The hawthorne effect and maternal depression care
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The Hawthorne Effect and Maternal Depression Care. Research Advisors: Jim Coyne, PhD Ian Bennett , MD, PhD Steve Marcus, PhD John Paul Julien University of Pennsylvania jjulien89@gmail.com. Background. A brief overview.

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The hawthorne effect and maternal depression care

The Hawthorne Effect and Maternal Depression Care

Research Advisors: Jim Coyne, PhD

Ian Bennett, MD, PhD

Steve Marcus, PhD

John Paul Julien

University of Pennsylvania

jjulien89@gmail.com


Background
Background

A brief overview


Major depressive disorder

Major Depressive Disorder


Hawthorne effect

Hawthorne Effect


Pace pregnancy and changing emotions study

5R01MH081916-02 grant (P.I. James Coyne)

  • Identify influences on access and barriers to care of major depressive disorder (MDD) for pregnant and postpartum women

  • Mixed methods observational study

  • Assess how social and institutional factors affect detection and treatment of maternal MDD

Pace (Pregnancy and Changing Emotions) Study


Timeline of pace study

Start of PACE Study

End of PACE Study

Jan 2009- March 2009

Jan 2010 – March 2010

July 2009

May 2013

Baseline maternal MDD rate

Comparison maternal MDD depression rate

Timeline of PACE Study



Goals

Goals


Initial work
Initial Work detection and treatment of MDD in POGA practice


Initial work1

  • Obtaining Data

    • Delivery Log abstraction

    • Construct chart abstraction form

    • Electronic medical record training

    • Depression detection rate spreadsheet

  • Writing projects

    • Introduction to Hawthorne paper

    • Methods section of Hawthorne paper

  • Initial work


    Methods
    Methods detection and treatment of MDD in POGA practice


    Methods1

    Methods


    Work in progress

    Work in Progress


    Reflections
    Reflections logs

    A look back


    Special thanks

    • Jim Coyne, PhD logs

    • Ian Bennett, MD, PhD

    • Steve Marcus, PhD

    • Jessica Rinaldi

    • Laura Hanisch, PhD

    • Steve Palmer, PhD

    Special Thanks


    References

    • Halbreich U. Prevalence of mood symptoms and depressions during pregnancy: implications for clinical practice and research. CNS Spectr. 2004;9(3):177-184

    • Kupfer DJ, Frank E, Perel JM, et al. Five-year outcome for maintenance therapies in recurrent depression. Arch Gen Psychiatry. 1992;49(10):769-773

    • Anita H. Clayton, MD. Considerations in Women’s Mental Health: Depression During Pregnancy. Primary Psychiatry. 2004;11(7):17-18

    • Amici et al, “Impact of the Hawthorne Effect in a Longitudinal Clinical Study: The Case of Anesthesia,” Controlled Clinical Trials 2000; 21: 103-114.

    • Rob McCarney, James Warner, Steve Iliffe, Robbert van Haselen, Mark Griffin Peter Fisher, “The Hawthorne Effect: a randomised, controlled trial,” BMC Medical Research Methodology 2007; 7: 30

    • PH Feil, JS Grauer, CC Gadbury-Amyot, K Kula, MD McCunniff, “Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients,” Journal of Dental Education 2002; 66: 1129-1135.

    • Rita Mangione-Smith, Marc N Elliott, Laurie McDonald, Elizabeth A McGlynn, “An Observational Study of Antibiotic Prescribing Behavior and the Hawthorne Effect,” Health Services Research 2002;37,6: 1603–1623.

    References