Listening Visits: The Effectiveness of a British Nurse-Delivered Depression Intervention in a U.S. Setting

7.00
Hdl Handle:
http://hdl.handle.net/10755/161000
Type:
Presentation
Title:
Listening Visits: The Effectiveness of a British Nurse-Delivered Depression Intervention in a U.S. Setting
Abstract:
Listening Visits: The Effectiveness of a British Nurse-Delivered Depression Intervention in a U.S. Setting
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Segre, Lisa, Ph.D.
P.I. Institution Name:University of Iowa
Title:College of Nursing
Contact Address:Nursing Building, University of Iowa, Iowa City, IA, 52242, USA
Contact Telephone:319-335-7079
Co-Authors:L.S. Segre, College of Nursing, University of Iowa, Iowa City , IA;
Introduction: Postpartum depression affects 1 in 8 women, is under-treated, and significantly compromises the development of children. In the U.K., public health nurses screen mothers with newborns and provide an intervention, called Listening Visits (LV), to mildly or moderately depressed women. Four RCT's support the efficacy of LV in European settings. In 2005, the home- visiting staff of Visiting Nurse Services (VNS) (Iowa) was trained to implement LV by the British trainer. This presentation describes the results of the first study of the effectiveness of LV in a U.S. setting. Method: Subjects. Nineteen low-income and ethnic-minority women with significant depressive symptoms participated in this open-trial. Measures. Assessments included standardized evaluations of depression status (diagnostic status, severity, and self-reported symptom level), psychosocial adjustment, quality of life, and views of LV. Procedure. VNS home-visitors routinely screened clients for depression using a self-report screening tool. Women with elevated scores were offered a range of treatments including LV. Those opting for LV received up to six 50 minute in-home sessions. Subjects completed three interviews: before and after treatment and a three month post-treatment follow-up. Results: Preliminary analyses using paired t-tests revealed a significant reduction in depression scores and an increase in social adjustment and life satisfaction, comparing pre-treatment with both post-treatment and follow-up scores. Post-treatment interviews revealed high satisfaction with LV among clients and providers. Random regression analyses will be used to assess change over the repeated measurements including all clients with a baseline measurement. Discussion: LV show considerable promise as an effective and acceptable depression intervention that is feasibly integrated into home-visitors' practice. The availability of an effective, acceptable, and accessible intervention is important for low-income women who are at increased risk for depression and are unlikely to utilize specialized mental health services. The next stage of research is an randomized controlled trial.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleListening Visits: The Effectiveness of a British Nurse-Delivered Depression Intervention in a U.S. Settingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161000-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Listening Visits: The Effectiveness of a British Nurse-Delivered Depression Intervention in a U.S. Setting</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Segre, Lisa, Ph.D.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nursing Building, University of Iowa, Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-335-7079</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lisa-segre@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L.S. Segre, College of Nursing, University of Iowa, Iowa City , IA;</td></tr><tr><td colspan="2" class="item-abstract">Introduction: Postpartum depression affects 1 in 8 women, is under-treated, and significantly compromises the development of children. In the U.K., public health nurses screen mothers with newborns and provide an intervention, called Listening Visits (LV), to mildly or moderately depressed women. Four RCT's support the efficacy of LV in European settings. In 2005, the home- visiting staff of Visiting Nurse Services (VNS) (Iowa) was trained to implement LV by the British trainer. This presentation describes the results of the first study of the effectiveness of LV in a U.S. setting. Method: Subjects. Nineteen low-income and ethnic-minority women with significant depressive symptoms participated in this open-trial. Measures. Assessments included standardized evaluations of depression status (diagnostic status, severity, and self-reported symptom level), psychosocial adjustment, quality of life, and views of LV. Procedure. VNS home-visitors routinely screened clients for depression using a self-report screening tool. Women with elevated scores were offered a range of treatments including LV. Those opting for LV received up to six 50 minute in-home sessions. Subjects completed three interviews: before and after treatment and a three month post-treatment follow-up. Results: Preliminary analyses using paired t-tests revealed a significant reduction in depression scores and an increase in social adjustment and life satisfaction, comparing pre-treatment with both post-treatment and follow-up scores. Post-treatment interviews revealed high satisfaction with LV among clients and providers. Random regression analyses will be used to assess change over the repeated measurements including all clients with a baseline measurement. Discussion: LV show considerable promise as an effective and acceptable depression intervention that is feasibly integrated into home-visitors' practice. The availability of an effective, acceptable, and accessible intervention is important for low-income women who are at increased risk for depression and are unlikely to utilize specialized mental health services. The next stage of research is an randomized controlled trial.</td></tr></table>en_GB
dc.date.available2011-10-26T23:14:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:14:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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