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Development of the Practice Readiness to Evaluate and address Perinatal Depression (PREPD) assessment

Grace A Masters1, Linda Brenckle1, Padma Sankaran1

  • 1University of Massachusetts Medical School, Worcester, MA, United States.

Psychiatry Research
|June 10, 2021
PubMed

Insights

Obstetric practices show significant variation in readiness for perinatal depression care, with most being minimally prepared. The Practice Readiness to Evaluate and address Perinatal Depression (PREPD) tool can measure this readiness and track improvements over time.

Area of Science:

  • Obstetrics and Gynecology
  • Mental Health
  • Healthcare Management

Background:

  • Perinatal depression is a prevalent complication during pregnancy, necessitating universal screening.
  • The Practice Readiness to Evaluate and address Perinatal Depression (PREPD) tool was developed to assess obstetric practices' preparedness for integrating depression care.
  • Understanding practice readiness is crucial for effective implementation of mental health services in obstetric settings.

Purpose of the Study:

  • To describe the structure and scoring of the PREPD tool.
  • To identify characteristics associated with different levels of practice readiness for perinatal depression care.
  • To evaluate the utility of the PREPD for measuring changes in depression care integration over time.

Main Methods:

  • The PREPD tool comprises four components: Environmental Scan, Depression Detection/Assessment/Treatment Questionnaire, Depression-related Policies Questionnaire, and Chart Abstraction.
  • Each component is scored, and weighted to produce an overall PREPD score.
  • Scores were calculated at patient, practice, and provider levels to assess readiness.

Main Results:

  • The average overall PREPD score was 7.3/16, indicating a low level of readiness across practices.
  • Significant variation in scores was observed between different obstetric practices.
  • Component scores revealed particular weaknesses in Environmental Scan and Chart Abstraction, while Depression-related Policies showed higher scores.

Conclusions:

  • Obstetric practices exhibit substantial variability in their readiness to implement perinatal depression interventions, with most demonstrating minimal preparedness.
  • The PREPD assessment provides valuable data for tailoring practice-specific intervention goals.
  • This tool serves as a benchmark for measuring progress in integrating depression care into routine obstetric workflows.
Abstract

Keywords:
Bipolar disorderDepressionPerinatal depressionPerinatal mental healthPractice readinessQuality improvement

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