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Table 2 Example ROSE core elements and adaptable periphery

From: Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women

Examples of ROSE core elements

Adaptable periphery

Psychoeducation on:

• PPD

• Managing stress in transition to motherhood

• Social support as a buffer against PPD

• Relevant postpartum resources

Teaching:

• Communication skills via role plays

• Stress management skills

• Building and enhancing social skills

Review/reinforcement of skills at postpartum session

Group vs. individual

Office vs. home visit

Time during pregnancy

Order of sessions

Open enrollment of group

Missed sessions can be made up

Sessions can be split into shorter pieces or lumped together