A pilot study to reduce risk for antepartum depression among women in a public health prenatal clinic

Issues Ment Health Nurs. 2010 May;31(5):355-64. doi: 10.3109/01612840903427831.

Abstract

This pilot study evaluated the feasibility, effectiveness, and helpfulness of Insight-Plus, a brief culturally-tailored cognitive behavioral intervention for African-American and Caucasian rural low-income women at risk for APD [Edinburgh Postnatal Depression Scale (EPDS) > or = 10]. Forty two percent (63/149) of women in this non-randomized study were at risk for APD and 41% (26/63) of women, who met all eligibility criteria, initially agreed to participate. Seventeen participants completed all six intervention sessions. Ninety-four percent (16/17) who completed their one-month post-intervention interviews had an antepartum recovery rate of 81% (13/16, EPDS < or = 10). Participants reported that many aspects of the program were helpful and they continued to use the intervention exercises after the sessions ended.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health / ethnology
  • Black or African American / education
  • Black or African American / ethnology*
  • Black or African American / statistics & numerical data
  • Cognitive Behavioral Therapy / organization & administration*
  • Cultural Competency
  • Depression / diagnosis
  • Depression / ethnology
  • Depression / prevention & control*
  • Feasibility Studies
  • Female
  • Humans
  • North Carolina
  • Nursing Methodology Research
  • Pilot Projects
  • Poverty / psychology
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / ethnology
  • Pregnancy Complications / prevention & control*
  • Prenatal Care / organization & administration*
  • Prenatal Care / psychology
  • Program Development
  • Program Evaluation
  • Psychiatric Status Rating Scales
  • Public Health Practice
  • Risk Reduction Behavior
  • Rural Health Services / organization & administration
  • White People / education
  • White People / ethnology*
  • White People / statistics & numerical data