Table 2 Midwives’ practices and comfort in undertaking psychosocial assessment
Usual Care | PIPA condition | Result | |
|---|---|---|---|
Q1. Comfort with discussing psychosocial issues with pregnant women | N = 25 | n = 27 | |
Very/somewhat comfortable | 24 (96%) | 27 (93%) | ns |
Very/somewhat uncomfortable | 1 (4%) | 2 (7%) | |
Q2. Reliance on programmed wording vs. own wording | N = 25 | n = 27 | |
Entirely/mostly rely on programmed wording | 3 (12%) | 12 (44%) | χ2 = 5.17, p = .023, φ = −.36 |
Entirely rely on own wording | 22 (88%) | 15 (56%) | |
Q3. Comfort using the questions that appear onscreen | N = 26 | n = 26 | |
Very/somewhat comfortable | 23 (89%) | 26 (100%) | ns |
Somewhat/Very uncomfortable | 3 (12%)a | 0 | |
Q4. Appropriateness of psychosocial screen at booking rather than subsequent visit | N = 26 | n = 27 | |
Very/somewhat appropriate | 23 (89%) | 27 (100%) | ns |
Somewhat/Very inappropriate | 3 (12%)a | 0 | |
Q5. Ease with which psychosocial assessment could be completed on computer | N = 26 | n = 27 | |
Very/somewhat easy | 26 (100%) | 27 (100%) | ns |
Somewhat/Very difficult | 0 | 0 | |
Q6. Clarity with which the psychosocial questions identify key psychosocial issues | N = 26 | n = 26 | |
Very/somewhat clearly | 22 (85%) | 26 (100%) | ns |
Not very clearly | 4 (15%) | 0 | |
Q7. Comfort providing feedback from psychosocial assessment to women with more complex issues (e..g DV, substance use, child protection services, serious mental health problems) | N = 26 | n = 27 | |
Very/somewhat comfortable | 22 (85%) | 22 (82%) | ns |
Somewhat/Very uncomfortable | 4 (15%) | 5 (19%)a | |
Q8. Confidence in discussing referral options for women with complex issues | N = 26 | n = 26 | |
Very/somewhat confident | 21 (81%) | 24 (92%) | ns |
Not very confident | 5 (19%) | 2 (8%) | |
Q9. How often EPDS results disussed with women in your care | |||
Total elevated score | N = 26 | N = 27 | |
Most or all of the time | 25 (96%) | 23 (85%) | ns |
Some of the time | 1 (4%) | 3 (11%) | |
Hardly ever or never | 0 | 1 (4%) | |
When score is not elevated | N = 26 | N = 27 | |
Most or all of the time | 16 (62%) | 19 (70%) | ns |
Some of the time | 9 (35%) | 6 (22%) | |
Hardly ever or never | 1 (4%)a | 2 (7%)a | |
Positive Q10 (thoughts of self harm) | N = 25 | N = 26 | |
Most or all of the time | 24 (96%) | 23 (89%) | ns |
Some of the time | 1 (4%) | 1 (4%) | |
Hardly ever or never | 0 | 2 (8%)a | |
Q10. Confidence in discussing positive responses to Q10 (thoughts of self harm) | N = 26 | N = 25 | |
Very/somewhat confident | 21 (81%) | 21 (84%) | ns |
Not very confident/Not confident at all | 5 (19%) | 4 (16%) | |
Q11. Helpfulness of onscreen action prompt/s | N = 26 | N = 26 | |
Very/somewhat helpful | 11 (42%) | 26 (100%) | χ2 = 18.36, p < .001, φ = −.64 |
Somewhat/Very unhelpful | 15 (58%) | 0 | |
Q12. How often do you follow these messages? | N = 25 | N = 26 | |
Most of the time | 8 (32%) | 18 (69%) | χ2 = 5.66, p < .017, φ = −.37 |
Some of the time/Hardly ever or never | 17 (68%) | 8 (31%) | |
Q 13. In general, does the booking in time allocation allow for adequate psychosocial assessment? | N = 26 | n = 26 | |
Yes there is more than enough time/ Yes there is usually the right amount of time | 14 (54%) | 14 (54%) | ns |
Yes but there is barely enough time/No usually there isn’t enough time | 12 (46%) | 12 (46%) | ns |
Q 14. How clinically useful do you find the Psychosocial Summary Report? | N = 24 | N = 27 | |
Very/somewhat useful | 21 (88%) | 24 (89%) | ns |
Not very useful/Not useful at all | 3 (13%)a | 3 (11%) | |
Q15. At subsequent visits, how often do you refer to the Psychosocial Summary Reports that is [generated] at booking? | N = 24 | N = 26 | |
Most of the time | 7 (29%) | 7 (27%) | ns |
Some of the time | 12 (50%) | 16 (62%) | |
Hardly ever or never | 5 (21%) | 3 (12%)a | |