@article{prevatt_lowder_desmarais_2018, title={Peer-support intervention for postpartum depression: Participant satisfaction and program effectiveness}, volume={64}, ISSN={0266-6138}, url={http://dx.doi.org/10.1016/j.midw.2018.05.009}, DOI={10.1016/j.midw.2018.05.009}, abstractNote={Postpartum mood disorders represent a serious problem affecting 10-20% of women and support groups offer a promising intervention modality. The current study examined participant satisfaction with and effectiveness of a peer-facilitated postpartum support group.The program consists of a free, peer-support group, developed to increase social support and destigmatise postpartum mood symptoms. The weekly group is co-facilitated by former group attendees and maternal health professionals.The peer-support program is offered in an urban city in the southeastern United States.To address study aims, a community-based participatory research approach was implemented. Participant satisfaction was assessed via mixed methods analyses. Differences in depression scores at follow-up between program attendees and a community sample were examined via weighted linear regression analysis following propensity score analysis. Finally, within-group change in depression scores for program attendees was examined using a repeated measures ANOVA.Intake program data were provided by the sponsoring organisation (n = 73) and follow-up data were collected via an online survey from program attendees (n = 45). A community sample was recruited to establish a comparison group (n = 152).Participant satisfaction was high with overwhelmingly positive perceptions of the program. Postparticipation depression scores were similar to those of the community sample at follow-up (p = .447). Among attendees, pre-post analyses revealed reductions in depression symptoms with significant interactions for time × complications (p ≤ .001) and time × delivery method (p ≤ .017).Overall, findings indicate this peer-support program is not only acceptable to program attendees but also they provide a potential mechanism for improving mental health outcomes; however, further evaluation is needed. Findings also emphasise the importance of integrating evaluation procedures into community-based mental health programming to support effectiveness.Peer-support groups are an acceptable form of intervention for women experiencing postpartum depression.}, journal={Midwifery}, publisher={Elsevier BV}, author={Prevatt, Betty-Shannon and Lowder, Evan M. and Desmarais, Sarah L.}, year={2018}, month={Sep}, pages={38–47} }
 @article{prevatt_desmarais_2017, title={Facilitators and Barriers to Disclosure of Postpartum Mood Disorder Symptoms to a Healthcare Provider}, volume={22}, ISSN={1092-7875 1573-6628}, url={http://dx.doi.org/10.1007/s10995-017-2361-5}, DOI={10.1007/s10995-017-2361-5}, abstractNote={Objectives This study explored perceived barriers and facilitators to disclosure of postpartum mood disorder (PPMD) symptoms to healthcare professionals among a community-based sample. Methods A sample of predominantly white, middle class, partnered, adult women from an urban area in the southeast United States (n = 211) within 3 years postpartum participated in an online survey including the Perceived Barriers to Treatment Scale, the Maternity Social Support Scale, the Depression, Anxiety and Stress Scales-21, and items querying PPMD disclosure. Perceived barriers were operationalized as factors, from the patient's perspective, that impede or reduce the likelihood of discussing her postpartum mood symptoms with a healthcare provider. Analyses examined: (1) characteristics associated with perceived barriers; (2) characteristics associated with perceived social support; and (3) characteristics, perceived barriers, and perceived social support as predictors of disclosure. Results Over half of the sample reported PPMD symptoms, but one in five did not disclose to a healthcare provider. Approximately half of women reported at least one barrier that made help-seeking "extremely difficult" or "impossible." Over one-third indicated they had less than adequate social support. Social support and stress, but not barriers, were associated with disclosure in multivariable models. Conclusions for Practice Many women experiencing clinically-significant levels of distress did not disclose their symptoms of PPMD. Beyond universal screening, efforts to promote PPMD disclosure and help-seeking should target mothers' social support networks.}, number={1}, journal={Maternal and Child Health Journal}, publisher={Springer Science and Business Media LLC}, author={Prevatt, Betty-Shannon and Desmarais, Sarah L.}, year={2017}, month={Aug}, pages={120–129} }
 @article{gruen_griffith_caney_rishniw_lascelles_2017, title={Attitudes of small animal practitioners toward participation in veterinary clinical trials}, volume={250}, ISSN={0003-1488}, url={http://dx.doi.org/10.2460/javma.250.1.86}, DOI={10.2460/javma.250.1.86}, abstractNote={Abstract
OBJECTIVE To determine attitudes of small animal practitioners toward veterinary clinical trials and variables influencing their likelihood of participating in such trials.
DESIGN Cross-sectional survey.
SAMPLE Small animal practitioners with membership in 1 of 2 online veterinary communities (n = 163 and 652).
PROCEDURES An online survey was developed for each of 2 veterinary communities, and invitations to participate were sent via email. Each survey included questions designed to collect information on the respondents’ willingness to enroll their patients in clinical trials and to recommend participation to clients for their pets.
RESULTS More than 80% of respondents to each survey indicated that they spend no time in clinical research. A high proportion of respondents were likely or extremely likely to recommend clinical trial participation to clients for their pets when those trials involved treatments licensed in other countries, novel treatments, respected investigators, or sponsoring by academic institutions, among other reasons. Reasons for not recommending participation included distance, time restrictions, and lack of awareness of ongoing clinical trials; 28% of respondents indicated that they did not usually learn about such clinical trials. Most respondents (79% to 92%) rated their recommendation of a trial as important to their client's willingness to participate.
CONCLUSIONS AND CLINICAL RELEVANCE Participation in veterinary clinical trials by small animal practitioners and their clients and patients appeared low. Efforts should be increased to raise practitioner awareness of clinical trials for which patients might qualify. Specific elements of trial design were identified that could be modified to increase participation.}, number={1}, journal={Journal of the American Veterinary Medical Association}, publisher={American Veterinary Medical Association (AVMA)}, author={Gruen, Margaret E. and Griffith, Emily H. and Caney, Sarah M. A. and Rishniw, Mark and Lascelles, B. Duncan X.}, year={2017}, month={Jan}, pages={86–97} }