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Strengthen the Evidence for Maternal and Child Health Programs

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Evidence Tools
MCHbest. Postpartum Mental Health Screening.

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Strategy. Tailored Approaches

Approach. Support the development of tailored educational materials for new parents about postpartum depression and anxiety screening.

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Overview. Educational materials that are tailored to parents’ norms, beliefs, values, language, and literacy skills have been shown to increase screening rates of postpartum depression and anxiety.[1] Educational materials can include information on identifying postpartum depression and anxiety symptoms, as well as the impact that postpartum depression and anxiety can have on infants and their development. Tailored educational materials distributed in conjunction with standardized screening tools during pediatric well-visits have shown to be effective in improving health outcomes.[1]

Evidence. Emerging Evidence. Strategies with this rating typically trend positive and have good potential to work. They often have a growing body of recent, but limited research that documents effects. However, further study is needed to confirm effects, determine which types of health behaviors and conditions these interventions address, and gauge effectiveness across different population groups. (Clarifying Note: The WWFH database calls this "mixed evidence").

Access the peer-reviewed evidence through the MCH Digital Library or related evidence source. (Read more about understanding evidence ratings).

Source. Peer-Reviewed Literature

Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):

  • Mental Health. This strategy promotes emotional, psychological, and social well-being of individuals and communities.
  • Patient Experience of Care. This study improves individuals' perceptions, feelings, and satisfaction with the healthcare services they receive.
  • Utilization. This strategy improves the extent to which individuals and communities use available healthcare services.

Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.

Intervention Type. Health Teaching (Education and Promotion) (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).

Intervention Level.

Examples from the Field. There are currently no ESMs that use this strategy. As Title V agencies begin to incorporate this strategy into ESMs, examples will be available here. Until then, you can search for ESMs that have similar intervention components in the ESM database.

Sample ESMs. Here are sample ESMs to use as models for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies).

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

PROCESS MEASURES:

  • Number of community partners engaged in the development of tailored postpartum mental health education materials. (Measures the breadth of partner involvement)
  • Number of educational resources that incorporate relevant images, stories, and examples to convey postpartum mental health information. (Assesses the resonance of the materials)

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

PROCESS MEASURES:

  • Percent of community partners engaged in the development of tailored postpartum mental health education materials. (Measures the breadth of partner involvement)
  • Percent of educational resources that incorporate relevant images, stories, and examples to convey postpartum mental health information. (Assesses the resonance of the materials)

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

PROCESS MEASURES:

  • Number of community health workers and peer support specialists trained to deliver postpartum mental health education who report and increase in knowledge and/or skill. (Measures efforts to build community-based workforce capacity)
  • Number of cross-sector partnerships led by Title V mobilized to support the dissemination and utilization of the postpartum mental health education materials who report high levels of engagement with educational material distributed. (Measures the breadth of partners engaged in promoting the resources)

OUTCOME MEASURES:

  • Number of new parents from who access postpartum depression and anxiety screening as a result of the tailored education materials. (Shows the behavioral impact of resources)
  • Number of healthcare systems and community organizations that demonstrate sustained use of the postpartum mental health education materials. (Measures the long-term adoption and integration of the resources)

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

PROCESS MEASURES:

  • Percent of community health workers and peer support specialists trained to deliver postpartum mental health education who report and increase in knowledge and/or skill. (Measures efforts to build community-based workforce capacity)
  • Percent of cross-sector partnerships led by Title V mobilized to support the dissemination and utilization of the postpartum mental health education materials who report high levels of engagement with educational material distributed. (Measures the breadth of partners engaged in promoting the resources)

OUTCOME MEASURES:

  • Percent of new parents from who access postpartum depression and anxiety screening as a result of the tailored education materials. (Shows the behavioral impact of resources)
  • Percent of healthcare systems and community organizations that demonstrate sustained use of the postpartum mental health education materials. (Measures the long-term adoption and integration of the resources)

Note. When looking at your ESMs, SPMs, or other strategies:

  1. Move from measuring quantity to quality.
  2. Move from measuring effort to effect.
  3. Quadrant 1 strategies should be used sparingly, when no other data exists.
  4. The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.

References

[1] Cohen, M., Stephens, C. T. D., Zaheer, A., Instone, S., & Macauley, K. A. (2022). Multilingual postpartum depression screening in pediatric community health clinics. Journal of Pediatric Health Care, 36(2), 115-123.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.