The role of clinician assistants in addressing perinatal depression.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2022-09-01 Epub Date: 2021-09-17 DOI:10.1080/0167482X.2021.1975676
Katherine M Cooper, Grace A Masters, Tiffany A Moore Simas, Nancy Byatt
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Abstract

Background: Upwards of one in seven individuals experience perinatal depression and many individuals cannot access treatment. In response, perinatal depression is increasingly being managed in the obstetric setting. This study aimed to characterize the experiences of clinicians and clinician assistants to inform the extent to which clinician assistants can help address depression in obstetric settings.

Methods: This cross-sectional analysis used data from an ongoing cluster randomized control trial: The PRogram In Support of Moms (PRISM). Participants included clinicians (physicians, certified nurse midwives, nurse practitioners) and clinician assistants (medical assistants, nursing assistants). Baseline data regarding practices and attitudes of clinicians and clinician assistants toward addressing depression in the obstetric setting were described. Logistic regressions were used to examine the association of clinician time to complete work and depression management.

Results: Clinician assistants experienced significantly fewer time constraints than did clinicians. However, having adequate time to complete work was not significantly associated with increased depression management in clinicians. Clinician assistants reported feeling that addressing depression is an important part of their job, despite variation in doing so.

Conclusion: Clinician assistants are interacting with perinatal women extensively and are a vital part of obstetric care workflows. Clinician assistants report that they want to address depression and have time to do so. Thus, clinician assistants may be poised to help address the mental health needs of perinatal individuals.

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临床助理在应对围产期抑郁症中的作用。
背景:多达七分之一的人患有围产期抑郁症,但许多人无法获得治疗。为此,越来越多的围产期抑郁症患者在产科接受治疗。本研究旨在了解临床医生和临床医生助理的经历,从而了解临床医生助理在多大程度上可以帮助产科环境中的抑郁症患者:这项横断面分析使用了一项正在进行的群组随机对照试验的数据:该横断面分析使用了正在进行的群组随机对照试验的数据:支持母亲的 PRogram(PRISM)。参与者包括临床医生(医生、注册助产士、执业护士)和临床助理(医疗助理、护理助理)。研究描述了临床医生和临床医生助理在产科环境中应对抑郁症的做法和态度的基线数据。采用逻辑回归法研究了临床医生完成工作的时间与抑郁管理之间的关联:结果:临床医生助理受到的时间限制明显少于临床医生。然而,有充足的时间完成工作与临床医生抑郁管理的增加并无明显关联。临床医生助理表示,尽管在处理抑郁症方面存在差异,但他们认为处理抑郁症是其工作的重要组成部分:临床医生助理与围产期妇女有广泛的互动,是产科护理工作流程的重要组成部分。临床助理表示,他们希望解决抑郁问题,并且有时间这样做。因此,临床助理可以帮助满足围产期妇女的心理健康需求。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
期刊介绍: ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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