Article thumbnail

From research to application: the development of an antenatal psychosocial health assessment tool



OBJECTIVE: To describe the development of an assessment tool for antenatal psychosocial risk factors associated with poor postpartum outcomes. METHODS: A survey of Ontario family physicians established a need for an antenatal psychosocial health assessment (ALPHA) form. A critical literature review identified important antenatal factors for inclusion on the form. Focus groups of obstetrical care providers indicated acceptance of the provider-completed ALPHA; their feedback led to the development of a self-report ALPHA. Satisfaction, yield and reliability of the self-report and provider-completed ALPHA forms were studied and found to be comparable. RESULTS: Physicians and patients reported good satisfaction and usefulness of the ALPHA form in identifying antenatal psychosocial risk factors. The provider ALPHA was further tested in clinical practice. ALPHA endorsement was obtained from physicians, nurses and midwives. CONCLUSION: A program planning process, which included multidisciplinary involvement, evaluation and endorsement by professional organizations, aided the development, refinement and application of the ALPHA forms as primary care tools. ALPHA topic headings are incorporated into the official 2000 Ontario Antenatal Record and the ALPHA adopted for use on Prince Edward Island

Topics: Instrument Construction--Clinical Assessment Tools--Utilization--Prenatal Care--Psychosocial Factors--Pregnancy Outcomes--Psychosocial Factors--Pregnancy Complications, Psychiatric--Diagnosis, Psychosocial--Methods--Surveys--Patient Satisfaction--Physician Attitudes--Risk Factors--Evaluation--Computerized Literature Searching--Focus Groups--Pilot Studies--Self Report--Summated Rating Scaling--Reliability--Female--Pregnancy
Publisher: 'Springer Science and Business Media LLC'
DOI identifier: 10.1007/bf03405020
OAI identifier:
Provided by: IslandScholar
Sorry, our data provider has not provided any external links therefore we are unable to provide a link to the full text.

Suggested articles

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.