Evidence map›Paper›PMID 28738855›Full record

SynthesisBMC pregnancy and childbirth2017

Approaches to health-care provider education and professional development in perinatal depression: a systematic review.

Laura E Legere, Katherine Wallace, Angela Bowen, Karen McQueen, Phyllis Montgomery, Marilyn Evans

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Management of depression during the perinatal period: state of the evidence.International journal of mental health systems · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Laura E LegereRegistered Nurses' Association of Ontario (RNAO), 158 Pearl Street, Toronto, ON, M5H 1L3, Canada. llegere@rnao.ca.
Katherine WallaceRegistered Nurses' Association of Ontario (RNAO), 158 Pearl Street, Toronto, ON, M5H 1L3, Canada.
Angela BowenUniversity of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
Karen McQueenLakehead University, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada.
Phyllis MontgomeryLaurentian University, 935 Ramsey Lake Road, Sudbury, ON, P3E 2C6, Canada.
Marilyn EvansUniversity of Western Ontario, 1151 Richmond Street, London, ON, N6A 3K7, Canada.
Registered Nurses' Association of Ontario · CALakehead University · CALaurentian University · CAUniversity of Saskatchewan · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerinatal depression is the most common mental illness experienced by pregnant and postpartum women, yet it is often under-detected and under-treated. Some researchers suggest this may be partly influenced by a lack of education and professional development on perinatal depression among health-care providers, which can negatively affect care and contribute to stigmatization of women experiencing altered mood. Therefore, the aim of this systematic review is to provide a synthesis of educational and professional development needs and strategies for health-care providers in perinatal depression.

methodsA systematic search of the literature was conducted in seven academic health databases using selected keywords. The search was limited to primary studies and reviews published in English between January 2006 and May/June 2015, with a focus on perinatal depression education and professional development for health-care providers. Studies were screened for inclusion by two reviewers and tie-broken by a third. Studies that met inclusion criteria were quality appraised and data extracted. Results from the studies are reported through narrative synthesis.

resultsTwo thousand one hundred five studies were returned from the search, with 1790 remaining after duplicate removal. Ultimately, 12 studies of moderate and weak quality met inclusion criteria. The studies encompassed quantitative (n = 11) and qualitative (n = 1) designs, none of which were reviews, and addressed educational needs identified by health-care providers (n = 5) and strategies for professional development in perinatal mental health (n = 7). Consistently, providers identified a lack of formal education in perinatal mental health and the need for further professional development. Although the professional development interventions were diverse, the majority focused on promoting identification of perinatal depression and demonstrated modest effectiveness in improving various outcomes.

conclusionsThis systematic review reveals a lack of strong research in multi-disciplinary, sector, site, and modal approaches to education and professional development for providers to identify and care for women at risk for, or experiencing, depression. To ensure optimal health outcomes, further research comparing diverse educational and professional development approaches is needed to identify the most effective strategies and consistently meet the needs of health-care providers.

trial registrationA protocol for this systematic review was registered on PROSPERO (Protocol number: CRD42015023701 ), June 21, 2015.

Indexed as

DepressionPerinatal CareFemaleHealth PersonnelHumansMental HealthNeeds AssessmentPregnancyPregnancy ComplicationsAntenatalDepressionEducationHealth-care providerPerinatalPostpartumPregnancy

Identifiers

PMID28738855
PMCPMC5525243
OpenAlexW2736845113

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.