Brief Depression Screener Developed Using IRT for Antenatal and Postpartum Women

使用 IRT 为产前和产后妇女开发简短的抑郁症筛查仪

• 批准号: 7715036
• 负责人: BENJAMIN B BRODEY
• 金额: $ 42.81万
• 依托单位: TELESAGE, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-15 至 2010-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7715036
• 关键词: Address; Anxiety; Area; Beck depression inventory; Caring; Child; Clinic; Clinical; Cognitive; Confusion; Data; Data Analyses; Development; Event; Family; Goals; Gold; Grant; Health; Health Care Visit; Hyperactive behavior; Information Systems; Interview; Language; Length; Life; Light; Measurement; Measures; Mental Health; Mental Health Services; Modeling; National Institute of Mental Health; Outcome; Patient Outcomes Assessments; Perinatal; Phase; Physicians; Postpartum Depression; Postpartum Women; Pregnancy; Private Sector; Problem behavior; Process; Psychopathology; Public Sector; Recommendation; Recruitment Activity; Research; Research Personnel; Risk; Sampling; Scotland; Screening procedure; Services; Site; Small Business Innovation Research Grant; Structure; Surveys; Symptoms; Technology; Testing; Time; United States; Validation; Visit; Woman; base; depressed; depression; depressive symptoms; experience; high risk; improved; inattention; instrument; interest; maternal depression; men; phrases; pregnant; programs; psychologic; public health relevance; response; satisfaction; sound; success

DESCRIPTION (provided by applicant): Estimates of antenatal and postpartum depression vary from 7 percent to upwards of 30 percent depending on criteria for depression, the type of assessment used, and the timing of the assessment. Thus, approximately 320,000 to over 1 million women each year experience symptoms of perinatal depression. Estimates of antenatal depression are harder to obtain because of the lack of appropriate diagnostic criteria. Despite this, no screener currently exists that has been developed and tested with both antenatal and postpartum women that uses concise, simple language, and a consistent response option set. The overall aim of this project is to develop a brief screener to assess depressive symptoms among antenatal and postpartum women. The proposed screener will be easier for patients to understand, will take less time, and will be more psychometrically sound than current screeners. In Phase I we will develop approximately 30 items that are specific to depression in antenatal and postpartum women. We will test these items using cognitive interviewing among a sample of 10 antenatal and 10 postpartum women in addition to 32 general depression items we have previously developed. Experts will review the results of the cognitive interviewing to develop the item pool that will be tested in Phase II. The Phase II item pool will consist of at least 20 general depression items, 10 items specific to antenatal women, and 10 items specific to postpartum women. In Phase II, 500 antenatal and 500 postpartum women (70 percent from private sector sites and 30 percent from public sector sites) will complete the EPDS (as a screener into the study), BDI-II, the PROMIS depression items, our items, and the depression module of the SCID. IRT analyses will be conducted on these data to develop a 7-9 item screener. We anticipate that approximately 5-7 of these items will be applicable to both antenatal and postpartum women and approximately 2-3 of these items will be sample specific. The developed screener will then be given to 400 women who will take the survey twice, approximately 4-7 days apart. Conclusions regarding test-retest reliability and patient satisfaction with taking the screener using different modes of technologies will be made from this study.

描述（由申请人提供）：根据抑郁症的标准，所使用的评估类型以及评估的时间，产前和产后抑郁症的估计从7％到30％不等。因此，每年约有32万至100万女性经历围产期抑郁症的症状。由于缺乏适当的诊断标准，难以获得产前抑郁症的估计值。尽管如此，目前尚无筛选器与产前和产后女性一起开发和测试，它们使用简洁，简单的语言和一致的响应选项集。该项目的总体目的是开发一个简短的筛选器，以评估产前和产后女性的抑郁症状。所提出的筛选器将使患者更容易理解，花费更少的时间，并且比当前的筛选器更加精神上。在第一阶段，我们将开发大约30个针对产前和产后妇女抑郁症的项目。除了我们先前开发的32个普通抑郁症项目之外，我们还将使用认知访谈测试这些项目。专家将回顾认知访谈的结果，以开发将在第二阶段进行测试的项目池。 II期项目池将包括至少20个一般抑郁症，10个针对产前妇女的项目以及10个针对产后妇女的项目。在第二阶段中，有500名产前和500名产后妇女（私营部门的70％，公共部门的30％）将完成EPDS（作为研究的筛选器），BDI-II，Promis抑郁症，我们的项目和SCID的抑郁模块。将对这些数据进行IRT分析，以开发7-9个项目筛选器。我们预计，这些项目中约有5-7个适用于产前和产后妇女，其中大约2-3个项目将是特定于样品的。然后，开发的筛选器将提供给400名妇女，这些妇女将两次进行调查，相距约4-7天。关于重测的可靠性和患者对使用不同技术模式服用筛选器的满意度的结论将从本研究中得出。