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Intervention intended to improve public health professionals' self-efficacy in their efforts to detect and manage perinatal depressive symptoms among Thai women: a mixed-methods study.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2020 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 20, no 1, article id 138Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Targeting perinatal depressive symptoms among women can reduce premature mortality. However, public health professionals (PHPs) in primary healthcare settings often have low self-efficacy for detection and management of perinatal depressive symptoms among women. This mixed-methods study was aimed at developing and evaluating a self-efficacy improvement programme (SIP) intended to increase PHPs' self-efficacy in efforts to detect and manage perinatal depressive symptoms.

METHODS: The SIP consisted of 1 day of theory and 4 weeks of practice. Sixty-six PHPs from sub-district health promotion hospitals (primary health care level) in Sakonnakhon, a north-eastern province in Thailand, were randomised into an intervention group (n = 33) and a control group (n = 33). Twenty-three of the intervention group participants also took part in focus group discussions (FGDs). Multiple linear regression and qualitative content analysis were used to analyse the data.

RESULTS: After the SIP, the intervention group participants had higher self-efficacy score than those in the control group (p = 0.004). The FGDs resulted in four categories emerging: Having confidence, Changing knowledge and attitudes, Increasing perception of an important role, and Increasing awareness of performed function.

CONCLUSIONS: To enhance the ability of PHPs to detect and manage perinatal depressive symptoms, an intervention programme based on self-efficacy modification is recommended.

Place, publisher, year, edition, pages
2020. Vol. 20, no 1, article id 138
Keywords [en]
Depression screening tool, Health professional, Intervention programme, Self-efficacy
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-407020DOI: 10.1186/s12913-020-5007-zPubMedID: 32093647OAI: oai:DiVA.org:uu-407020DiVA, id: diva2:1415346
Available from: 2020-03-18 Created: 2020-03-18 Last updated: 2020-03-18

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CiteExportLink to record
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