Patient engagement to examine perceptions of perinatal depression screening with the capabilities, opportunities,
Karen M Tabb1, Wan-Jung Hsieh2, Jung Sun Sung3
1School of Social Work, University of Illinois at Urbana-Champaign, Champaign, IL, United States.
Insights
This study explored how pregnant individuals experience depression screening, identifying key motivators and behaviors. Findings aim to improve screening processes and patient-centered care for perinatal depression.
Area of Science:
- Perinatal mental health
- Public health interventions
- Health services research
Background:
- Perinatal depression is a common complication and public health concern.
- Routine depression screening during clinic visits is a standard detection method.
- This study examines patient perceptions of screening and its impact on treatment across diverse groups.
Purpose of the Study:
- Investigate prenatal patients' perceptions of depression screening.
- Understand how screening influences treatment decisions.
- Address the needs of diverse racial and ethnic groups in screening and care.
Main Methods:
- Conducted semi-structured in-depth interviews with 29 perinatal women (June-August 2019).
- Employed trained patient-researchers with lived experience to facilitate interviews.
- Analyzed transcribed data using NVivo12 and thematic network analysis.
Main Results:
- Uncovered specific motivators and behaviors related to perinatal depression screening.
- Identified themes within a COM-B framework, categorized into screening and post-screening stages.
- Qualitative data revealed insights into patient engagement with screening processes.
Conclusions:
- Results inform healthcare providers on improving perinatal depression screening.
- Data aids healthcare facilities in selecting screening tools and refining processes.
- Findings support the development of patient-centered screening protocols aligned with policy changes.
Background:
Perinatal (during pregnancy and up until one year after birth) depression is one of the most common medical complications of pregnancy and is a major public health issue. The common early detection method to identify depression is to systematically administer depression screens to patients during their usual care clinic encounters. This study investigates how prenatal patients perceive depression screening and how screening informs their treatment to meet the specific needs of different racial and ethnic groups within both community and health care settings.
Methods:
Between June 2019 and August 2019, semi-structured in-depth interviews were conducted to explore participants' experiences of depression screening with the Edinburgh Postnatal Depression Scale (EPDS). Perinatal women (N = 29) consented to participate in-depth, one-on-one qualitative interviews. Trained patient-researchers (n = 6), women who had previously experienced a perinatal mental health problem, were trained as research team members and facilitated the interviews alongside a research assistant. All interviews were recorded and transcribed verbatim. Data was analyzed with the use of Nvivo12. Thematic network analysis was used to analyze the data.
Results:
Through the in-depth patient engaged qualitative interviews this study uncovered several specific motivators and behaviors related to perinatal depression screening. Using directed content analysis, several themes within a COM-B frame emerged and could be reduced to themes and further divided into two different stages: the depression screening stage and the post-screening stage.
Conclusions:
The results of this qualitative study provide information for health care providers to improve, adjust, and assess the process of conducting perinatal depression screening among women. The data also provide information for health care facilities to identify a better screening tool and develop and measure their screening process. These findings are essential to design comprehensive patient-centered screening protocols given the increase in state and federal policies urging universal depression screening.
More Related Videos
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
Related Concept Videos
01:25Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
01:18Depression: Overview
01:27Depressive Disorders: Etiology
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...