Delivering perinatal depression care in a rural obstetric setting: a mixed methods study of feasibility, acceptability and effectiveness.
Amritha BhatSusan ReedJohnny MaoMindy VredevoogdJoan E RussoJennifer UngerRoger RowlesJürgen UnützerPublished in: Journal of psychosomatic obstetrics and gynaecology (2017)
The intervention was well accepted by providers and patients, based on survey and focus group data. Feasibility was also evidenced by recruitment (87.1%) and retention (92.6%) rates and depression outcomes (64% with >50% improvement in PHQ 9) which were comparable to clinical trials in similar urban populations. Conclusions for practice: DAWN Collaborative Care modified for treatment of perinatal depression in a rural obstetric setting is feasible and acceptable. Behavioral health services integrated into rural obstetric settings could improve care for perinatal depression.
Keyphrases
- pregnant women
- healthcare
- quality improvement
- depressive symptoms
- palliative care
- clinical trial
- south africa
- sleep quality
- randomized controlled trial
- end stage renal disease
- ejection fraction
- systematic review
- primary care
- pain management
- chronic kidney disease
- type diabetes
- affordable care act
- prognostic factors
- cross sectional
- electronic health record
- peritoneal dialysis
- adipose tissue
- open label
- combination therapy
- data analysis
- phase iii