Nancy Byatt1,2,3, Grace A Masters1,2, Janet Twyman4, Anne Hunt5, Charles Hamad4, Melissa Maslin1,2, Tiffany A Moore Simas1,2,3,6. 1. Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA. 2. Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA. 3. Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, Massachusetts, USA. 4. Praxis, Inc., Belmont, Massachusetts, USA. 5. Hunt Consulting Associates, Logan, Utah, USA. 6. Department of Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Abstract
Background: Perinatal depression is common, underdiagnosed, and undertreated. Obstetric providers often do not receive training in perinatal depression, despite being the frontline providers for perinatal individuals. The objective of this study was to develop and pilot test an online training module to assess feasibility, efficacy, and acceptance in improving obstetric providers' knowledge, skills, and practices regarding perinatal depression. Materials and Methods: We designed, developed, and implemented an online, asynchronous, interactive educational module that trains obstetric providers to: (1) know the prevalence and impact of perinatal depression; (2) use validated tools for depression screening; (3) assess for depression; and (4) start and/or refer for treatment. Formative evaluation with five providers, iterative module and question refinement, and a pilot test with pre- and post-test knowledge and self-efficacy questions were conducted. Results: Sixteen obstetric providers averaged a 32% improvement in their pre- to post-test scores (p < 0.01). The average pretest score was 49% (range 20%-70%), and the average post-test score was 81% (range 70%-95%). Provider beliefs (p = 0.01), self-efficacy (p < 0.01), and confidence (p < 0.01) in treating perinatal depression were also significantly increased between pre- and post-test. Average Likert scores on overall training satisfaction were very high post-training completion (4.44 out of 5, with 5 being most positive). Conclusions: The module was feasible and effective at improving provider knowledge of perinatal depression, self-rated confidence, and self-efficacy. Improving the knowledge and skills of obstetric providers regarding depression is a critical part of any intervention aimed to close gaps in care and help ensure that patients receive optimal treatment.
Background: Perinatal depression is common, underdiagnosed, and undertreated. Obstetric providers often do not receive training in perinatal depression, despite being the frontline providers for perinatal individuals. The objective of this study was to develop and pilot test an online training module to assess feasibility, efficacy, and acceptance in improving obstetric providers' knowledge, skills, and practices regarding perinatal depression. Materials and Methods: We designed, developed, and implemented an online, asynchronous, interactive educational module that trains obstetric providers to: (1) know the prevalence and impact of perinatal depression; (2) use validated tools for depression screening; (3) assess for depression; and (4) start and/or refer for treatment. Formative evaluation with five providers, iterative module and question refinement, and a pilot test with pre- and post-test knowledge and self-efficacy questions were conducted. Results: Sixteen obstetric providers averaged a 32% improvement in their pre- to post-test scores (p < 0.01). The average pretest score was 49% (range 20%-70%), and the average post-test score was 81% (range 70%-95%). Provider beliefs (p = 0.01), self-efficacy (p < 0.01), and confidence (p < 0.01) in treating perinatal depression were also significantly increased between pre- and post-test. Average Likert scores on overall training satisfaction were very high post-training completion (4.44 out of 5, with 5 being most positive). Conclusions: The module was feasible and effective at improving provider knowledge of perinatal depression, self-rated confidence, and self-efficacy. Improving the knowledge and skills of obstetric providers regarding depression is a critical part of any intervention aimed to close gaps in care and help ensure that patients receive optimal treatment.
Authors: Nancy K Grote; Jeffrey A Bridge; Amelia R Gavin; Jennifer L Melville; Satish Iyengar; Wayne J Katon Journal: Arch Gen Psychiatry Date: 2010-10
Authors: Daniel J Pilowsky; Priya J Wickramaratne; A John Rush; Carroll W Hughes; Judy Garber; Erin Malloy; Cheryl A King; Gabrielle Cerda; A Bela Sood; Jonathan E Alpert; Stephen R Wisniewski; Madhukar H Trivedi; Ardesheer Talati; Marlene M Carlson; Harry Hong Liu; Maurizio Fava; Myrna M Weissman Journal: J Clin Psychiatry Date: 2006-01 Impact factor: 4.384
Authors: Ian M Bennett; Steven Palmer; Steven Marcus; James M Nicholson; Liisa Hantsoo; Scarlet Bellamy; Jessica Rinaldi; James C Coyne Journal: Arch Womens Ment Health Date: 2009-10 Impact factor: 3.633
Authors: Nancy Byatt; Leonard L Levin; Douglas Ziedonis; Tiffany A Moore Simas; Jeroan Allison Journal: Obstet Gynecol Date: 2015-11 Impact factor: 7.661