree to 5 = completely agree). Higher scores indicate greater perceived feasibility of the intervention.

8. Implementation of Parents and Babies skills

   Time frame: T2 (immediately post-intervention), T3 (3-months post-intervention)

   Parents and Babies Skill Utilization Survey - 8 item questionnaire to determine the extent to which one agrees that the PAB course taught skills related to the core modules, was useful, and was easy to understand; using a 5-point Likert scale (1 = strongly disagree, 5 = strongly agree).