Chan Ai Wen, Skeffington Petra, Reid Corinne, Marriott Rhonda
School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia.
School of Health Professions, Murdoch University, Perth, Western Australia, Australia.
BMJ Open. 2018 Oct 3;8(10):e022273. doi: 10.1136/bmjopen-2018-022273.
Adopting a process-oriented framework for test validation can help to establish whether this tool has the potential to be an acceptable, valid and reliable indicator of depression for mothers and mothers-to-be. This mixed-methods research protocol seeks to explore the views and experiences of Aboriginal mothers and healthcare professionals in relation to the Edinburgh Postnatal Depression Scale (EPDS), and is intended to highlight potential barriers in perinatal mental health conceptualisation, engagement and response style.
Thematic analysis will be applied to interview transcripts of Aboriginal Australian mothers (n=6+) and healthcare professionals (n=6+) to identify key themes. The process-focused validation model will use narratives about experiences of using the EPDS as the priority point of analysis. Item-level data and process-level (experience) data are key phenomenological data. The interview-based narratives will be then compared with EPDS scores to check for points of congruence and divergence. This will be done at two time points, antenatally and postnatally, to assess changes in assessment processes and perceptions. Bridging evidence-based research with clinical practice in an Aboriginal Australian context will be facilitated by an investigation of the perceived cultural relevance and likely clinical effectiveness of EPDS. Such evidence is critical to understanding whether the EPDS fulfils its intended purpose. The guiding principles in designing this research protocol is to benefit the well-being of young Aboriginal families and communities through partnership with Aboriginal women.
Ethics approval was obtained from Human Research Ethics Committee of Murdoch University and from Western Australian Aboriginal Health Ethics Committee (WAAHEC). Participating healthcare sites and services have provided letters of support. Results of this study will be submitted for publication in a peer-reviewed journal.
采用以过程为导向的测试验证框架有助于确定该工具是否有可能成为母亲和准妈妈抑郁症的可接受、有效且可靠的指标。本混合方法研究方案旨在探索澳大利亚原住民母亲和医疗保健专业人员对爱丁堡产后抑郁量表（EPDS）的看法和经历，并旨在突出围产期心理健康概念化、参与度和应对方式方面的潜在障碍。
将对澳大利亚原住民母亲（n = 6+）和医疗保健专业人员（n = 6+）的访谈记录进行主题分析，以确定关键主题。以过程为重点的验证模型将把关于使用EPDS的经历的叙述作为分析的优先点。项目层面的数据和过程层面（经验）的数据是关键的现象学数据。然后将基于访谈的叙述与EPDS分数进行比较，以检查一致性和差异点。这将在产前和产后两个时间点进行，以评估评估过程和认知的变化。通过调查EPDS的感知文化相关性和可能的临床有效性，将促进在澳大利亚原住民背景下将循证研究与临床实践相结合。此类证据对于理解EPDS是否实现其预期目的至关重要。设计本研究方案的指导原则是通过与原住民妇女合作，造福年轻的原住民家庭和社区。
已获得默多克大学人类研究伦理委员会和西澳大利亚原住民健康伦理委员会（WAAHEC）的伦理批准。参与的医疗保健机构和服务部门已提供支持信。本研究结果将提交至同行评审期刊发表。
