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BMC Health Services Research
Published in: BMC Health Services Research 1/2020

01-12-2020 | Public Health | Research article

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

Authors: Nitikorn Phoosuwan, Pranee C. Lundberg, Sadiporn Phuthomdee, Leif Eriksson

Published in: BMC Health Services Research | Issue 1/2020

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Abstract

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.
Literature
1.
Woody CA, Ferrari AJ, Siskind DJ, Whiteford HA, Harris MG. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord. 2017;219:86–92.CrossRefPubMed
2.
Roomruangwong C, Epperson N. Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomed. 2011;5:179–93.CrossRef
3.
4.
Sha T, Gao X, Chen C, Li L, Cheng G, Wu X, et al. A prospective study of maternal postnatal depressive symptoms with infant-feeding practices in a Chinese birth cohort. BMC Pregnancy Childbirth. 2019;19:388.CrossRefPubMedPubMedCentral
5.
6.
Evans MG, Phillippi S, Gee RE. Examining the screening practices of physicians for postpartum depression: implications for improving health outcomes. Womens Health Issues. 2015;25(6):703–10.CrossRef
7.
Fonseca A, Gorayeb R, Canavarro MC. Women’s help-seeking behaviours for depressive symptoms during the perinatal period: socio-demographic and clinical correlates and perceived barriers to seeking professional help. Midwifery. 2015;31:1177–85.CrossRefPubMed
8.
Niemi M, Kiel S, Allebeck P, Hoan LT. Community-based intervention for depression manangement at the primary care level in Ha Nam Province, Vietnam: a cluster-randomised controlled trial. Tropical Med Int Health. 2016;21(5):654–61.CrossRef
9.
Bayrampour H, Hapsari AP, Pavlovic J. Barriers to addressing perinatal mental health issues in midwifery settings. Midwifery. 2018;59:47–58.CrossRefPubMed
10.
Buist A, Condon J, Brooks J, Speelman C, Milgrom J, Hayes B, et al. Acceptability of routine screening for perinatal depression. J Affect Disord. 2006;93:233–7.CrossRefPubMed
11.
Ministry of Public Health. Maternal and child health book. Nonthaburi: MoPH Press; 2013.
12.
Kongsuk T, Supanya S, Kenbubpha K, Phimtra S, Sukhawaha S, Leejongpermpoon J. Services for depression and suicide in Thailand. WHO South East Asia J Public Health. 2017;6(1):34–8.CrossRefPubMed
13.
American College of Obstetrics and Gynecology. Screening for perinatal depression. ACOG Comm Opin. 2018;132(5):e208–12.
14.
Kamiru HN, Ross MW, Bartholomew LK, McCurdy SA, Kline MW. Effectiveness of a training program to increase the capacity of health care providers to provide HIV/AIDS care and treatment in Swaziland. AIDS Care. 2009;21(11):1463–70.CrossRefPubMedPubMedCentral
15.
Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet. 2007;370:1164–74.CrossRefPubMed
16.
Zamani-Alavijeh F, Araban M, Harandy TF, Bastami F, Almasian M. Sources of health care providers’ self-efficacy to deliver health education: a qualitative study. BMC Med Educ. 2019;19:16.CrossRefPubMedPubMedCentral
17.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRefPubMed
18.
Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: a user’s portfolio. Causal and control beliefs. Windsor: Nfer-Nelson; 1995. p. 35–7.
19.
Olsen CF, Telenius EW, Engedal K, Bergland A. Increased self-efficacy: the experience of high-intensity exercise of nursing home residents with dementia – a qualitative study. BMC Health Serv Res. 2015;15:379.CrossRefPubMedPubMedCentral
20.
Creswell JW, Clark VP. Designing and conducting mixed methods research. London: SAGE Publications Ltd; 2000.
21.
22.
Bandura A. The explanatory and predictive scope of self-efficacy theory. J Soc Clin Psychol. 1986;4:359–73.CrossRef
23.
World Health Organisation. Thinking Healthy: A manual for psychosocial management of perinatal depression (WHO generic field-trial version 1.0). Geneva: WHO; 2015.
24.
25.
