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Online Training For Addressing Perinatal Depression

解决围产期抑郁症的在线培训

基本信息

批准号：
9336394
负责人：
Nancy Byatt
金额：
$ 22.45万
依托单位：
PRAXIS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-15 至 2019-04-16
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9336394
关键词：
Address Adult Advisory Committees Age American College of Obstetricians and Gynecologists Behavior Benefits and Risks Birth Caring Cessation of life Child Behavior Child Psychiatry Collaborations Country Data Depressed mood Depression screen Development Discipline of obstetrics Ensure Environment Evaluation Family Feedback Fright Goals Health Health Knowledge, Attitudes, Practice Health Resources Healthcare Infant Interview Knowledge Knowledge acquisition Learning Left Massachusetts Medicaid Mental Depression Mental Health Modality Modeling Mothers Outcome Patient-Focused Outcomes Perception Perinatal Persons Phase Postpartum Period Postpartum Women Pre-Post Tests Pregnancy Pregnant Women Preventive service Process Provider Psychiatry Public Health Reporting Research Resources Role Suicide Surveys System Testing Training Training Activity Triage Universities Woman Women&apos s Health accurate diagnosis base comorbid depression continuing medical education design disability effective therapy follow-up formative assessment improved medical schools patient safety peripartum depression prevent prototype reproductive satisfaction screening skills social stigma web site

项目摘要

Project Summary The primary goal of this proposal is to develop, implement, and evaluate an online module to improve obstetric providers' knowledge, skills and practices regarding perinatal depression. There is a tremendous public health need for addressing this problem as upwards of 1 in 5 women suffer from perinatal depression. Left untreated, it has deleterious effects on maternal and birth outcomes, infant attachment, and children's behavior/development. Maternal suicide causes 20% of postpartum deaths in depressed women. Although the vast majority of perinatal women are amenable to being screened for depression, screening alone does not improve treatment rates or patient outcomes. While the majority of obstetric providers report wanting to address depression, fear of liability, discomfort, and lack of knowledge and resources present barriers. Addressing these barriers requires a practical and sustainable approach. To meet this need, our team developed the Massachusetts Child Psychiatry Access Project (MCPAP) for Moms. MCPAP for Moms provides training for obstetric providers on how to detect, assess and treat perinatal depression. Our training has been identified as a model for other states; stakeholders from 15 different states across the country have contacted our team and requested our training materials. However, our training was developed specific to the Massachusetts environment and available mental health resources and is currently delivered in person. To fill training gaps in other states and make training more broadly accessible, we propose to develop a state-of-the- art, training module, The Basics of Addressing Perinatal Depression, which will be delivered online and take into account the different mental health resources available in other states across the US. The module will support obstetric providers to: 1) implement depression screening; 2) assess depression and comorbidities; 3) triage and refer complicated cases to psychiatric providers; 4) treat women with less complicated illness; and 5) consider risks and benefits of different treatment modalities. We will conduct a formative evaluation of this module via in depth interviews with 10 obstetric providers and revise/refine based on iterative feedback. We will then conduct a summative evaluation by implementing the module with a different 10 obstetric providers by a) obtaining data on provider knowledge acquisition and satisfaction (pre/post-test comparison) and change in knowledge, attitudes, and practices toward depression screening among providers, and b) providers perception of change in mental health treatment initiation among women (pre/post-test survey). If shown to be effective, our training will help obstetric providers implement depression screening and develop the processes they need to respond appropriately when women are depressed, thus getting women the care they need. Our combined expertise in the integration of obstetric and depression care, adult learning, perinatal psychiatry and Ob/Gyn along with our established relationships with stakeholders make us ideally suited to implement, evaluate and disseminate our training. If proven effective, our training will be poised for national dissemination.

项目总结