Development of the Practice Readiness to Evaluate and address Perinatal Depression (PREPD) assessment
Department of Psychiatry; Department of Obstetrics and Gynecology; Department of Population and Quantitative Health Sciences; Graduate School of Biomedical Sciences, Clinical and Population Health Research Program; Graduate School of Biomedical Sciences, MD/PhD Program; Implementation Science and Practice Advances Research Center (iSPARC)
Health Services Administration | Maternal and Child Health | Obstetrics and Gynecology | Psychiatry | Psychiatry and Psychology | Translational Medical Research | Women's Health
OBJECTIVE: Perinatal depression is a common pregnancy complication and universal screening is recommended. The Practice Readiness to Evaluate and address Perinatal Depression (PREPD) was developed to measure obstetric practice readiness to integrate depression care into workflows. Objectives were to describe: (1) the PREPD; (2) associated characteristics by readiness level; and (3) use of the assessment to measure change.
METHOD: The PREPD has four components, each scored to a 16-point maximum: (1) Environmental Scan (10% of PREPD); (2) Depression Detection, Assessment, and Treatment Questionnaire (30%); (3) Depression-related Policies Questionnaire (10%); and (4) Chart Abstraction (50%). Components were weighted and summed for an overall score. Summary and component scores were calculated by patient, practice, and provider.
RESULTS: Average overall PREPD score was 7.3/16 (range: 4.8-9.9); scores varied between practices. The Environmental Scan averaged 2.0/16 (range: 0-5.2); Detection, Assessment, and Treatment averaged 8.3/16 (range: 3.0-11.5); Chart Abstraction averaged 7.2/16 (range: 5.1-9.6); and Depression-related Policies averaged 10.4/16 (range: 7.5-15).
CONCLUSION: We found wide variation in obstetric practices' readiness to implement interventions for depression; most were minimally prepared. These data may be used to tailor practice intervention goals and as benchmarks with which to measure changes in integration of depression care over time.
Bipolar disorder, Depression, Perinatal depression, Perinatal mental health, Practice readiness, Quality improvement, UMCCTS funding
DOI of Published Version
Masters GA, Brenckle L, Sankaran P, Moore Simas TA, Person SD, Allison J, Ziedonis D, Ko J, Robbins C, Byatt N. Development of the Practice Readiness to Evaluate and address Perinatal Depression (PREPD) assessment. Psychiatry Res. 2021 Aug;302:114032. doi: 10.1016/j.psychres.2021.114032. Epub 2021 May 29. PMID: 34111739; PMCID: PMC8277728. Link to article on publisher's site
Masters GA, Brenckle L, Sankaran P, Moore Simas T, Person SD, Allison JJ, Ziedonis D, Ko J, Robbins C, Byatt N. (2021). Development of the Practice Readiness to Evaluate and address Perinatal Depression (PREPD) assessment. UMass Center for Clinical and Translational Science Supported Publications. https://doi.org/10.1016/j.psychres.2021.114032. Retrieved from https://escholarship.umassmed.edu/umccts_pubs/245