Semantic Assessment of the Barkin Index of Maternal Functioning in a Medically Underserved Obstetric Population

Barkin, Jennifer L.; Willis, Gordon; Hawkins, Kristina C.; Stanfill-Thomas, Tiffany; Beals, Laura; Bloch, Joan Rosen

doi:10.1111/ppc.12141

Cited by 19 publications

(26 citation statements)

References 27 publications

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“…Another attractive feature of the BIMF is that it was designed to be applicable in both research and clinical settings and takes only 5-10 min to complete [14]. In a separate language assessment, investigators found that the BIMF's 20 items were comprehensible and clearly worded [33]. In this study, Cronbach's alpha coefficient was 0.88 (indicating good internal consistency) and the Intra Correlation Coefficient (ICC) was equal to 0.85 [35].…”

Section: Maternal Functioningmentioning

confidence: 70%

“…If interested, eligible, and prepared to participate in regular and continuous sessions, a written consent form was completed by the mothers. They also completed the BIMF [33] and EPDS [31] questionnaires. If they received a score of less than 13 on the EPDS, and a score below 80 on the BIMF, they were included in the study at which point other questionnaires such as the sociodemographic and obstetrics characteristics questionnaire were also completed.…”

Section: Recruitmentmentioning

confidence: 99%

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The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

et al. 2020

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Background: The role of the mother can be deeply satisfying, but it is associated with many challenges including challenges during the postpartum period that may impede the optimal development of the infant. Therefore, the aim of the present study was to investigate the effects of counseling using the Skills Training Approach (STA) on postpartum maternal functioning. Methods: This randomized controlled trial was performed on 68 postpartum women who referred to health centers of Tabriz-Iran in 2019. Participants were assigned to one of two groups-either counseling or control through the block randomization method. The intervention group received four counseling sessions using the Skills Training Approach (STA). Before and two weeks after the completion of the intervention, the Barkin Index of Maternal Functionning (BIMF) was completed by the participants. The independent t-test and ANCOVA (Analysis of Covariance) was used to analyze the data. Results: There was no statistically significant difference between the two groups in terms of sociodemographic characteristics and the baseline scores of the BIMF and its domains (p > 0.05). Before the intervention, the mean (SD) total score of the BIMF in the intervention group was 73.1 (8.5) and in the control group, it was 71.6 (4.8). Post-intervention, the mean (SD) of the total score of the BIMF in the intervention group was 95.8 (11.8) and in the control group, it was 70.3 (4.5). Based on the ANCOVA test and after adjusting the baseline score, the mean total score of the BIMF was significantly higher in the intervention group than in the control group (Mean Difference (MD): 22.9; 95% CI: 18.2 to 27.6; p < 0.001). The post-intervention scores of all domains of the BIMF including self-care (MD: 3.8), infant care (MD: 2.0), mother-child interaction (MD: 4.8), psychological wellbeing (MD: 8.4), social support (MD: 4.0), management (MD: 6.8), and adjustment to new motherhood (MD: 3.2) were significantly higher in the intervention group compared to the control group (P < 0.001). Conclusion: In this study, counseling, using STA, was effective in improving maternal functioning in all of the domains. This intervention, aimed at skill-building, should be strongly considered where improved postpartum functioning is the goal.

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Section: Maternal Functioningmentioning

confidence: 70%

Section: Recruitmentmentioning

confidence: 99%

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

et al. 2020

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“…Alternatively, in a similar qualitative study of adolescent mothers, the majority of who were single and attending high school, complaints were counterbalanced with positive commentary. 35 Additional qualitative work by Barkin et al 21 was focused on a low-income obstetric population in an area designed as medically underserved. The majority of the participants were on Medicaid (95.8%), and 70.8% reported a total household income of $20,000 or less.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that less affluent women with fewer years of life experience are also less critical in their appraisal of their life circumstances. Barkin et al 21 also note that several women were concerned with the possibility of negative survey responses triggering the involvement of the Division of Family and Children Services, which might have also artificially inflated the BIMF total score. Depression status was not evaluated in this study and it is likely that the group was a mixture of women who would have screened positive (if screened) and women who would not qualify as depressed.…”

