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Adaptation and testing of a problem-solving skills training intervention to improve mental health in hospitalized antepartum patients

Award Number: K23MH142763
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/07/2026
PERIOD OF PERFORMANCE END DATE: 08/31/2030

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Adaptation and testing of a problem-solving skills training intervention to improve mental health in hospitalized antepartum patients - PROJECT SUMMARY Perinatal mental health conditions are devastating, preventable causes of maternal mortality in the United States, contributing to 26% of pregnancy-related deaths. Untreated perinatal mental health conditions are also associated with numerous adverse obstetric and child outcomes. Women hospitalized for complications during pregnancy (referred to as hospitalized antepartum patients) are at increased risk for perinatal mental health conditions, with one in three screening positive for depression or anxiety. Mental health screening rates are low, and there is limited mental health support for this high-risk population. There is an urgent need for high-quality trials of interventions to improve mental health in hospitalized antepartum patients. My overarching career goal is to implement effective interventions to improve perinatal mental health as an independent investigator. The overall objective of this study is to employ rigorous implementation science methodology to adapt, refine, and pilot test an evidence-based, problem-solving skills training intervention (Bright IDEAS) for hospitalized antepartum patients, utilizing task-shifting to train doulas to deliver this adapted intervention in order to expand the mental healthcare workforce. The proposed research has three specific aims: (1) Adapt an evidence-based, problem-solving skills training intervention (Bright IDEAS) for hospitalized antepartum patients to create Bright IDEAS–Pregnancy; (2) Refine Bright IDEAS–Pregnancy using a patient-centered, rapid cycle iterative process; (3) Conduct a pilot randomized controlled trial of Bright Ideas–Pregnancy to test feasibility and acceptability among hospitalized antepartum patients. This study is significant in that it will produce a novel, scalable intervention to improve mental health in a high-risk obstetric population, and it is innovative in its use of task- shifting to train doulas to expand access to mental health care. The PI, Dr. Alison Goulding, is an Early Stage Investigator and high-risk obstetrician. This career development award will fill gaps in her training required for her transition to independence as an implementation scientist increasing uptake of evidence-based interventions that advance women’s health (aligned with Notice of Special Interest NOT-OD-24-079). The training plan has been carefully developed to advance Dr. Goulding’s knowledge and skills in: (1) implementation science frameworks, (2) pragmatic clinical trial design, (3) mixed methods research, and (4) professional development. The research plan will be augmented by mentoring from an experienced multi-disciplinary team of experts, formal courses/seminars, and participation in premier national training programs. The training environment includes the rich scientific resources at Baylor College of Medicine and Texas Children’s Hospital, in addition to the robust mentorship and research support at the Center for Innovations in Quality, Effectiveness, and Safety (IQuESt). Completion of this proposal will transform our ability to support mental health in hospitalized antepartum patients and uniquely position Dr. Goulding to achieve independence with R01 funding to conduct a pragmatic clinical trial of this impactful intervention.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $184,381 )
2026	2026	BAYLOR COLLEGE OF MEDICINE	1 BAYLOR PLZ	HOUSTON	TX	77030	HARRIS	USA	Mental Health Research Grants	000	1	9/8/2026	NEW	$184,381
														Subtotal = $184,381

Grand Total All Awards = $184,381

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Adaptation and testing of a problem-solving skills training intervention to improve mental health in hospitalized antepartum patients

Award Number: K23MH142763

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/07/2026

PERIOD OF PERFORMANCE END DATE: 08/31/2030

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