IDentify, Educate and Alert (IDEA) trial: an intervention to reduce postnatal depression
| Autor: | Janis K. Hinson, Janice A. Roberts, Linda M Dibley, John W.J. Linnane, Susan Starrenburg, Joan Webster |
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| Rok vydání: | 2003 |
| Předmět: |
education.field_of_study
Pediatrics medicine.medical_specialty Pregnancy business.industry Incidence (epidemiology) Population Psychological intervention Obstetrics and Gynecology medicine.disease law.invention Randomized controlled trial law Intervention (counseling) Edinburgh Postnatal Depression Scale Medicine business education Depression (differential diagnoses) |
| Zdroj: | BJOG: An International Journal of Obstetrics and Gynaecology. 110:842-846 |
| ISSN: | 1471-0528 1470-0328 |
| DOI: | 10.1111/j.1471-0528.2003.02377.x |
| Popis: | Objective To test the effectiveness of a prenatal intervention in reducing the incidence of postnatal depression. Design A randomized controlled trial. Setting A large metropolitan obstetric hospital. Population or sample Pregnant women with risk factors for postnatal depression. Methods Women attending their first prenatal visit at the Royal Women's Hospital, Brisbane, were screened for risk factors for postnatal depression (IDentify). Positively screened women were randomly allocated to the intervention group or the control group. The intervention consisted of a booklet about postnatal depression, which included contact numbers; prenatal screening using the Edinburgh Postnatal Depression Scale; a discussion with the woman about her risk of developing postnatal depression (Educate); and a letter to the woman's referring general practitioner and local Child Health Nurse, alerting them of the woman's risk for postnatal depression (Alert). Main outcome measure Edinburgh Postnatal Depression Scale Score> 12 at 16 weeks postpartum. Results Of the 509 women who were sent a follow up questionnaire, 371 (72.9%) responded. The proportion of women who reported an Edinburgh Postnatal Depression Scale score of>12 was 26%. There were no significant differences between intervention (46/192, 24%) and control groups (50/177, 28.2%) on this primary outcome measure (OR 0.80; 95% CI 0.50–1.28). Conclusion Over one-quarter of women with risk factors will develop postnatal depression. It is a treatable disorder but under-diagnosis is common. Efforts to reduce postnatal depression by implementing interventions in the prenatal period have been unsuccessful. |
| Databáze: | OpenAIRE |
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