Perinatal depression and screening among Aboriginal Australians in the Kimberley

Kotz, Jayne; Munns, Ailsa; Marriott, Rhonda; Marley, Julia V.

doi:10.1080/10376178.2016.1198710

Cited by 18 publications

(40 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Aboriginal Australians conceptualise health as holistic, encompassing social, emotional, community and cultural dimensions (35). Aboriginal women involved in the development (7) and validation (17) of the KMMS and this study (Sample Frame B) have suggested that the 'holistic' approach of the KMMS, inclusive of having time and space with a health professional to yarn about psychosocial risks and protective factors makes this approach to screening culturally secure. Delivering culturally secure primary health care to Aboriginal patients is a persistent topic linked to health equity (36)(37)(38)(39).…”

Section: Discussionmentioning

confidence: 84%

“…Good perinatal mental health is important for all women, their children and extended families (1)(2)(3)(4)(5)(6)(7). In Australia 1 in 5 women are reported to suffer from anxiety or depression in the perinatal period (3); the reported rate is higher again for Aboriginal women (1,(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

“…The Australian Government launched the inaugural National Perinatal Depression Initiative (2008-2013) which recommended screening women throughout the perinatal period using the Edinburgh Postnatal Depression Scale (EPDS) (11). Health professionals in the Kimberley supported the move to formalise screening but had concerns that the language and concepts used in the EPDS were not appropriate for Aboriginal women in the remote Kimberley region of North West Australia, and therefore unintentionally disengaged them from the screening process (7).…”

Section: Introductionmentioning

confidence: 99%

“…Following an extensive consultation and co-design period, the Kimberley Mum's Mood Scale (KMMS) was developed to better address the needs and context of perinatal mental health screening for Kimberly Aboriginal women (7). The KMMS is a two part tool designed to be verbally administered.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

Carlin

Spry

Atkinson

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

Background The two part Kimberley Mums’ Mood Scale (KMMS) has been developed and validated as a culturally appropriate perinatal depression and anxiety screening tool for Aboriginal women living in the sparsely populated Kimberley region of North West Australia. As part of implementation, aspects of user acceptability were explored to improve clinical utilisation of the KMMS. Methods Eighteen health professionals involved in perinatal care participated in an online survey or a qualitative semi-structured interview. Ten Aboriginal women (who held administrative, professional or executive roles) were subsequently interviewed in depth to further explore aspects of KMMS user acceptability. Results Many of the health professionals were not using the second part of the KMMS (a psychosocial yarning tool). Time constraints and a perception that the KMMS is only appropriate for women with literacy issues were identified as significant barriers to KMMS uptake. The Aboriginal women interviewed considered the KMMS to also be important for literate Aboriginal women and placed high value on having the time and space to yarn to health professionals about issues that are important to them. Implementing the KMMS across the Kimberley region requires robust training of health professionals and strategic engagement with health services to ensure those clinical environments are able to understand the rationale and significance of the KMMS and be engaged in its successful implementation. Conclusion Routine perinatal mental health screening that is efficacious and acceptable to Aboriginal women is an important public health priority. Identifying and addressing barriers to implementation contributes to our understanding of the complexity of improving routine clinical practise.

show abstract

Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

Carlin

Spry

Atkinson

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The authors also suggested that low uptake of screening with Aboriginal women is related to less frequent attendance to antenatal checks. This interpretation fails to consider broader cultural safety issues surrounding antenatal care, and more specifically, the language and cultural appropriateness of the EPDS . This tool has not been validated with Aboriginal and Torres Strait Islander women.…”

mentioning

confidence: 99%

Screening for perinatal depression and predictors of underscreening: findings of the Born in Queensland study

Marley

Carlin

Engelke

2019

Medical Journal of Australia

Self Cite

View full text Add to dashboard Cite

Risk and resilience: a mixed methods investigation of Aboriginal Australian women’s perinatal mental health screening assessments

Carlin

Seear

Ferrari

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Purpose To describe the psychosocial protective and risk factors for perinatal mental health identified in a sample of Aboriginal women’s Kimberley Mum’s Mood Scale (KMMS) assessments and explore the role of these factors in their screening assessment and diagnostic outcome. Methods We used a mixed methods approach to retrospectively analyse a cross-sectional study dataset of 91 completed KMMS assessments. This included: categorising the clinical notes from the KMMS psychosocial yarn into ‘risk’ and ‘protective’ factors and describing these categories, describing the number and type of risk and protective factors associated with different KMMS risk assessment categories (no, low, medium, high), and exploring relationships between these risk and protective factors and diagnosis of perinatal depression and/or anxiety. Results Protective factors were recorded for the vast majority of the women; the most prominent was positive family relationships. When protective and risk factors were stratified by KMMS risk category, women in the higher risk group less commonly had specific protective factors (11–33% high vs 61–100% no risk) and more commonly had risk factors (22–67% high vs 6–28% no risk) than women with lower KMMS assessed risk. The average number of protective factors decreased with increasing KMMS risk category (4.9 ± 1.1 to 1.6 ± 1.3), with the inverse pattern for risk factors (1.1 ± 1.1 to 3.8 ± 1.0). Having protective factors also appeared to reduce the risk of developing clinical depression or anxiety. Conclusion Assessing protective factors in mental health screening for perinatal Aboriginal women increases the effectiveness of screening and provides a foundation for the delivery of local structured psychosocial care.

show abstract

Perinatal depression and screening among Aboriginal Australians in the Kimberley

Abstract: More than 100 Kimberley women and 72 health practitioners contributed to this joint strategic body of work. Recommendations for practice include one single culturally appropriate Kimberley version of the EPDS.

Cited by 18 publications

References 26 publications

Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

Screening for perinatal depression and predictors of underscreening: findings of the Born in Queensland study

Risk and resilience: a mixed methods investigation of Aboriginal Australian women’s perinatal mental health screening assessments

Contact Info

Product

Resources

About