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Group 1: Perinatal Care: Technological Intervention for Emotional Well-Being and Improvement of Patient Satisfaction During the Postpartum Period
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Perinatal Care
Technological Interventions for Emotional Well-Being and Improvement
of Patient Satisfaction
During the Postpartum Period
by:
Richard Abarientos, Frances Burney, Tamara Heller, Rachel Levine & Jennie Ng
PERINATAL CARE
INTRODUCTION
Technological Interventions
for Emotional Well-Being and Improvement of Patient Satisfaction
During the Postpartum Period
PROBLEM IDENTIFICATION
IDENTIFICATION OF THE PROBLEM -CONCERN
- Gap in care
- Lack of follow through
- Reduction in symptoms
- Risk reduction
- Resource delivery methods
PROPOSED
CHANGE
PROJECT RESOLUTION
Implement interventions to improve overall patient satisfaction rates of postpartum care through...
- Perinatal education
- Personalized patient-centered care
- The implementation of the
mobile apps
MGH Perinatal Depression Scale
Peanut
THEMES FOUND
SUMMARY OF RELEVANT LITERATURE
Screening Tools
Preventative Measures
Education
Technology
Community
1
The Edinburgh
Postnatal Depression Scale
&
Patient Health Questionnaire
PHQ-9
EPDS
PHQ-9
Evidence Based Research
- Prenatal - Postpartum - Perinatal
- 10 and 9 Items
- Accesible
- High rate of Sensitivity and Specificity
- Recommended by...
2
Pharmacological Therapies
&
Psychotherapies
EDUCATION
Perinatal Women
Healthcare Team
Maternal Mental Health
3
Use of Technology
4
- Continued care
- Easily accessible, sustainable, affordable
- On the go
- Enhance resources
- Encourage collaboration
VALIDATION
5
PROJECT IMPLEMENTATION AND EVALUATION
Description
Implementation
Evaluation
ETHICAL -LEGAL CONCERNS
Pregnant Women and Research
Vulnerable Group
1. Women in Research Studies < Men in Research Studies
2. Pregant Women + Research Studies Woman & Fetal Health
TBR
The Belmont Report
Respect for the Person
Beneficence - DO NO HARM
Justice
Quick Recap
- Additional support
- PPD awareness
- Patient satisfaction
- Mobile applications
- Surveys/Questionnaires
PROJECT SUMMARY
Future Research & Practice
Future Research & Practice
- Future mobile applications
- Contribute to understanding
- Screen for, detect, treat PPD
- Assess functionality and effectiveness
REFERENCES
REFERENCES
Bingham, D., Suplee, P. D., Morris, M. H., & McBride, M. (2018). Healthcare Strategies for
Reducing Pregnancy-Related Morbidity and Mortality in the Postpartum Period. The Journal of Perinatal & Neonatal Nursing, 32(3), 241–249. https://doi.org/10.1097/JPN.0000000000000344
Evans, M., Donelle, L., & Hume-Loveland, L. (2012). Social support and online postpartum depression discussion
groups: A content analysis. Patient Education and Counseling, 87(3), 405–410. https://doi.org/10.1016/j.pec.2011.09.011
Freeman, M. P. (2019). Perinatal Depression: Recommendations for Prevention and the
Challenges of Implementation. JAMA, 321(6), 550. https://doi.org/10.1001/jama.2018.21247
González-Duarte, A., Zambrano-González, E., Medina-Franco, E., Alberú-Gómez, J., Durand-Carbajal, M., Hinojosa, C.,
Aguilar-Salinas, C., and Kaufer-Horwitz, M., (2019). The Research Ethics Involving Vulnerable Groups, 71:217-25; doi: 10.24875/RIC.19002812
O’Connor, E., Rossom, R. C., Henninger, M., Groom, H. C., & Burda, B. U. (2016). Primary Care
Screening for and Treatment of Depression in Pregnant and Postpartum Women: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA, 315(4), 388–406. https://doi.org/10.1001/jama.2015.18948
O’Mahen, H. A., Richards, D. A., Woodford, J., Wilkinson, E., McGinley, J., Taylor, R. S., & Warren, F. C. (2014).
Netmums: A phase II randomized controlled trial of a guided Internet behavioural activation treatment for postpartum depression. Psychological Medicine, 44(8), 1675–1689. https://doi.org/10.1017/S0033291713002092
Palladino, C. L., Fedock, G. L., Forman, J. H., Davis, M. M., Henshaw, E., & Flynn, H. A. (2011). OB
CARES--The Obstetric Clinics and Resources Study: Providers’ perceptions of addressing perinatal depression--a qualitative study. General Hospital Psychiatry, 33(3), 267–278. https://doi.org/10.1016/j.genhosppsych.2011.02.001
Ribeiro, J. F., Oliveira, K. S. de, Lira, J. A. C., Chagas, D. C., Branca, S. B. P., Lima, F. F., &
Galvão, T. C. D. chagas pires. (2018). Contentment of puerperal women assiste obstetric nurses. Journal of Nursing UFPE on Line - ISSN: 1981-8963, 12(9), 2269–2275. https://doi.org/10.5205/1981-8963-v12i9a234777p2269-2275-2018
Selix, N., Henshaw, E., Barrera, A., Botcheva, L., Huie, E., & Kaufman, G. (2017). Interdisciplinary
Collaboration in Maternal Mental Health: MCN, The American Journal of Maternal/Child Nursing, 42(4), 226–231. https://doi.org/10.1097/NMC.000000000000034
Shrestha, S.D., Pradhan, R., Tran, T.D., Gualano, R.C., Fisher, J.R. (2016). Reliability and validity of the
Edinburgh Postnatal Depression Scale (EPDS) for Detecting Perinatal Common Mental Disorders
(PCMDs) Among Women in Low-and Lower-Middle-Income Countries: A Systematic Review. BMC
Pregnancy Childbirth, 16(72). doi:10.1186/s12884-016-0859-2
Stuart-Parrigon, K., & Stuart, S. (2014). Perinatal Depression: An Update and Overview. Current Psychiatry
Reports, 16(9), 468. https://doi.org/10.1007/s11920-014-0468-6
Ulrich, Connie M. (2014). Nursing Ethics in Everyday Practice, loc. 2905. Sigma Theta Tau International. Kindle
Edition.
Zimmerman, M. (2019). Using the 9-Item Patient Health Questionnaire to Screen for and Monitor
Depression. JAMA. 322(21):2125–2126. doi:10.1001/jama.2019.15883