Journal article
Validity and acceptability of Kimberley mum’s mood scale to screen for perinatal anxiety and depression in remote Aboriginal health care settings
PLoS ONE, Vol.12(1)
2017
Abstract
Background
The Edinburgh Postnatal Depression Scale (EPDS) is widely recommended for perinatal anxiety and depression screening. However, many Aboriginal women find EPDS language complex and confusing, and providers find using it with Aboriginal women challenging. The two part Kimberley Mum’s Mood Scale (KMMS) was developed to improve screening: Part 1 is a Kimberley version of EPDS; Part 2 is a psychosocial tool that enables contextualisation of Part 1 scores. We aimed to determine if KMMS is a valid and acceptable method of identifying Kimberley Aboriginal perinatal women at risk of anxiety or depressive disorders compared to a semi-structured clinical interview.
Methods
Across 15 sites in the Kimberley, Western Australia, 97 Aboriginal women aged 16 years and older who intended to continue with their pregnancy or had a baby within the previous 12 months were administered the KMMS by trained healthcare providers who provided an overall assessment of no, low, moderate or high risk; 91 participants were then independently assessed by a blinded clinical expert using Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria. A qualitative approach was used to determine KMMS’ acceptability.
Results
Part 1 had high internal consistency (Cronbach’s alpha, 0.89), and overall KMMS risk equivalence for screening for anxiety or depressive disorders was moderate (sensitivity, 83%; specificity, 87%; positive predictive value, 68%). Participants found the process easy and useful, and healthcare providers found KMMS more useful than EPDS. Part 2 allowed healthcare providers to ask questions that gave participants an opportunity to express themselves, resulting in a deeper understanding between them.
Conclusion
KMMS is an effective tool for identifying Kimberley Aboriginal perinatal women at risk of anxiety and depressive disorders. Adoption of KMMS with culturally safe training and support is likely to improve screening processes, and with further validation may have broader applicability across remote Australia.
Details
- Title
- Validity and acceptability of Kimberley mum’s mood scale to screen for perinatal anxiety and depression in remote Aboriginal health care settings
- Authors/Creators
- J.V. Marley (Author/Creator) - The University of Western AustraliaJ. Kotz (Author/Creator) - Murdoch UniversityC. Engelke (Author/Creator) - Kimberley Aboriginal Medical ServicesM. Williams (Author/Creator) - WA Country Health ServiceD. Stephen (Author/Creator) - Kimberley Aboriginal Medical ServicesS. Coutinho (Author/Creator) - Environs KimberleyS.K. Trust (Author/Creator) - Kimberley Aboriginal Medical Services
- Publication Details
- PLoS ONE, Vol.12(1)
- Publisher
- Public Library of Science
- Identifiers
- 991005545000107891
- Copyright
- © 2017 Marley et al.
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.1072 Perinatal Mental Health
- Web Of Science research areas
- Psychiatry
- ESI research areas
- Psychiatry/Psychology