Grace A Masters1, Linda Brenckle2, Padma Sankaran3, Tiffany A Moore Simas4, Sharina D Person5, Jeroan Allison6, Douglas Ziedonis7, Jean Ko8, Cheryl Robbins9, Nancy Byatt10. 1. University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Grace.Masters@UMassMed.edu. 2. University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Linda.Brenckle@UMassMed.edu. 3. University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Padma.Sankaran@UMassMed.edu. 4. University of Massachusetts Medical School, Worcester, MA, United States; UMass Memorial Health Care, Worcester, MA, United States. Electronic address: TiffanyA.MooreSimas@UMassMemorial.org. 5. University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Sharina.Person@UMassMed.edu. 6. University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Jeroan.Allison@UMassMed.edu. 7. UNM Health System, Albuquerque, NM, United States. Electronic address: dziedonis@salud.unm.edu. 8. Centers for Disease Control and Prevention, Atlanta, GA, United States; United States Public Health Service, Commissioned Corps, Rockville, MD, United States. Electronic address: fob1@cdc.gov. 9. Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: ggf9@cdc.gov. 10. University of Massachusetts Medical School, Worcester, MA, United States; UMass Memorial Health Care, Worcester, MA, United States. Electronic address: Nancy.Byatt@UMassMemorial.org.
Abstract
OBJECTIVE: Perinatal depression is a common pregnancy complication and universal screening is recommended. The Practice Readiness to Evaluate and address Perinatal Depression (PREPD) was developed to measure obstetric practice readiness to integrate depression care into workflows. Objectives were to describe: (1) the PREPD; (2) associated characteristics by readiness level; and (3) use of the assessment to measure change. METHOD: The PREPD has four components, each scored to a 16-point maximum: (1) Environmental Scan (10% of PREPD); (2) Depression Detection, Assessment, and Treatment Questionnaire (30%); (3) Depression-related Policies Questionnaire (10%); and (4) Chart Abstraction (50%). Components were weighted and summed for an overall score. Summary and component scores were calculated by patient, practice, and provider. RESULTS: Average overall PREPD score was 7.3/16 (range: 4.8-9.9); scores varied between practices. The Environmental Scan averaged 2.0/16 (range: 0-5.2); Detection, Assessment, and Treatment averaged 8.3/16 (range: 3.0-11.5); Chart Abstraction averaged 7.2/16 (range: 5.1-9.6); and Depression-related Policies averaged 10.4/16 (range: 7.5-15). CONCLUSION: We found wide variation in obstetric practices' readiness to implement interventions for depression; most were minimally prepared. These data may be used to tailor practice intervention goals and as benchmarks with which to measure changes in integration of depression care over time.
OBJECTIVE: Perinatal depression is a common pregnancy complication and universal screening is recommended. The Practice Readiness to Evaluate and address Perinatal Depression (PREPD) was developed to measure obstetric practice readiness to integrate depression care into workflows. Objectives were to describe: (1) the PREPD; (2) associated characteristics by readiness level; and (3) use of the assessment to measure change. METHOD: The PREPD has four components, each scored to a 16-point maximum: (1) Environmental Scan (10% of PREPD); (2) Depression Detection, Assessment, and Treatment Questionnaire (30%); (3) Depression-related Policies Questionnaire (10%); and (4) Chart Abstraction (50%). Components were weighted and summed for an overall score. Summary and component scores were calculated by patient, practice, and provider. RESULTS: Average overall PREPD score was 7.3/16 (range: 4.8-9.9); scores varied between practices. The Environmental Scan averaged 2.0/16 (range: 0-5.2); Detection, Assessment, and Treatment averaged 8.3/16 (range: 3.0-11.5); Chart Abstraction averaged 7.2/16 (range: 5.1-9.6); and Depression-related Policies averaged 10.4/16 (range: 7.5-15). CONCLUSION: We found wide variation in obstetric practices' readiness to implement interventions for depression; most were minimally prepared. These data may be used to tailor practice intervention goals and as benchmarks with which to measure changes in integration of depression care over time.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
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Authors: Tiffany A Moore Simas; Linda Brenckle; Padma Sankaran; Grace A Masters; Sharina Person; Linda Weinreb; Jean Y Ko; Cheryl L Robbins; Jeroan Allison; Nancy Byatt Journal: BMC Pregnancy Childbirth Date: 2019-07-22 Impact factor: 3.007