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

Table 4 ROSES Study schedule of assessments

Assessments	Type	Respondent			Base-line	Follow-ups
Assessments	Type	opera-tional	clinical	records*	Base-line	Follow-ups
Sustainment (primary and secondary outcomes)
Core elements (delivered/should have been delivered over 3 months)	Session √list			X		X
Months ROSE offered, months offered with fidelity	Interview, √list		X	X		X
Health impact (# screened, # screened positive for PPD at clinic)	Objective			X	X	X
Reach (# pts. attending ROSE, # completing ROSE)	Objective			X		X
Mechanism: capacity
Program assessment Sustainability tool: organizational capacity	Survey	X	X		X	X
# trained, trained w/time to deliver, trained and done w/fidelity	Survey, √list		X	X		X
Manage space, able to bill for ROSE?	Survey	X			X	X
Mechanism: ownership/engagement
Program assessment Sustainability tool: four subscales	Survey	X	X		X	X
NHS Sustainability Model and Guide: staff section	Survey	X	X		X	X
Attitudes toward PPD	Survey	X	X		X	X
ROI: costs	Objective			X		X
Predictors and processes
Implementation climate assessment	Survey	X	X		X	X
State policy context: legislation, maternal mortality rates	Objective				X	X
Dates, process notes from training, and coaching/feedback sessions	Objective			X		X
Other processes and critical incidents	Qualitative	X	X			X
Clinic descriptives	Survey	X			X	X

*Based on records kept by the clinic or the study. The study will not have direct access to individual medical records

ISSN: 1748-5908