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Preferences for Mental Health Screening Among Pregnant Women: A Cross-Sectional Study.
- Source :
-
American journal of preventive medicine [Am J Prev Med] 2015 Oct; Vol. 49 (4), pp. e35-43. Date of Electronic Publication: 2015 Jul 03. - Publication Year :
- 2015
-
Abstract
- Introduction: The process of mental health screening can influence disclosure, uptake of referral, and treatment; however, no studies have explored pregnant women's views of methods of mental health screening. The objectives of this study are to determine pregnant women's comfort and preferences regarding mental health screening.<br />Methods: Pregnant women were recruited (May-December 2013) for this cross-sectional descriptive survey from prenatal classes and maternity clinics in Alberta, Canada, if they were aged >16 years and spoke/read English. Descriptive statistics summarized acceptability of screening, and multivariable logistic regression identified factors associated with women's comfort with screening methods. Analysis was conducted in January-December 2014.<br />Results: The participation rate was 92% (N=460/500). Overall, 97.6% of women reported that they were very (74.8%) or somewhat (22.8%) comfortable with mental health screening in pregnancy. Women were most comfortable with completing paper- (>90%) and computer-based (>82%) screening in a clinic or at home, with fewest reporting comfort with telephone-based screening (62%). The majority of women were very/somewhat comfortable with provider-initiated (97.4%) versus self-initiated (68.7%) approaches. Women's ability to be honest with their provider about emotional health was most strongly associated with comfort with each method of screening.<br />Conclusions: The majority of pregnant women viewed prenatal mental health screening favorably and were comfortable with a variety of screening methods. These findings provide evidence of high acceptability of screening--a key criterion for implementation of universal screening--and suggest that providers can select from a variety of screening methods best suited for their clinical setting.<br /> (Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Cross-Sectional Studies
Female
Humans
Mass Screening methods
Mass Screening statistics & numerical data
Maternal Health
Patient Preference statistics & numerical data
Pregnancy
Prenatal Care methods
Prenatal Care statistics & numerical data
Young Adult
Mass Screening psychology
Mental Disorders diagnosis
Mental Health
Prenatal Care psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2607
- Volume :
- 49
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- American journal of preventive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 26143952
- Full Text :
- https://doi.org/10.1016/j.amepre.2015.03.026