IDentify, Educate and Alert (IDEA) trial: an intervention to reduce postnatal depression Volume 110 Issue 9, Pages 842 - 846 Published Online: 22 Dec 2003

Webster, Joan, Linnane, John, Roberts, Janice, Starrenburg, Susan, Hinson, Janis and Didley, Linda (2003) IDentify, Educate and Alert (IDEA) trial: an intervention to reduce postnatal depression Volume 110 Issue 9, Pages 842 - 846 Published Online: 22 Dec 2003. British journal of obstetrics and gynaecology, 110 9: 842-846. doi:10.1111/j.1471-0528.2003.02377.x


Author Webster, Joan
Linnane, John
Roberts, Janice
Starrenburg, Susan
Hinson, Janis
Didley, Linda
Title IDentify, Educate and Alert (IDEA) trial: an intervention to reduce postnatal depression Volume 110 Issue 9, Pages 842 - 846 Published Online: 22 Dec 2003
Journal name British journal of obstetrics and gynaecology   Check publisher's open access policy
ISSN 0306-5456
Publication date 2003-12-23
Sub-type Article (original research)
DOI 10.1111/j.1471-0528.2003.02377.x
Volume 110
Issue 9
Start page 842
End page 846
Total pages 5
Place of publication London
Publisher Elsevier
Language eng
Subject 1110 Nursing
Abstract Objective To test the effectiveness of a prenatal intervention in reducing the incidence of postnatal depression. Design A randomized controlled trial. Setting A large metropolitan obstetric hospital. Population or sample Pregnant women with risk factors for postnatal depression. Methods Women attending their first prenatal visit at the Royal Women's Hospital, Brisbane, were screened for risk factors for postnatal depression (IDentify). Positively screened women were randomly allocated to the intervention group or the control group. The intervention consisted of a booklet about postnatal depression, which included contact numbers; prenatal screening using the Edinburgh Postnatal Depression Scale; a discussion with the woman about her risk of developing postnatal depression (Educate); and a letter to the woman's referring general practitioner and local Child Health Nurse, alerting them of the woman's risk for postnatal depression (Alert). Main outcome measure Edinburgh Postnatal Depression Scale Score> 12 at 16 weeks postpartum. Results Of the 509 women who were sent a follow up questionnaire, 371 (72.9%) responded. The proportion of women who reported an Edinburgh Postnatal Depression Scale score of>12 was 26%. There were no significant differences between intervention (46/192, 24%) and control groups (50/177, 28.2%) on this primary outcome measure (OR 0.80; 95% CI 0.50–1.28). Conclusion Over one-quarter of women with risk factors will develop postnatal depression. It is a treatable disorder but under-diagnosis is common. Efforts to reduce postnatal depression by implementing interventions in the prenatal period have been unsuccessful.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 29 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 30 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 16 Jan 2009, 13:23:02 EST by Judy Dingwall on behalf of School of Nursing, Midwifery and Social Work