Evaluation of a pilot online education program to develop midwives’ knowledge, skill and confidence in perinatal mental health in rural South Australia

McKellar, Lois; Martinez, Lee; De Sousa Machado, Tiffany; Eden, Amye; Stoodley, Cathy; Adelson, Pam

Abstract

One in five women will experience perinatal anxiety and/or depression. In South Australia, a rural health service identified a high proportion of women with risk of perinatal mental health challenges and sought additional education for midwives. In response, a six-week facilitated, online perinatal mental health education program (e-PMHEP) was piloted.
Aim
The aim of this study was to evaluate the effectiveness of the (e-PMHEP) for rural midwives, nurses and Aboriginal maternal infant care practitioners.

Method
Program evaluation incorporated a validated online pre/post survey to assess self-reported knowledge, skill and confidence regarding perinatal mental healthcare. Additional questions sought feedback on satisfaction and feasibility.

Findings
Sixteen participants from rural South Australia engaged in the project from June to August 2022. Twelve participants completed the online pre/post survey. The overall pre/post knowledge scores were statistically significant (t=2.73, 8df, p=0.025) with improvement from the pre to post-test. Pre/post data also showed a measurable increase in confidence and skills. All respondents agreed that the content addressed their learning needs and would recommend this program to other practitioners.

Discussion
The e-PMHEP appeared beneficial in developing knowledge, skills and confidence regarding perinatal mental healthcare in rural midwives and practitioners. Only a third of practitioners routinely developed a mental health care plan with women. Key strengths of the program included the accessible content, and the combination of an experienced mental health clinician and a facilitator with lived experience.

Conclusion
Providing an accessible, facilitated online perinatal mental health education program could be beneficial for rural midwives.

Citation

McKellar, L., Martinez, L., De Sousa Machado, T., Eden, A., Stoodley, C., & Adelson, P. (2024). Evaluation of a pilot online education program to develop midwives’ knowledge, skill and confidence in perinatal mental health in rural South Australia. Women and Birth, 37(2), 355-361. https://doi.org/10.1016/j.wombi.2023.11.005

• Journal Article Type: Article
• Acceptance Date: Nov 23, 2023
• Online Publication Date: Mar 1, 2024
• Publication Date: 2024-03
• Deposit Date: Jan 5, 2024
• Publicly Available Date: Jan 5, 2024
• Print ISSN: 1871-5192
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 37
• Issue: 2
• Pages: 355-361
• DOI: https://doi.org/10.1016/j.wombi.2023.11.005
• Keywords: Rural /regional, Midwife, Perinatal mental health, Education
• Public URL: http://researchrepository.napier.ac.uk/Output/3423460