Table 2.
Measures of secondary process outcomes.
| Secondary process outcomes | Baseline | 6-8 weeks | 3 months postpartum | ||
| Phase 1: quasi-experimental study |
|
|
|
||
|
|
Cost-effectiveness |
|
|
|
|
|
|
|
Women’s health service use, medication use (self-report and medical record) | X | X | X |
|
|
|
Women’s quality of life (For economic analysis-SF-12,SF-6D to calculate QALY) | X | X | X |
|
|
|
Costs related to hospital-based implementation (eg, computer access; time to manage referrals) |
|
|
X |
|
|
Efficiency of intervention (% of women with psychosocial assessment, referral, and care; self-report and medical record) | X | X | X | |
|
|
Utility of intervention (1 question asked at the end of each CBT exercise: “This exercise was useful to me” with 4 response options of I strongly agree, I somewhat agree, I somewhat disagree, I strongly disagree; 1 question asked at the end of each CBT module: “The information in this module was useful to me” with same response options) | X | X |
|
|
|
|
Usability of intervention (1 question asked at the end of each CBT exercise: “This exercise was clear and easy to understand” with response options; 2 questions asked at the end of each module: “The information in this module was clear and easy to understand” and “It was easy to work through the module [for example, it was easy for me to get from 1 part to the other, easy to find what I needed]” with same response options) | X | X |
|
|
|
|
Acceptability |
|
|
|
|
|
|
|
Web-based psychosocial assessment (1 question at end of completing ANRQ-R: “I would recommend a Web-based approach to asking about emotional health to a pregnant friend” with 4 response options of I strongly agree, I somewhat agree, I somewhat disagree, I strongly disagree) | X |
|
|
|
|
|
CBT (1 question at end of each CBT module: “I would recommend this module to a pregnant friend who was struggling with stress, depression, or anxiety” with 4 response options of I strongly agree, I somewhat agree, I somewhat disagree, I strongly disagree) | X | X |
|
|
|
Overall assessment (2 open-ended questions at the end of every CBT module: “The thing I liked most about this module was...” and “The thing I liked least about this module was...”) | X | X |
|
|
| Phase 2: qualitative descriptive study |
|
|
|
||
|
|
Efficiency (providers’ views of the efficiency of the intervention in facilitating referrals and care; women’s views on access to timely care) |
|
|
X | |
|
|
Utility (providers’ views on the usefulness of the intervention in promoting mental health assessment, providing guidance on referral/treatment; aiding referral process; women’s views of how useful the modules were in meeting their needs) |
|
|
X | |
|
|
Usability (women’s views of how easy/difficult the modules were to navigate) |
|
|
X | |
|
|
Feasibility (providers’ views of feasibility of the integrated intervention in their setting; women’s views of the feasibility of doing the modules; Google Analytics such as % women accessing CBT within 2 weeks postassessment; % women accessing each CBT module within 1-2 weeks; % completion of all 6 CBT modules; % completion of CBT modules within 8 weeks) |
|
|
X | |
|
|
Acceptability (providers’ views; women’s views) |
|
|
X | |