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Table 1 Description of the assessment instruments

From: Delivering the Thinking Healthy Programme as a universal group intervention integrated into routine antenatal care: a randomized-controlled pilot study

 

Point of application

Number of items

Scoring range

Scoring

Explanation

EPDS [29,30,31]

At baseline and 4-6 weeks post-intervention

10

0-30

> 12 considered as cut-off

Developed for detection of symptoms of psychosocial distress during pregnancy and in the postnatal period

GAD-7 [34, 35]

At baseline and 4-6 weeks post-intervention

7

0-21

> 8 considered as cut-off, scores of 0-4, 5-9, 10-14 and 15-21 represents minimal, mild, moderate and severe anxiety respectively

Instrument that measures generalized anxiety disorder

PHQ-9 [32, 33]

At baseline and 4-6 weeks post-intervention

10

0-27

A score of 10 or above indicates major depression, and scores of 1-4, 5-9, 10-14, 15-19 and 20-27 represents minimal, mild, moderate, moderately severe, and severe depression respectively

The instrument can help to diagnose depression as well as measure th severity. Both the PHQ-9 and EPDS are reliable and valid scales for assessment of depression during perinatal period whereas PHQ-9 captures somatic symptoms, while EPDS detects depressive symptoms comorbid with anxiety

Brief-COPE [36, 37]

At baseline and 4-6 weeks post-intervention

28

28-112

No cut-off point for total and subscales, higher scores indicate increased utilization of the specific coping strategy

The scales of the Brief-COPE help to asses’ behaviors of people against stress, included suppression of competing activities, planning, positive reframing, acceptance, humor, religion, using emotional support, using instrumental support, self-distraction (mental disengagement), denial, venting, substance use, behavioral disengagement, restraint coping

PSQI [43, 44]

At baseline and 4-6 weeks post-intervention

9

0-21

The global score > 5 indicates poor sleep quality and higher scores indicate worse sleep quality

Combined to form seven component scores including; subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The seven component scores are then added to yield one global score

RAS [40,41,42]

At baseline and 4-6 weeks post-intervention

7

7-35

Scoring is kept continuous. Higher scores indicate higher levels of relationship satisfaction

Used to assess subjective satisfaction with a given relationship

WHODAS [45,46,47]

At baseline and 4-6 weeks post-intervention

12

0-100

Range between 0 and 100 where 0 = no disability 100 = full disability, higher scores indicate higher disability of loss of function

It was used to measure disability and functional impairment. The questionnaire covers six domains of functioning: cognition (understanding and communication), mobility, self-care, getting along with others, life activities (work and household roles), and participation in society

MSPSS [38, 39]

At baseline and 4-6 weeks post-intervention

12

12-84

No cut-off point for total and subscales, higher scores indicate higher levels of perceived social support

This scale was developed to measure perceived social support from family, friends, and significant other

  1. Abb. EPDS Edinburgh Postnatal Depression Scale, GAD-7 General Anxiety Disorder-7, PHQ-9 Patient Health Questionnaire-9, COPE Brief-Coping Orientation to Problems Experienced, PSQI Pittsburgh Sleep Quality Index, RAS Relationship Assessment Scale, WHODAS World Health Organization Disability Assessment Schedule, MSPSS Multidimensional Scale of Perceived Social Support