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Translating Research to Prevent Antepartum Depression in a Local Health Department Prenatal Clinic: A Model Approach

Jesse, D. Elizabeth PhD, CNM; Morrow, John MD, MPH; Herring, Deborah RN; Dennis, Tonya MSW; Laster, Brandi M.

Journal of Public Health Management and Practice: March-April 2009 - Volume 15 - Issue 2 - p 160–166
doi: 10.1097/01.PHH.0000346014.82145.f5
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This article reports how academic clinical researchers collaborated with administrators, nurses, and social workers in a local health department prenatal clinic to create an evidence-based model approach to prevent antepartum depression. The following steps, adapted from Haynes and Haines, guided this model approach: (1) networking to create partnerships for evidence-based practice, (2) generating the evidence, (3) synthesizing the evidence, (4) creating evidence-based clinical guidelines for best practice, (5) implementing guidelines based on the evidence, (6) evaluating and disseminating the plan, (7) shaping healthcare programming and policy, and (8) collaborating to develop further practice-based research in communities. Academic researchers in other health fields can use these steps to implement their findings in a local health department or community health setting. Furthermore, research is needed to determine the most effective screening questions and interventions to prevent antepartum depression, but the approach described here may be a helpful model for initiating screening and interventions for these women.

This article describes how academic clinical researchers collaborated with administrators, nurses, and social workers in a local health department prenatal clinic to create an evidence-based model approach to prevent antepartum depression.

D. Elizabeth Jesse, PhD, CNM, is an Associate Professor and Certified Nurse-Midwife, East Carolina University, Greenville, North Carolina.

John Morrow, MD, MPH, is the Health Director, Pitt County Health Department 201 Government Circle, Greenville, North Carolina.

Deborah Herring, RN, was the Personal Health Director, Pitt County Health Department, Greenville, North Carolina.

Tonya Dennis, MSW, is the Social Work Supervisor, Pitt County Health Department, Greenville, North Carolina.

Brandi M. Laster, recently finished a master's degree in Public Health from the East Carolina University, Greenville, North Carolina. During the duration of this study, she worked with the principal investigator as a graduate research assistant on the Insight-Plus pilot study.

Corresponding Author: D. Elizabeth Jesse, PhD, RN, CNM, East Carolina University, 3160 Health Sciences, College of Nursing, Greenville, NC 27858 (jessed@ecu.edu).

This model case project evolved from a study that received funding from research grant No. 12-FY03-129 from the March of Dimes Research Foundation. We thank Elizabeth Tornquist for editorial support and critique of this manuscript.

© 2009 Lippincott Williams & Wilkins, Inc.