@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{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}, 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} } @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} }