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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