The purpose of this project was to evaluate an educational intervention with clinical staff on Postpartum Depression (PPD) screening along with knowledge, recognition, and management of PPD. A secondary purpose was to evaluate the effectiveness of a PPD screening program implemented at the clinical practice site.
Methods:A convenience sample of clinical staff employed at an obstetric and gynecologic (OBGYN) primary care practice in the Florida panhandle participated in this project. A pretest-posttest design was used to assess perceived knowledge and awareness of PPD, screening practices, and management of PPD. The pretest was administered to the clinical staff before implementing a PPD educational module, with the posttest administered approximately four weeks later. In addition, the site staff and physician implemented a pilot PPD screening program following the educational intervention for a trial period of four weeks. During the four-week trial period, a designated staff member recorded the number of patients screened for PPD, and the total of those who screened positive for PPD. Posttest missing data was calculated using the mean scores of the completers. Paired samples t-tests were conducted to determine the change in participant knowledge from pretest to posttest. To analyze change from preintervention to postintervention in the number of patients screened and the number of positive PPD screens, the change in percent of patients screened and positive screens were calculated.Results: Sixteen clinic staff members completed the pretest and attended the educational module; yet only eleven completed the posttest (n=11). Overall, significant increases in participant knowledge of PPD screening and management existed after an educational module (t= -10.42, p <0.001). In the four weeks before the intervention, the clinical staff screened 0% of the patients seen (n=35) with a valid and reliable PPD screening measure; conversely, in the four weeks following the intervention, the clinical staff screened 100% of the patients seen (n=32) with two positive screens for PPD.Discussion: Results suggest that an educational module designed for OBGYN primary care clinic staff was impactful. Research indicates that 19% of women are at risk for developing PPD, yet poor screening practices among providers are often related to a lack of knowledge regarding PPD screening and the management of patients after a positive screen.
Conclusion:Educating OBGYN primary care clinical staff on symptoms and screening for PPD, along with implementing a PPD screening program resulted in improved knowledge, rate of screening, and identification and management of PPD for patients receiving care at the project site. Results suggested that primary care OBGYN offices throughout the country and beyond must implement routine PPD screening programs utilizing a reliable and valid tool along with regular PDD education for all clinical staff to improve postpartum patient outcomes.