Translating POP (Psychosocial Obstetrical Profile) Research Results into Practice and Policy

2.50
Hdl Handle:
http://hdl.handle.net/10755/151280
Type:
Presentation
Title:
Translating POP (Psychosocial Obstetrical Profile) Research Results into Practice and Policy
Abstract:
Translating POP (Psychosocial Obstetrical Profile) Research Results into Practice and Policy
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Jesse, D. Elizabeth
P.I. Institution Name:East Carolina University
Title:Assistant professor and midwife
[Evidence-based Presentation] Roughly one in 20 American women who are pregnant or have given birth in the past 12 months suffers from major depression. Prevalence is even higher among low-income and rural women. Depression during pregnancy is linked with tremendous personal suffering, greater maternal lifestyle risks, increased incidence of postpartum depression, and adverse birth outcomes. This suggests the importance to identify women at risk of depression early in pregnancy, yet they often go unrecognized and untreated. The aims of this presentation are to describe how POP study findings were translated into universal screening and referral of women at risk for depression in a rural prenatal clinic in the southeastern United States and the process of policy changes. Interviews were conducted with 324 pregnant women (African-American, 43% Caucasian, 31% Hispanic, 26%) of 16-28 weeks gestation from prenatal clinics to identify women at risk for depression. Standardized and reliable instruments were used including the Beck Depression Inventory-II (BDI-II). Thirty three percent of the women had BDI-II scores of (cubed) 16 and 14 (4.3%) expressed suicidal feelings. The research team met with clinic staff to implement a simple procedure to identify women at risk for depression using a decision tree that included two-item screening measures: "Over the past two weeks have you felt down, depressed, or hopeless?" "Over the past two weeks, have you felt little interest in doing things?" Women who screen positive complete the Edinburgh Postnatal Depression Scale (EPDS). Those who score (cubed) 12 are referred to the Maternity Care coordinator (MCC), offered a choice of a randomized clinical trial for depression in pregnancy, MCC care, or usual care; a plan for those at risk for suicide was developed. This may be an efficient and rapid way to identify and care for women at risk for depression in prenatal care settings.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTranslating POP (Psychosocial Obstetrical Profile) Research Results into Practice and Policyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151280-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Translating POP (Psychosocial Obstetrical Profile) Research Results into Practice and Policy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jesse, D. Elizabeth</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">East Carolina University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant professor and midwife</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jessed@ecu.edu</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Roughly one in 20 American women who are pregnant or have given birth in the past 12 months suffers from major depression. Prevalence is even higher among low-income and rural women. Depression during pregnancy is linked with tremendous personal suffering, greater maternal lifestyle risks, increased incidence of postpartum depression, and adverse birth outcomes. This suggests the importance to identify women at risk of depression early in pregnancy, yet they often go unrecognized and untreated. The aims of this presentation are to describe how POP study findings were translated into universal screening and referral of women at risk for depression in a rural prenatal clinic in the southeastern United States and the process of policy changes. Interviews were conducted with 324 pregnant women (African-American, 43% Caucasian, 31% Hispanic, 26%) of 16-28 weeks gestation from prenatal clinics to identify women at risk for depression. Standardized and reliable instruments were used including the Beck Depression Inventory-II (BDI-II). Thirty three percent of the women had BDI-II scores of (cubed) 16 and 14 (4.3%) expressed suicidal feelings. The research team met with clinic staff to implement a simple procedure to identify women at risk for depression using a decision tree that included two-item screening measures: &quot;Over the past two weeks have you felt down, depressed, or hopeless?&quot; &quot;Over the past two weeks, have you felt little interest in doing things?&quot; Women who screen positive complete the Edinburgh Postnatal Depression Scale (EPDS). Those who score (cubed) 12 are referred to the Maternity Care coordinator (MCC), offered a choice of a randomized clinical trial for depression in pregnancy, MCC care, or usual care; a plan for those at risk for suicide was developed. This may be an efficient and rapid way to identify and care for women at risk for depression in prenatal care settings.</td></tr></table>en_GB
dc.date.available2011-10-26T10:57:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:57:22Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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