A mixed-methods study protocol: Perinatal depression screening systems and outcomes in obstetrics clinics

Area of Science:

• Perinatal mental health
• Implementation science
• Public health

Background:

• Perinatal depression (PND) is a significant public health concern with lasting effects on parents and children.
• Existing evidence-based screening tools for PND are underutilized in clinical practice.
• There is a lack of data on the implementation of PND screening and referral processes in real-world settings.

Purpose of the Study:

• To characterize PND screening and referral procedures within obstetrics clinics.
• To identify system-level improvements for managing PND.
• To inform future research on hybrid-implementation effectiveness for PND.

Main Methods:

• Observational study protocol guided by implementation science frameworks.
• Mixed-methods approach integrating qualitative and quantitative data.
• Data sources include electronic health records, patient surveys, and interviews across a large academic medical system.

Main Results:

• The study protocol is designed to capture complex screening and referral practices.
• It aims to identify specific barriers and facilitators to care within the PND management system.
• Findings will provide insights into the role of embedded perinatal social workers.

Conclusions:

• Understanding current PND screening and referral practices is crucial for improving care.
• Implementation science provides a framework for optimizing PND management systems.
• This research will lay the groundwork for improving patient outcomes through enhanced PND care pathways.