Dawn E Kingston1, Anne Biringer2, Sheila W McDonald3, Maureen I Heaman4, Gerri C Lasiuk5, Kathy M Hegadoren5, Sarah D McDonald6, Sander Veldhuyzen van Zanten7, Wendy Sword8, Joshua J Kingston5, Karly M Jarema5, Lydia Vermeyden5, Marie-Paule Austin9. 1. Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada. Electronic address: dawn.kingston@ualberta.ca. 2. Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada; Ray D. Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. 3. Population, Public, and Aboriginal Health, Alberta Health Services, Edmonton, Alberta, Canada. 4. College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. 5. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. 6. Department of Obstetrics and Gynecology, Radiology, McMaster University, Hamilton, Ontario, Canada; Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. 7. Division of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada. 8. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. 9. St. John of God Chair Perinatal and Women's Mental Health, School Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Abstract
INTRODUCTION: The process of mental health screening can influence disclosure, uptake of referral, and treatment; however, no studies have explored pregnant women's views of methods of mental health screening. The objectives of this study are to determine pregnant women's comfort and preferences regarding mental health screening. METHODS: Pregnant women were recruited (May-December 2013) for this cross-sectional descriptive survey from prenatal classes and maternity clinics in Alberta, Canada, if they were aged >16 years and spoke/read English. Descriptive statistics summarized acceptability of screening, and multivariable logistic regression identified factors associated with women's comfort with screening methods. Analysis was conducted in January-December 2014. RESULTS: The participation rate was 92% (N=460/500). Overall, 97.6% of women reported that they were very (74.8%) or somewhat (22.8%) comfortable with mental health screening in pregnancy. Women were most comfortable with completing paper- (>90%) and computer-based (>82%) screening in a clinic or at home, with fewest reporting comfort with telephone-based screening (62%). The majority of women were very/somewhat comfortable with provider-initiated (97.4%) versus self-initiated (68.7%) approaches. Women's ability to be honest with their provider about emotional health was most strongly associated with comfort with each method of screening. CONCLUSIONS: The majority of pregnant women viewed prenatal mental health screening favorably and were comfortable with a variety of screening methods. These findings provide evidence of high acceptability of screening--a key criterion for implementation of universal screening--and suggest that providers can select from a variety of screening methods best suited for their clinical setting.
INTRODUCTION: The process of mental health screening can influence disclosure, uptake of referral, and treatment; however, no studies have explored pregnant women's views of methods of mental health screening. The objectives of this study are to determine pregnant women's comfort and preferences regarding mental health screening. METHODS: Pregnant women were recruited (May-December 2013) for this cross-sectional descriptive survey from prenatal classes and maternity clinics in Alberta, Canada, if they were aged >16 years and spoke/read English. Descriptive statistics summarized acceptability of screening, and multivariable logistic regression identified factors associated with women's comfort with screening methods. Analysis was conducted in January-December 2014. RESULTS: The participation rate was 92% (N=460/500). Overall, 97.6% of women reported that they were very (74.8%) or somewhat (22.8%) comfortable with mental health screening in pregnancy. Women were most comfortable with completing paper- (>90%) and computer-based (>82%) screening in a clinic or at home, with fewest reporting comfort with telephone-based screening (62%). The majority of women were very/somewhat comfortable with provider-initiated (97.4%) versus self-initiated (68.7%) approaches. Women's ability to be honest with their provider about emotional health was most strongly associated with comfort with each method of screening. CONCLUSIONS: The majority of pregnant women viewed prenatal mental health screening favorably and were comfortable with a variety of screening methods. These findings provide evidence of high acceptability of screening--a key criterion for implementation of universal screening--and suggest that providers can select from a variety of screening methods best suited for their clinical setting.
Authors: Catherine Chamberlain; Graham Gee; Stephen Harfield; Sandra Campbell; Sue Brennan; Yvonne Clark; Fiona Mensah; Kerry Arabena; Helen Herrman; Stephanie Brown Journal: PLoS One Date: 2019-03-13 Impact factor: 3.240
Authors: Dawn Kingston; Marie-Paule Austin; Sander Veldhuyzen van Zanten; Paula Harvalik; Rebecca Giallo; Sarah D McDonald; Glenda MacQueen; Lydia Vermeyden; Gerri Lasiuk; Wendy Sword; Anne Biringer Journal: J Med Internet Res Date: 2017-04-07 Impact factor: 5.428
Authors: Glenda MacQueen; Lydia Vermeyden; Dawn Kingston; Anne Biringer; Sander Veldhuyzen van Zanten; Rebecca Giallo; Sarah McDonald; Marie-Paule Austin Journal: JMIR Ment Health Date: 2017-10-20
Authors: Katherine S Bright; Elyse M Charrois; Muhammad Kashif Mughal; Abdul Wajid; Deborah McNeil; Scott Stuart; K Alix Hayden; Dawn Kingston Journal: Int J Environ Res Public Health Date: 2020-11-13 Impact factor: 3.390