a Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences , University of the Witwatersrand , Parktown , South Africa.
b Public Health and Medical Anthropology, School of Public Health , University of the Witwatersrand , Parktown , South Africa.
J Reprod Infant Psychol. 2018 Sep;36(4):347-362. doi: 10.1080/02646838.2018.1453601. Epub 2018 Mar 30.
Screening programmes with referral are a valuable strategy for mitigating consequences of perinatal depression on mothers and their families. The effectiveness of these screening programmes needs to be measured. One potential problem in assessing outcomes is measurement reactivity where the actual measure results in changes in the people being measured.
The aim of this article is to explain the mechanisms and circumstances by which measurement reactivity occurred in a sample of antenatal women who participated in a screening interview.
Fifty-five women who participated in an antenatal screening interview in their second trimester were re-interviewed in their third trimester. These qualitative interviews were conducted between September 2015 and April 2016.
The qualitative data suggested that measurement reactivity occurred through mechanisms such as the disclosure, gaining self-knowledge, validation of experiences, and personal agency which resulted in them seeking out support from others.
Although the screening interview appeared to improve women's outcomes, this may have occurred through measurement reactivity. This needs to be considered when designing studies that aim to assess the effectiveness of screening with intervention for antenatal depression.
具有转介功能的筛查项目是减轻围产期抑郁对母亲及其家庭影响的一项重要策略。需要评估这些筛查项目的有效性。评估结果的一个潜在问题是测量反应性，即实际测量会导致被测量者的变化。
本文旨在解释参与筛查访谈的产前妇女样本中测量反应性发生的机制和情况。
55 名在妊娠中期接受产前筛查访谈的妇女在妊娠晚期再次接受访谈。这些定性访谈于 2015 年 9 月至 2016 年 4 月进行。
定性数据表明，测量反应性通过披露、获得自我认知、验证经验和个人能动性等机制发生，从而促使她们寻求他人的支持。
尽管筛查访谈似乎改善了妇女的结果，但这可能是通过测量反应性实现的。在设计旨在评估针对产前抑郁的筛查与干预有效性的研究时，需要考虑这一点。