Section: Discussionmentioning

confidence: 99%

“…15 The measure has also been linguistically validated in a medically underserved, low-income obstetric population. 21 Recently, the BIMF has been successfully implemented in (1) large, federally funded clinical trials, (2) hospital settings, (3) community-based settings, and (4) various other academic research projects. The development of a threshold signaling ''patient requires followup'' is underway in response to specific queries regarding implementation and because the BIMF was originally conceived of as both a clinical and academic research tool.…”

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confidence: 99%

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Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression

Barkin

Wisner

Bromberger

et al. 2016

Journal of Women's Health

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Background: Functional assessment may represent a valuable addition to postpartum depression screening, providing a more thorough characterization of the mother's health and quality of life. To the authors' knowledge, this analysis represents the first examination of postpartum maternal functioning, as measured by a patient-centered validated tool aimed at ascertainment of functional status explicitly, and its clinical and sociodemographic correlates. Materials and Methods: A total of 189 women recruited from a large, urban women's hospital in the northeastern United States who both (1) screened positive for depression between 4 and 6 weeks postpartum and (2) completed a subsequent home (baseline) visit between October 1, 2008, and September 4, 2009, were included in this analysis. Multiple linear regression was conducted to ascertain which clinical and sociodemographic variables were independently associated with maternal functioning. Results: The multivariate analysis revealed independent associations between bipolar status, atypical depression, depression score (17-item Hamilton Rating Scale for Depression), and insurance type with postpartum maternal functioning. The beta coefficient for bipolar status indicates that on average we would expect those with bipolar disorder to have maternal functioning scores that are 5.6 points less than those without bipolar disorder. Conclusions: Healthcare providers treating postpartum women with complicating mental health conditions should be cognizant of the potential ramifications on maternal functioning. Impaired functioning in the maternal role is likely to impact child development, although the precise nature of this relationship is yet to be elucidated.

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Use of Patient-Reported Outcome Measures to Assess Outpatient Postpartum Recovery

et al. 2021

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IMPORTANCE Outpatient postpartum recovery is an underexplored area of obstetrics. There is currently no consensus regarding which patient-reported outcome measure (PROM) clinicians and researchers should use to evaluate postpartum recovery. OBJECTIVE To evaluate PROMs of outpatient postpartum recovery using Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines. EVIDENCE REVIEW An initial literature search performed in July 2019 identified postpartum recovery PROMs and validation studies. A secondary search in July 2020 identified additional validation studies. Both searches were performed using 4 databases (Web of Science, Embase, PubMed, and CINAHL), with no date limiters. Studies with PROMs evaluating more than 3 proposed outpatient postpartum recovery domains were considered. Studies were included if they assessed any psychometric measurement property of the included PROMs in the outpatient postpartum setting. The PROMs were assessed for the following 8 psychometric measurement properties, as defined by COSMIN: content validity, structural validity, internal consistency, cross-cultural validity and measurement invariance, reliability, measurement error, hypothesis testing, and responsiveness. Psychometric measurement properties were evaluated in each included study using the COSMIN criteria by assessing (1) the quality of the methods (very good, adequate, doubtful, inadequate, or not assessed); (2) overall rating of results (sufficient, insufficient, inconsistent, or indeterminate); (3) level of evidence assessed using the Grading of Recommendations, Assessment, Development and Evaluations assessment tool; and (4) level of recommendation, which included class A

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Semantic Assessment of the Barkin Index of Maternal Functioning in a Medically Underserved Obstetric Population

Cited by 19 publications

References 27 publications

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression

Use of Patient-Reported Outcome Measures to Assess Outpatient Postpartum Recovery

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