WHRAG Research Projects and Experiences 2011-12

Lecture presentations hosted by the College of Nursing featuring faculty, graduate students, nursing professionals, and allied health experts. Each lunchtime lecture is devoted to a timely topic examining the training, research and scholarly needs of the nursing community.Lecture

MS

thesisMarketing research was conducted in Salt Lake County, Utah by using descriptive survey techniques. Data obtained through the study used to suggest a strategy for marketing nurse-midwifery services in the sample area. A brief overview of marketing principles is related and resultant strategies are designed for specific application of Salt Lake Count, Utah. It is hoped that the methods and principles will be broadly applicable to marketing nurse-midwifery services in other areas. A consumer questionnaire was sent to women of childbearing age who had previously agreed to participation during a telephone screening interview. Demographic data were obtained, as well as participant response to questions about the following: previous providers used for obstetrical care; levels of satisfaction with previous care; factors which are important to respondents in selecting providers; level of knowledge about the practice of certified nurse-midwives; reasons for deciding against certain types of care providers; and their likelihood of selecting certified nurse-midwives for future care. Findings revealed certain demographic factors to predispose respondents to select a certified nurse-midwife for care in the future. These included: family income of less than $15,000 and incomes between$55,000 and $75,000; occupation in the professional/technical fields; non-membership in the Church of Jesus Christ of Latter-Day Saints (LDS); dissatisfaction with previous non-obstetrician provider; and residence in the "Main" and Holladay areas of Salt Lake County. Those least likely to use certified nurse-midwives in the future included: members of the LDS church; satisfied former clients of obstetricians; residents of several areas of the counter other than the "Main" or Holladay area; homemakers and women in the secretarial/office occupations. Chi-square tests were used to explore the relationship between occupation and willingness to use certified nurse-midwives. Professional/technical women were found to be most likely to use certified nurse-midwife care. Focus groups were employed to obtain input from consumers and others in developing strategies to address the market data. Former clients of certified nurse-midwives, consumers who had never used a certified nurse-midwife, certified nurse-midwives in current private practice, and graduate students in a health care marketing course were asked to respond to the dta with their ideas and reactions. This feedback, along with statistical analysis of the research data formed the basis for marketing promotion with recommendations for interventions

Experiences with use of technology and telehealth among women with perinatal depression

Abstract Background Perinatal depression (PD) affects 10–20% of childbearing women. Telehealth is increasingly utilized for mental health services to increase access to care and overcome COVID-19 pandemic barriers. Women’s perspectives on telehealth services for PD is unknown, however. This study’s primary objective was to obtain the perspectives of women who participated in an 8-week group videoconference intervention for PD symptoms, including how technology impacted their experience. Methods We utilized theoretical sampling and included perinatal women who had completed the 8-week mindfulness-based cognitive-behavioral intervention group. Semi-structured focus groups with four to six women were conducted on a videoconference platform. Primary analysis used grounded theory and a secondary analysis used qualitative description and was conducted by two coding teams. The teams collaborated on the final themes across the analyses. Results Three groups, with a total of 17 participants were conducted. Composition consisted of seven postpartum and ten pregnant women from the 47 total participants. Identified core themes regarding their experiences of the videoconference intervention were: positive experiences, negative experiences, suggestions and ideas, and screening and communication. Conclusion This study provides growing evidence informed by perinatal women of positive experiences with engagement in a videoconference intervention for PD. Telehealth may be a reasonable and acceptable platform to increase access and retention for mental health services in childbearing women. Further, this pilot work showcases videoconferencing delivery for a wide range of effective and affordable mental health services in low-resource communities

Mixed method approach to understanding participation barriers in a perinatal depression group telehealth intervention trial

Group telehealth interventions (GTI) may reduce perinatal depressive and anxiety (PDA) symptom burden among peripartum individuals. However, study participation for this population may be challenging. The objective of this study was to use a mixed methods approach to understand themes associated with completion of planned interventions in randomized controlled trial (RCT) assessing GTI efficacy on PDA

A Group Telehealth Intervention for Rural Perinatal Depression and Anxiety: A Pilot Study

More than one in five rural childbearing women experience perinatal depression (PD). Major barriers to mental health services in rural areas include lack of mental health resources. Telehealth is an approach to improving access to services but has not been well studied in rural childbearing populations. We explored the feasibility, acceptability, and preliminary assessment of effectiveness of a group telehealth intervention for PD in rural women. Pregnant and postpartum women seeking services at rural public health clinics were screened for PD. Those who screened positive were invited to participate in eight weekly group videoconference sessions facilitated by a mental health professional. Recruitment, enrollment, participation, and follow-up were documented. Measures of depression (Edinburgh Postnatal Depression Scale [EPDS]) and anxiety (Generalized Anxiety Disorder scale [GAD-7]) were administered at four time points. One thousand eight hundred one women were screened for depression and 37% (671) screened positive. Only 25% (168) of those who screened positive agreed to be contacted; 42 women consented and 64.3% attended at least five telehealth sessions. Scores on the EPDS and GAD-7 were significantly decreased preintervention to postintervention, and at 3- and 6-month follow-up (p \u3c .01). Results suggest that group videoconferencing holds promise for increasing access to mental health services, but significant barriers to participation exist for most rural women seeking services at rural public health clinics. To increase feasibility and acceptability, further research is needed to address mental health stigma, establish a network for universal screening beyond public health clinics, and build trusted relationships for the identification and treatment of women with perinatal mood disorders