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Experiences of using the Edinburgh Postnatal Depression Scale in the context of antenatal care for Aboriginal mothers: Women and midwives’ perspectives

Chan, A.W., Reid, C., Skeffington, P.ORCID: 0000-0002-4830-1131, Gorman, E. and Marriott, R.ORCID: 0000-0002-6037-2565 (2021) Experiences of using the Edinburgh Postnatal Depression Scale in the context of antenatal care for Aboriginal mothers: Women and midwives’ perspectives. Women and Birth . In Press.

Link to Published Version: https://doi.org/10.1016/j.wombi.2021.09.004
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Abstract

Problem
Routine administration of the Edinburgh Postnatal Depression Scale (EPDS) is intended to promote early detection and preventative support for those who may be at risk of perinatal depression and anxiety. The cultural suitability of the EPDS has not been validated in the Aboriginal Australian context.

Background
Marked differences in health outcomes and service access between Australian Aboriginal and non-Aboriginal women and infants continue to exist.

Aim
This study aimed to explore the cultural validity of the EPDS through understanding the experiences of Aboriginal women and midwives.

Methods
Qualitative data was drawn from semi-structured interviews/yarns with 13 Perth-based Aboriginal antenatal women and 10 non-Aboriginal midwives.

Findings
Utilising a grounded theory approach, thematic analysis of verbatim transcripts revealed that, surprisingly, women expressed generally favourable views of the EPDS, especially when the relationships between women and midwives were focused on. Midwives, however, expressed reservations about administering the EPDS and used the EPDS as a conversation-starter rather than as a standardised, standalone tool.

Discussion
In attempt to reconcile conflicting perspectives, analysis of recordings extended to evaluate micro-processes in the interviews. At the process level, it was clear that demand characteristics operated in some interviews, including socially desirable response biases, demand biases and acquiescent response styles.

Conclusion
This highlights the need for researchers and clinicians to be trained in non-leading interview questioning techniques and in yarning methodology. Researchers and clinicians should also be aware of the cognitive biases and demand characteristics that may influence responding, likely perpetuated by dominant forces of a colonised society.

Item Type: Journal Article
Murdoch Affiliation(s): Ngangk Yira Research Centre for Aboriginal Health and Social Equity
Publisher: Elsevier
Copyright: © 2021 Australian College of Midwives.
URI: http://researchrepository.murdoch.edu.au/id/eprint/62286
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