Colin R. Martin
The development and initial validation of the Perinatal Mental Health Awareness scale in student midwives
Martin, Colin R.; Jomeen, Julie; Jarrett, Patricia
Background & aim: Perinatal mental health problems have been demonstrated to impact upon maternal, and fetal/child outcomes. Despite the global evidence and a policy-driven responsibility for identification of these problems, research demonstrates that student midwives/midwives lack knowledge and confidence to assess, identify, and manage them. A similar context is evident for learning disabilities, despite the holistic care philosophy of midwifery. A brief assessment tool to identify knowledge and confidence defecits and strengths within a holistic care framework could support curriculum development. This study sought to develop a Perinatal Mental Health Awareness scale and evaluate its psychometric properties in student midwives.
Methods: We employed a cross-sectional and exploratory instrument development and evaluation design to determine the measurement veracity of the new scale.
Results: The scale demonstrated good psychometric properties, revealing three subscales mapping onto (i) mental health symptoms, (ii) physical/medical issues and (iii) learning disability. Results indicated a clear differentiation in scores across the subscales, indicating comparative deficits in mental health domains.
Conclusion: Our findings facilitate confidence in the psychometric robustness of the measure. The scale enables student midwives to assess and compare different domains of midwifery practice, in line with a holistic model of midwifery care. A focus on physical health in midwifery education appears to disadvantage knowledge and confidence for managing mental health problems in a midwifery context. This valuable finding highlights the potential need for curriculum rebalancing. The measure offers the opportunity to assess and develop curriculum/training provision and monitor the effectiveness of subsequent curricular developments.
Martin, C. R., Jomeen, J., & Jarrett, P. (2017). The development and initial validation of the Perinatal Mental Health Awareness scale in student midwives. Journal of midwifery and reproductive health, 5(4), 1021-1031. https://doi.org/10.22038/JMRH.2017.9251
|Acceptance Date||May 5, 2017|
|Deposit Date||Nov 14, 2017|
|Publicly Available Date||Nov 30, 2017|
|Journal||Journal of midwifery and reproductive health|
|Publisher||Mashhad University of Medical Sciences|
|Peer Reviewed||Peer Reviewed|
|Keywords||Assessment; Curriculum; Holisitic; Learning disability; Perinatal mental health; Psychometric|