{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:44:12Z","timestamp":1791989052651,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000880","name":"Michael and Susan Dell Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000880","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Behavioral health (BH) screening during the postpartum period is recommended, but screening frequency remains unclear, particularly in underserved populations, where screening is often limited to a single 6\u2010week postpartum visit. This study evaluated the acceptability of different screening schedules and tracked the time to disengagement from postpartum BH screening in a predominantly Hispanic, Spanish\u2010speaking, publicly insured group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study enrolled 181 postpartum patients at delivery into three screening protocols to assess depression, anxiety, and posttraumatic stress symptoms. Patients planning to return to work within 6 months were assigned to the intensive protocol (16 touchpoints over 36\u00a0weeks). Others, including unemployed patients and those returning after 6 months, were randomized to the moderate\u2010 (8 touchpoints) or high\u2010frequency (10 touchpoints) protocol over 24\u00a0weeks. Primary outcomes included compliance (completed assessments), complete adherence (all assessments), attrition (missing \u22653 visits), and time to disengagement (first missed visit). Secondary outcomes included participant satisfaction at 12 months. Group differences were explored using nonparametric and categorical tests with Bonferroni adjustments. Time to disengagement was examined with Kaplan\u2013Meier curves and Cox models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants were primarily Hispanic (93%), Spanish\u2010speaking (76%), and publicly insured (82%). Compliance was highest in the moderate group (85%), followed by the high\u2010frequency group (84.8%) and the intensive group (71%). Attrition rates were low across all groups, ranging from 10.0% to 15.6%. In exploratory survival analyses, participants assigned to the intensive protocol demonstrated earlier disengagement compared with those in the Moderate and High frequency schedules (HR\u00a0=\u00a02.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.006). Notably, among participants who screened positive for depression, anxiety, or posttraumatic stress symptoms, 64% were first identified after the standard 6\u2010week postpartum visit, a pattern consistent across screening protocols. Participant satisfaction remained high across all groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Extended, multipoint screening for BH symptoms is feasible and highly acceptable in underserved Hispanic populations where retention is challenging. Ongoing screening is vital for detecting unnoticed BH issues and facilitating timely care. This study demonstrates that focusing on screening frequency rather than uptake and adopting flexible, culturally responsive methods can increase postpartum BH engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70258","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T08:02:22Z","timestamp":1770796942000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postpartum behavioral health screening and engagement among a predominantly Hispanic, Spanish\u2010speaking underserved population"],"prefix":"10.1002","volume":"2","author":[{"given":"Miriam J.","family":"Alvarez","sequence":"first","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Madden\u2010Rusnak","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colby","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Guevara","sequence":"additional","affiliation":[{"name":"Texas Tech Health Paul Foster School of Medicine  El Paso Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaishnavi V.","family":"Kankate","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandini","family":"Raghuraman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Jeffrey","family":"Newport","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"},{"name":"Department of Psychiatry &amp; Behavioral Sciences, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorie M.","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George A.","family":"Macones","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison G.","family":"Cahill","sequence":"additional","affiliation":[{"name":"Department of Women's Health, Dell Medical School The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.46486"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/cdp0000325"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2024.1458157"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2023.01447"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.02.030"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.3292"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.62.6.pss6206_0619"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/38879"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002927"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000183597.31630.db"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2011.03219.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737\u2010010\u20100153\u20107"},{"key":"e_1_2_10_14_1","unstructured":"\u201cDraft Recommendation: Perinatal Depression: Preventive Interventions | United States Preventive Services Taskforce.\u201d n.d. Accessed November 12 2025.https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/draft\u2010recommendation\/perinatal\u2010depression\u2010interventions\u2010to\u2010prevent."},{"key":"e_1_2_10_15_1","volume-title":"Screening for Depression, Anxiety, and Suicide Risk in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force","author":"O'Connor E.","year":"2023"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/0167482X.2012.728649"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13272"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.11.005"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22942"}],"container-title":["Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmf2.70258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmf2.70258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:44:23Z","timestamp":1791985463000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pmf2.70258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,11]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/pmf2.70258"],"URL":"https:\/\/doi.org\/10.1002\/pmf2.70258","archive":["Portico"],"relation":{},"ISSN":["2997-9684","2997-9684"],"issn-type":[{"value":"2997-9684","type":"print"},{"value":"2997-9684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,11]]},"assertion":[{"value":"2025-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70258"}}