Chorwe-Sungani Genesis, Mwagomba Modesta, Kulisewa Kazione, Chirwa Ellen, Jere Diana, Chipps Jennifer
Kamuzu College of Nursing, University of Malawi, Chipatala Avenue, P. O. Box 415, Blantyre, Malawi.
Blantyre District Health Office, Chipatala Avenue, P/Bag 66, Blantyre, Malawi.
Pilot Feasibility Stud. 2021 Jan 26;7(1):32. doi: 10.1186/s40814-021-00775-6.
Depression is often underdiagnosed by treating health professionals. This is a situation in Malawi where there is no routine screening of depression at antenatal clinics. Recently, a Screening Protocol for Antenatal Depression (SPADe) that can be used by midwives to screen for antenatal depression was developed in Blantyre District. SPADe proposes multistage screening of antenatal depression by midwives which may enable early detection and treatment of pregnant women with depression. Proper treatment of antenatal depression can assist in achieving Sustainable Development Goals (SDGs). However, utilisation of SPADe in clinical practice to screening for depression in antenatal clinics has not been established yet. Therefore, the primary aim of this study is to assess feasibility of screening for depression by midwives using SPADe in antenatal clinics in Blantyre District. The secondary aim was to assess acceptability and fidelity of screening for depression by midwives using SPADe in antenatal clinics in Blantyre District.
This will be a feasibility study which will consist of scientific investigations that will support movement of evidence-based, effective health care approach, SPADe, from the clinical knowledge base into routine use. This study will consist three phases: phase 1 will introduce SPADe in antenatal clinics in Blantyre District where screening of depression is almost none existent; phase 2 will implement screening of depression using SPADe in antenatal clinics in Blantyre District; and phase 3 will evaluate the screening of antenatal depression using SPADe to establish its feasibility, acceptability and fidelity in antenatal clinics in Blantyre District.
This study will establish and document feasibility, acceptability and fidelity of screening for depression by midwives using SPADe in antenatal clinics in Blantyre District. It is expected that midwives will develop more confidence in detecting and dealing with antenatal depression. Consequently, there will be increased numbers of pregnant women detected with depression by midwives and increased accessibility to mental health care by pregnant women in antenatal clinics.
抑郁症常常被医疗保健专业人员漏诊。马拉维就存在这样的情况，产前诊所没有对抑郁症进行常规筛查。最近，布兰太尔区制定了一种可由助产士用于筛查产前抑郁症的《产前抑郁症筛查方案》（SPADe）。SPADe提议由助产士对产前抑郁症进行多阶段筛查，这可能有助于早期发现和治疗患有抑郁症的孕妇。妥善治疗产前抑郁症有助于实现可持续发展目标（SDGs）。然而，SPADe在临床实践中用于产前诊所抑郁症筛查的情况尚未得到证实。因此，本研究的主要目的是评估在布兰太尔区产前诊所中助产士使用SPADe筛查抑郁症的可行性。次要目的是评估在布兰太尔区产前诊所中助产士使用SPADe筛查抑郁症的可接受性和依从性。
这将是一项可行性研究，将包括科学调查，以支持将基于证据的有效医疗保健方法SPADe从临床知识库推广到常规使用。本研究将包括三个阶段：第一阶段将在几乎不存在抑郁症筛查的布兰太尔区产前诊所引入SPADe；第二阶段将在布兰太尔区产前诊所使用SPADe进行抑郁症筛查；第三阶段将评估使用SPADe进行产前抑郁症筛查，以确定其在布兰太尔区产前诊所的可行性、可接受性和依从性。
本研究将确定并记录在布兰太尔区产前诊所中助产士使用SPADe筛查抑郁症的可行性、可接受性和依从性。预计助产士在检测和处理产前抑郁症方面将更有信心。因此，助产士检测出患有抑郁症的孕妇数量将会增加，并且产前诊所中孕妇获得心理健康护理的机会也会增加。
