Online Training For Addressing Perinatal Depression

解决围产期抑郁症的在线培训

• 批准号: 10215814
• 负责人: Nancy Byatt
• 金额: $ 29.96万
• 依托单位: PRAXIS, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-15 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10215814
• 关键词: Address; Aftercare; American College of Obstetricians and Gynecologists; Anxiety; Anxiety Disorders; Attention; Attitude; Belief; Birth; Caring; Cessation of life; Charge; Child; Child Behavior; Child Psychiatry; Clinical; Control Groups; Country; Course Content; Data Analyses; Depressed mood; Development; Differential Diagnosis; Discipline of obstetrics; Disease remission; Ensure; Environment; Family; Feedback; Fright; Geographic state; Goals; Happiness; Health; Health Knowledge, Attitudes, Practice; Health Resources; Infant; Knowledge; Knowledge acquisition; Left; Letters; Massachusetts; Maternal Mortality; Mental Depression; Mental Health; Mental disorders; Modeling; Monitor; Mood Disorders; Mothers; Outcome; Participant; Patient Monitoring; Perinatal; Perinatal Disorder; Persons; Phase; Policies; Postpartum Period; Pre-Post Tests; Pregnancy; Provider; Public Health; Randomized; Randomized Controlled Trials; Reporting; Resources; Role; Self Efficacy; Suicide; Symptoms; System; Testing; Time; Training; Training Activity; Triage; Waiting Lists; Woman; accurate diagnosis; base; commercialization; continuing medical education; effective therapy; effectiveness testing; evidence base; experience; follow-up; formative assessment; improved; iterative design; maternal morbidity; member; patient engagement; patient safety; peripartum depression; programs; prototype; response; satisfaction; screening; screening guidelines; social stigma; usability; working group

Project Summary The primary goal of this proposal is to develop, implement, and evaluate an online module to improve obstetric providers’ knowledge, attitudes, and practices regarding perinatal mood and anxiety disorders. Upwards of 1 in 5 women suffer from perinatal mood and anxiety disorders. Left untreated, they have deleterious effects on maternal and birth outcomes, infant attachment, and children’s behavior/development. While most obstetric providers report wanting to address perinatal mood and anxiety disorders, fear of liability, discomfort, and lack of knowledge and resources present barriers. To address this, our team developed the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. MCPAP for Moms provides training for obstetric providers on how to detect, assess, and treat perinatal mood and anxiety disorders. While our training has been identified as a model for other states, it was developed specific to the Massachusetts environment and available mental health resources and is currently delivered in person. To begin to address this, in our Phase I project, we developed a prototype online training product, consisting of one module, entitled Basics of Addressing Perinatal Depression. Phase I participants’ pre/post-test knowledge scores, applied knowledge change scores, and positive attitudes regarding depression and depression care increased significantly. Satisfaction with the course content, manner, and form of online presentation was also high. However, as Phase I was a prototype focused only on depression, learners asked for more content on differential diagnosis, patient engagement, treatment follow-up, and monitoring. Thus, we propose to build on Phase I with a Phase II project to develop a more comprehensive training entitled, Addressing Perinatal Mood and Anxiety Disorders. While Phase I was purposefully narrow and covered only depression and how to screen for it and start treatment, Phase II will focus more broadly on perinatal mood and anxiety disorders and cover how to differentiate depression from other psychiatric illnesses, follow-up after treatment initiation, and monitor patients’ symptoms and adjust treatment as needed to achieve illness remission. We will conduct a formative evaluation of the 4-module training course via testing with 10 obstetric providers and obtain feedback from 5 women with lived experience of perinatal mood and anxiety disorders, and revise/refine based on these. We will test the effectiveness of all 4 modules by conducting a randomized controlled trial with 60 obstetric providers randomly assigned to the training (coursework group) (N=30) or an attention / wait-list control group (N=30). We will evaluate providers’: (1) knowledge acquisition (pre/post-test comparison); (2) change in provider attitudes (beliefs, self-efficacy, and confidence) toward perinatal depression and anxiety care (pre/post comparison), and (3) satisfaction with course content and usability (post). We will then revise the modules, producing a final product for Phase III commercialization. If effective, our training will help obstetric providers implement screening for perinatal mood and anxiety disorders and respond appropriately, thus getting women needed care.

项目摘要 该提案的主要目标是开发、实施和评估一个在线模块， 提供者对围产期情绪和焦虑障碍的知识、态度和实践。向上1英寸 5名妇女患有围产期情绪和焦虑症。如果不加以治疗， 母婴结局、婴儿依恋和儿童行为/发育。虽然大多数产科 提供者报告说，他们希望解决围产期情绪和焦虑症，害怕责任，不适，缺乏 知识和资源的缺乏是障碍。为了解决这个问题，我们的团队开发了马萨诸塞州儿童 精神病学访问计划（MCPAP）的妈妈。MCPAP for Moms为产科提供者提供以下方面的培训 如何检测，评估和治疗围产期情绪和焦虑症。虽然我们的训练已经确定 作为其他州的模式，它是针对马萨诸塞州的环境和可用的心理资源而开发的。 卫生资源和目前交付的人。为了开始解决这个问题，在我们的第一阶段项目中，我们 开发了一个在线培训产品原型，其中包括一个题为“寻址基础知识”的模块 围产期抑郁症。第一阶段参与者的前/后测试知识得分，应用知识变化得分， 对抑郁症和抑郁症护理的积极态度显著增加。满意 课程内容、方式和在线演示形式也很高。然而，由于第一阶段是一个原型， 仅关注抑郁症，学习者要求更多关于鉴别诊断，患者参与， 治疗随访和监测。因此，我们建议在第一期工程的基础上，再进行第二期工程， 题为“应对围产期情绪和焦虑症”的更全面的培训。虽然第一阶段是 有目的地缩小范围，只涵盖抑郁症以及如何筛查和开始治疗，第二阶段将 更广泛地关注围产期情绪和焦虑症，并涵盖如何区分抑郁症和焦虑症。 其他精神疾病，治疗开始后随访，监测患者的症状并调整 根据需要进行治疗，以缓解病情。我们将对4个模块进行形成性评估 通过与10名产科提供者进行测试，举办培训课程，并从5名有实际经验的妇女那里获得反馈 围产期情绪和焦虑症，并根据这些进行修订/完善。我们将测试所有方法的有效性 通过进行随机对照试验，将60名产科提供者随机分配到 训练（课程组）（N=30）或关注/等待列表对照组（N=30）。我们将评估供应商的： (1)知识获取（测试前/后比较）;（2）提供者态度的变化（信念，自我效能， 和信心）对围产期抑郁和焦虑护理（前/后比较），和（3）满意度 课程内容和可用性（岗位）。然后，我们将修改这些模块，为第三阶段生产最终产品 商业化如果有效，我们的培训将有助于产科提供者实施围产期情绪筛查 和焦虑症，并作出适当的反应，从而得到妇女需要的照顾。