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Tablet computers for implementing NICE antenatal mental health guidelines: protocol of a feasibility study

Marcano-Belisario, José S, Gupta, Ajay K, O'Donoghue, John, Morrison, Cecily and Car, Josip (2016) Tablet computers for implementing NICE antenatal mental health guidelines: protocol of a feasibility study BMJ Open, 6 (1).

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Depression is one of the most common mental health disorders that may affect women during pregnancy. The prompt identification of this disorder, and the provision of treatment, may help to reduce the likelihood of post-partum depression, prevent severe forms of the disease, and reduce its intergenerational impact. Despite women's repeated encounters with health services throughout their antenatal care, depression often goes undiagnosed. This is one area where mobile health could prove useful. We will assess the feasibility of using tablets to incorporate depression screening into antenatal pathways. We will also assess if survey layout could affect the quality of the data collected through these devices.

Methods and analysis

We will test the feasibility of using iPad Airs for the administration of the Whooley questions and the Edinburgh Postnatal Depression Scale (EPDS) to pregnant women attending antenatal clinics in England. We will assess the impact of survey layout on the quality of the responses given to these screening scales using a parallel, randomised controlled study design. We will calculate the positive predictive value, the negative predictive value and the false omission rate of the Whooley questions in comparison with the EPDS. We will calculate differences in data equivalence, time needed to complete the surveys, break-off rates, data completeness and requests for help between the 2 experimental groups: using all questions in one screen and navigation by vertical scrolling, or a single question per screen and navigation by multiple pages.

Ethics and dissemination

This study has been approved by the National Research Ethics Service Committee South East Coast—Surrey. Our findings will be disseminated through academic peer-reviewed publications, conferences and discussion with peers.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
Marcano-Belisario, José
Gupta, Ajay K
O'Donoghue, John
Morrison, Cecily
Car, Josip
Date : 22 January 2016
Funders : National Institute for Health Research (NIHR)
DOI : 10.1136/bmjopen-2015-009930
Copyright Disclaimer : Copyright © 2018 by the BMJ Publishing Group Ltd. All rights reserved. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See:
Depositing User : Diane Maxfield
Date Deposited : 16 Jan 2019 10:24
Last Modified : 04 Feb 2019 15:54

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