Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Can an Evidence-Based Mental Health Intervention be Implemented into Preexisting Home Visiting Programs using Implementation Facilitation?

Award Number: R01MH134474
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/05/2024
PERIOD OF PERFORMANCE END DATE: 10/01/2025

Group Awards By:

View Award Description

Can an Evidence-Based Mental Health Intervention be Implemented into Preexisting Home Visiting Programs using Implementation Facilitation? - PROJECT SUMMARY Perinatal mental health conditions are the most common complication of pregnancy and childbirth (1 in 8 women). When left untreated, perinatal depression and anxiety adversely affects the entire family with pregnancy complications and negative outcomes including preterm birth, impaired mother-infant bonding, impaired lactation, substance abuse, divorce, suicide, and infanticide. Our previous and extensive work with multilevel stakeholders including well-established community advisory boards, underrepresented and minority women in rural geographies, and state departments of public health demonstrates the importance of social support as a mechanism for improving outcomes in perinatal depression, particularly in rural geographies. Home visiting programs (HVPs) can provide the social support needed to improve mental health outcomes in pregnant and postpartum women. Despite the known benefits of HVPs and the high rates of moderate to severe depressive symptoms among HVP recipients, home visitors report that clients with depression are more difficult to engage; a specific need exists to address perinatal mental health in HVPs. Mothers and Babies, trialed in HVPs by our co-investigator, is an evidence-based cognitive behavioral intervention that has been shown to be effective in reducing depressive symptoms, but barriers remain for maximizing adoption and fidelity within HVPs. Using an evidence-based implementation strategy that tailors implementation delivery to the needs of the specific populations and context may improve fidelity and adoption, particularly in rural states where residents have limited access to care. Our long-term goal is to improve uptake of an evidence-based maternal mental health intervention to reduce adverse maternal outcomes and improve community health. The objectives of our study are: Aim 1: Adapt implementation facilitation to support uptake of Mothers and Babies using stakeholder input; Aim 2: Analyze the effects of the adapted facilitation on implementation outcomes (i.e., adoption and fidelity) using mixed rapid ethnographic methods; and Aim 3: Determine the effect of adapted facilitation on the clinical outcomes of severity of depressive symptoms and perceived stress. We will conduct a hybrid implementation-effectiveness-context cluster randomized control trial to test the adapted facilitation strategy compared with implementation as usual (i.e., standard education). The immediate impact of this research will be to show whether adapted facilitation can improve the uptake and fidelity of a maternal mental health intervention like Mothers and Babies across multiple HVP models and thus positively affect depressive symptoms and perceived stress of recipients. Further, our implementation protocol can be used by other states to better integrate other maternal mental health interventions into HVPs, leading to further improvements in maternal mental health and further reductions in adverse outcomes for mothers, children, and families.


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 = $817,652 )
2026	2026	HMH HOSPITALS CORPORATION	343 THORNALL ST	EDISON	NJ	08837	MIDDLESEX	USA	Mental Health Research Grants	001	3	9/17/2026	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$817,652
2026	2025	THE UNIVERSITY OF IOWA	105 JESSUP HALL	IOWA CITY	IA	52242	JOHNSON	USA	Mental Health Research Grants	000	2	9/17/2026	NON-COMPETING CONTINUATION	$0
2026	2025	THE UNIVERSITY OF IOWA	105 JESSUP HALL	IOWA CITY	IA	52242	JOHNSON	USA	Mental Health Research Grants	002	2	9/22/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $817,652

Issue Date FY: 2025 ( Subtotal = $759,620 )
2025	2025	THE UNIVERSITY OF IOWA	105 JESSUP HALL	IOWA CITY	IA	52242	JOHNSON	USA	Mental Health Research Grants	000	2	9/12/2025	NON-COMPETING CONTINUATION	$759,620
														Subtotal = $759,620

Issue Date FY: 2024 ( Subtotal = $814,142 )
2024	2024	THE UNIVERSITY OF IOWA	105 JESSUP HALL	IOWA CITY	IA	52242	JOHNSON	USA	Mental Health Research Grants	000	1	6/5/2024	NEW	$814,142
														Subtotal = $814,142

Grand Total All Awards = $2,391,414

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Can an Evidence-Based Mental Health Intervention be Implemented into Preexisting Home Visiting Programs using Implementation Facilitation?

Award Number: R01MH134474

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/05/2024

PERIOD OF PERFORMANCE END DATE: 10/01/2025

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer