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Creating the Capacity to Screen Deaf Women for Perinatal Depression: A Pilot Study.

Authors
  • Anderson, Melissa L1
  • Wolf Craig, Kelly S2
  • Hostovsky, Sheri2
  • Bligh, Maureen2
  • Bramande, Emily3
  • Walker, Kristin2
  • Biebel, Kathleen4
  • Byatt, Nancy2
  • 1 Implementation Science & Practice Advances Research Center (iSPARC), Department of Psychiatry, University of Massachusetts Medical School, 222 Maple Avenue, Chang Building, Shrewsbury, MA 01545, USA. Electronic address: [email protected]
  • 2 Implementation Science & Practice Advances Research Center (iSPARC), Department of Psychiatry, University of Massachusetts Medical School, 222 Maple Avenue, Chang Building, Shrewsbury, MA 01545, USA.
  • 3 Implementation Science & Practice Advances Research Center (iSPARC), Department of Psychiatry, University of Massachusetts Medical School, 222 Maple Avenue, Chang Building, Shrewsbury, MA 01545, USA; Department of Psychology, Gallaudet University, 800 Florida Avenue, NE, Washington, DC 20002, USA.
  • 4 Implementation Science & Practice Advances Research Center (iSPARC), Department of Psychiatry, University of Massachusetts Medical School, 222 Maple Avenue, Chang Building, Shrewsbury, MA 01545, USA; Massachusetts Rehabilitation Commission, 600 Washington St, Boston, MA 02111, USA.
Type
Published Article
Journal
Midwifery
Publication Date
Jan 01, 2021
Volume
92
Pages
102867–102867
Identifiers
DOI: 10.1016/j.midw.2020.102867
PMID: 33166783
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Compared to hearing women, Deaf female sign language users receive sub-optimal maternal health care and report more dissatisfaction with their prenatal care experiences. As healthcare providers begin to regularly screen for perinatal depression, validated screening tools are not accessible to Deaf women due to severe disparities in English literacy and health literacy. We conducted a one-year, community-engaged pilot study to create an initial American Sign Language (ASL) translation of the Edinburgh Postnatal Depression Scale (EPDS); conduct videophone screening interviews with Deaf perinatal women from across the United States; and perform preliminary statistical analyses of the resulting pilot data. We enrolled 36 Deaf perinatal women between 5 weeks gestation up to one year postpartum. Results supported the internal consistency of the full ASL EPDS, but did not provide evidence of internal consistency for the anxiety or depression subscales when presented in our ASL format. Participants reported a mean total score of 5.6 out of 30 points on the ASL EPDS (SD = 4.2). Thirty-one percent of participants reported scores in the mild depression range, six percent in the moderate range, and none in the severe range. Limitations included small sample size, a restricted range of depression scores, non-normality of our distribution, and lack of a fully-standardized ASL EPDS administration due to our interview approach. Informed by study strengths, limitations, and lessons learned, future efforts will include a larger, more robust psychometric study to inform the development of a Computer-Assisted Self-Interviewing version of the ASL EPDS with automated scoring functions that hearing, non-signing medical providers can use to screen Deaf women for perinatal depression. Copyright © 2020. Published by Elsevier Ltd.

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