Antenatal mental health screening in the NHS - assessment of feasibility and acceptability of using a multi-dimensional questionnaire approach

Davies, Stacie (2016). Antenatal mental health screening in the NHS - assessment of feasibility and acceptability of using a multi-dimensional questionnaire approach. University of Birmingham. M.Res.

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An increasing shift towards developing pregnancy specific psychosocial multi-dimensional screening instruments has been identified through a literature review, and the acceptability of potential screening instruments to both women and healthcare professionals was identified as an important factor.

The presented feasibility survey design study aimed to identify whether an alternative instrument, not yet validated in English, namely the Tilburg Pregnancy Distress Scale- a Modified English version (TPDS-ME), is an acceptable multi-dimensional screening instrument as judged by both pregnant women and healthcare professionals for use within the NHS setting.

The study was a cross-sectional survey to explore acceptability of TPDS-ME and generate preliminary data of acceptability and feasibility of using expanded screening instruments. Self-reported questionnaires were administered to a pregnant women (n=150) and healthcare professionals (n=50). Hospital records were reviewed following pregnancy completion to gather demographic, clinical and mental health history data. Data analysis included descriptive and correlational statistics and content analysis of open ended narrative responses.

TPDS-ME was found to be highly acceptable to both pregnant women and healthcare professionals. An indication of negative views held regarding the Whooley questions (current UK practice) was an incidental finding.

This thesis recommends further research exploring the validity of TPDS-ME with a large representative sample, and further exploration of the validity and acceptability of current practice versus introduction of alternative screening instruments. A practice recommendation is to audit documentation and consistency surrounding maternal mental health assessment.

Type of Work: Thesis (Masters by Research > M.Res.)
Award Type: Masters by Research > M.Res.
College/Faculty: Colleges (2008 onwards) > College of Medical & Dental Sciences
School or Department: School of Health and Population Sciences
Funders: National Institute for Health Research
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics


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