Abstract
Introduction
Prenatal depression is associated with numerous deleterious maternal and child health
outcomes. Providers play a significant role in managing (i.e., identifying and treating
or referring to care for) prenatal depression. We conducted a randomized controlled
trial to test the effects of a brief online training on self-reported provider management
practices related to prenatal depression.
Methods
Providers (i.e., physicians, nurses, mental health specialists, and public health
educators) were randomized into intervention (i.e., online training) or waitlist control
arms. The online training covered guidelines and evidence-based practices related
to managing prenatal depression. Changes in providers’ knowledge, attitudes, and self-reported
practices were assessed by the Management of Maternal Depression Inventory at baseline
(T1), 6 weeks after baseline (T2), and 12 weeks after baseline (T3).
Results
A total of 108 providers from Colorado and Virginia participated in the trial. Over
the three time periods, repeated measures analysis of variance revealed Time × Group
relative improvements for the intervention group with respect to satisfaction with
working with mental health services, F(1,97) = 10.89, p = .001, partial η2 = 0.10, and increased self-reported screening, counseling, and referral for prenatal
depression, F(1,97) = 6.25, p = .014, partial η2 = 0.06. A similar improving pattern was observed for self-efficacy, F(1,99) = 2.48,
p = .13, partial η2 = .02.
Conclusions
Findings from our study suggest a brief online training may enhance the likelihood
of providers screening, treating, and/or referring at-risk patients for follow-up
care for prenatal depression.
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Biography
Jenn A. Leiferman, PhD, has spent 20 years working in mental health, focused on developing and testing prevention and treatment strategies for perinatal and child mental health. Her work has also focused on improving access to care for perinatal mood disorders.
Biography
Angela E. Lee-Winn, PhD's, work is centered on using interdisciplinary approaches to reduce health disparities in detection and service use, particularly in the context of substance misuse. Her research interests include perinatal substance use prevention and harm reduction, focusing on implementation science.
Biography
Rachael Lacy, MPH, is specialized in global community and behavioral health with research experience in the perinatal period.
Biography
James F. Paulson, PhD's, research focuses on pregnancy, postpartum, and early family, including maternal and paternal perinatal depression, development of harsh parenting behaviors, establishment of parenting styles and parental decision-making, individual decisions around committed relationships, and LGBTQ issues and parenthood.
Article info
Publication history
Published online: October 17, 2022
Accepted:
August 24,
2022
Received in revised form:
July 29,
2022
Received:
October 4,
2021
Footnotes
Funding Statement: Supported by the Agency for Healthcare Research and Quality [1 R03 HS026015-01A1].
Author Disclosure Statement: No competing financial interests exist.
Identification
Copyright
© 2022 Jacobs Institute of Women's Health, George Washington University. Published by Elsevier Inc. All rights reserved.
