Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project
Abstract Background Studies examining psychosocial and depression assessment programs in maternity settings have not adequately considered the context in which psychosocial assessment occurs or how broader components of integrated care, including clinician decision-making aids, may optimise program...
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doaj-3efdf6a429cd4f12b17f072ed25667202020-11-25T00:27:51ZengBMCBMC Pregnancy and Childbirth1471-23932017-07-0117111110.1186/s12884-017-1354-0Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA projectNicole Reilly0Emma Black1Georgina M. Chambers2Virginia Schmied3Stephen Matthey4Josephine Farrell5Dawn Kingston6Andrew Bisits7Marie-Paule Austin8Perinatal & Women’s Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood HospitalPerinatal & Women’s Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood HospitalNational Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health and School of Women’s and Children’s Health, University of New South WalesSchool of Nursing and Midwifery, Western Sydney UniversitySchool of Psychology, University of Sydney & Infant, Child & Adolescent Mental Health Service, South Western Sydney Local Health Network, Mental Health Centre (Level 1: ICAMHS)Perinatal & Women’s Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood HospitalFaculty of Nursing, University of CalgaryRoyal Hospital for WomenPerinatal & Women’s Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood HospitalAbstract Background Studies examining psychosocial and depression assessment programs in maternity settings have not adequately considered the context in which psychosocial assessment occurs or how broader components of integrated care, including clinician decision-making aids, may optimise program delivery and its cost-effectiveness. There is also limited evidence relating to the diagnostic accuracy of symptom-based screening measures used in this context. The Perinatal Integrated Psychosocial Assessment (PIPA) Project was developed to address these knowledge gaps. The primary aims of the PIPA Project are to examine the clinical- and cost-effectiveness of two alternative models of integrated psychosocial care during pregnancy: ‘care as usual’ (the SAFE START model) and an alternative model (the PIPA model). The acceptability and perceived benefit of each model of care from the perspective of both pregnant women and their healthcare providers will also be assessed. Our secondary aim is to examine the psychometric properties of a number of symptom-based screening tools for depression and anxiety when used in pregnancy. Methods This is a comparative-effectiveness study comparing ‘care as usual’ to an alternative model sequentially over two 12-month periods. Data will be collected from women at Time 1 (initial antenatal psychosocial assessment), Time 2 (2-weeks after Time 1) and from clinicians at Time 3 for each condition. Primary aims will be evaluated using a between-groups design, and the secondary aim using a within group design. Discussion The PIPA Project will provide evidence relating to the clinical- and cost- effectiveness of psychosocial assessment integrated with electronic clinician decision making prompts, and referral options that are tailored to the woman’s psychosocial risk, in the maternity care setting. It will also address research recommendations from the Australian (2011) and NICE (2015) Clinical Practice Guidelines. Trial Registration ACTRN12617000932369http://link.springer.com/article/10.1186/s12884-017-1354-0Depression screeningPsychosocial assessmentAntenatalMaternal mental healthClinical effectivenessCost effectiveness |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicole Reilly Emma Black Georgina M. Chambers Virginia Schmied Stephen Matthey Josephine Farrell Dawn Kingston Andrew Bisits Marie-Paule Austin |
spellingShingle |
Nicole Reilly Emma Black Georgina M. Chambers Virginia Schmied Stephen Matthey Josephine Farrell Dawn Kingston Andrew Bisits Marie-Paule Austin Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project BMC Pregnancy and Childbirth Depression screening Psychosocial assessment Antenatal Maternal mental health Clinical effectiveness Cost effectiveness |
author_facet |
Nicole Reilly Emma Black Georgina M. Chambers Virginia Schmied Stephen Matthey Josephine Farrell Dawn Kingston Andrew Bisits Marie-Paule Austin |
author_sort |
Nicole Reilly |
title |
Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project |
title_short |
Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project |
title_full |
Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project |
title_fullStr |
Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project |
title_full_unstemmed |
Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project |
title_sort |
study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the pipa project |
publisher |
BMC |
series |
BMC Pregnancy and Childbirth |
issn |
1471-2393 |
publishDate |
2017-07-01 |
description |
Abstract Background Studies examining psychosocial and depression assessment programs in maternity settings have not adequately considered the context in which psychosocial assessment occurs or how broader components of integrated care, including clinician decision-making aids, may optimise program delivery and its cost-effectiveness. There is also limited evidence relating to the diagnostic accuracy of symptom-based screening measures used in this context. The Perinatal Integrated Psychosocial Assessment (PIPA) Project was developed to address these knowledge gaps. The primary aims of the PIPA Project are to examine the clinical- and cost-effectiveness of two alternative models of integrated psychosocial care during pregnancy: ‘care as usual’ (the SAFE START model) and an alternative model (the PIPA model). The acceptability and perceived benefit of each model of care from the perspective of both pregnant women and their healthcare providers will also be assessed. Our secondary aim is to examine the psychometric properties of a number of symptom-based screening tools for depression and anxiety when used in pregnancy. Methods This is a comparative-effectiveness study comparing ‘care as usual’ to an alternative model sequentially over two 12-month periods. Data will be collected from women at Time 1 (initial antenatal psychosocial assessment), Time 2 (2-weeks after Time 1) and from clinicians at Time 3 for each condition. Primary aims will be evaluated using a between-groups design, and the secondary aim using a within group design. Discussion The PIPA Project will provide evidence relating to the clinical- and cost- effectiveness of psychosocial assessment integrated with electronic clinician decision making prompts, and referral options that are tailored to the woman’s psychosocial risk, in the maternity care setting. It will also address research recommendations from the Australian (2011) and NICE (2015) Clinical Practice Guidelines. Trial Registration ACTRN12617000932369 |
topic |
Depression screening Psychosocial assessment Antenatal Maternal mental health Clinical effectiveness Cost effectiveness |
url |
http://link.springer.com/article/10.1186/s12884-017-1354-0 |
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