Phoosuwan N, Eriksson L, Lundberg PC. Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: prevalence and associated factors. Asian J Psychiatr. 2018;36:102–7.CrossRefPubMed
26.
Pitanupong J, Liabsuetrakul T, Vittayanont A. Validation of the Thai Edinburgh postnatal depression scale for screening postpartum depression. Psychiatry Res. 2007;149:253–9.CrossRefPubMed
27.
Nilchaikovit T, Sukying C, Silpakit C. Reliability and validity of the Thai version of the general health questionnaire. J Psychiatric Assoc Thailand. 1996;41:2–17.
28.
Wongpakaran T, Wongpakaran N. A comparison of reliability and construct validity between the original and revised versions of the Rosenberg self-esteem scale. Psychiatry Investig. 2012;91:54–8.
29.
Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass; 1987.
30.
Chow S, Shao J, Wang H. Sample size calculation in clinical research. London: Chapman & Hall/CRC; 2003.
31.
Sukmak V, Sirisoonthon A, Meena P. Validity of the general perceived self-efficacy scale. J Psychiatric Assoc Thailand. 2001;47(1):31–17.
32.
Bandura A. Guide for constructing self-efficacy scales. In: Pajares F, Urdan T, editors. Self-efficacy beliefs of adolescents. Greenwich: Information Age Publishing; 2006. p. 307–37.
33.
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2007;62(1):107–15.CrossRef
34.
Blair B, Arnow BA, Haas A, Millheiser L. Improving women’s sexual health: a quantitative evaluation of an educational intervention for healthcare professionals. Sex Educ. 2013;13(5):535–47.CrossRef
35.
Surr CA, Shoesmith E, Griffiths AW, Kelley R, McDermid J, Fossey J. Exploring the role of external experts in supporting staff to implement psychosocial interventions in care home settings: results from the process evaluation of a randomized controlled trial. BMC Health Serv Res. 2019;19:790.CrossRefPubMedPubMedCentral
36.
Cheng Y, Cheng L, Chang Y, Li T, Chen C, Huang L. The effectiveness of learning portfolios in learning participation and learners’ perceptions of skills and confidence in the mother of preterm infant. Midwifery. 2018;62:86–91.CrossRefPubMed
37.
Lundberg PC, Thrakul S. Self-care management of Thai Buddhists and Muslims with type 2 diabetes after an empowerment education program. Nurs Health Sci. 2018;20:402–8.CrossRefPubMed
38.
Fisher JD, Fisher WA, Amico KR, Harman JJ. An information-motivation-behavioral skills model of adherence to antiretroviral therapy. Health Psychol. 2006;25:462–73.CrossRefPubMed
39.
Kohrt BA, Jordans M, Turner EL, Sikkema KJ, Luitel NP, Rai S, et al. Reducing stigma among healthcare providers to improve mental health services (RESHAPE): protocol for a pilot cluster randomized controlled trial of a stigma reduction intervention for training primary healthcare workers in Nepal. Pilot and Feasibility Stud. 2018;4:36.CrossRef
40.
McAllister S, Coxon K, Murrells T, Sandall J. Healthcare professionals’ attitudes, knowledge and self-efficacy levels regarding the use of self-hypnosis in childbirth: a prospective questionnaire survey. Midwifery. 2017;47:8–14.CrossRefPubMed
41.
Odanga SJ, Aloka PJ, Raburu P. Influence of marital status on teachers’ self-efficacy in secondary schools of Kisumu County, Kenya. Acad J Interdiscip Stud. 2018;4(3):115–24.
42.
Berkman ND, Santaguida L, Viswanathan M, Morton SC. The empirical evidence of bias in trials measuring treatment differences. Rockville: Agency for Healthcare Research and Quality; 2014.
43.
Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015;350:h1258.CrossRefPubMedPubMedCentral
44.
Delamater PL, Shortridge AM, Messina JP. Regional health care planning: a methodology to cluster facilities using community utilization patterns. BMC Health Serv Res. 2013;13:333.CrossRefPubMedPubMedCentral
Metadata
Title
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
Authors
Nitikorn Phoosuwan
Pranee C. Lundberg
Sadiporn Phuthomdee
Leif Eriksson
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2020
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-020-5007-z

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