Theory-based multi-faceted interventions increase health professionals' referrals of women with mild to moderate postnatal depression (PND) for psychological treatment by 25%

Yorkshire & HumberReproductive Health and Childbirth
Published Date: 1 Jun 2012

Theory-based multi-faceted interventions increase health professionals' referrals of women with mild to moderate postnatal depression (PND) for psychological treatment by 25%

Who?

  • Health professionals who treat women with mild to moderate postnatal depression

Findings

  • NICE recommends women with mild to moderate PND be referred for psychological treatment as a first-line treatment in a ‘stepped-care’ approach, with effective treatments including health visitor listening visits and brief cognitive behavioural therapy sessions
  • Guided by theory, TRiP-LaB explored the barriers experienced by health professionals in one PCT to referring women with postnatal depression for psychological treatment.
  • A multifaceted intervention comprising an educational session, a concise summary of the evidence underpinning the recommendations, and an electronic GP referral template, all tailored to the key barriers, was developed and delivered Time series analysis of routinely collected audit data on referral decisions indicated that the tailored intervention was associated with a significant and 25% increase in referrals after the intervention compared with before, suggesting the key barriers were successfully targeted.
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