What factors influence the use of the whooley questions by health visitors?
There was consensus that barriers included culture, language and a lack of experience or confidence on the part of health visitors. The significance of training around the use of screening tools was identified in the literature review and was seen as an important factor influencing the use of the Whooley questions.
What is Whooley questions?
The Whooley questions consist of two questions asking about low mood and loss of interest or pleasure. In the original validation study, the questions had a sensitivity of 0.95 (0.89 to 0.98) and specificity of 0.56 (0.52 to 0.61).
How do health visitors support mental health?
The health visitor can lead the implementation and delivery of group-based support and other preventive or early interventions to promote mental health, such as promoting physical activity, peer support groups and fathers’ groups.
What are whooley questions midwifery?
Current practice in the UK involves the midwife asking an initial short two-item ‘Whooley Question’ screen which, if indicates depression, can be followed up by the women completing a self-report depression screening questionnaire. Of interest to this paper, is depression experienced across the childbearing spectrum.
Are whooley questions Effective?
Whether or not the Whooley questions are the most valid method for initial detection of PMI may require further investigation. Hewitt et al. (2009) found no evidence across four systematic reviews of validity, acceptability and cost-effectiveness of using the Whooley questions.
Who invented the whooley questions?
Pfizer
The Whooley Questions originated as part of the PRIME-MD diagnostic interview which was developed by Pfizer in 1993 to help primary care physicians diagnose psychiatric disorders. Pfizer’s goal was to broaden/expand prescribing of Zoloft (which Pfizer started selling in 1991) outside of psychiatry.
Who do health visitors work alongside?
Health Visitors work closely with midwives, practice nurses and GPs. Your Health Visitor is a qualified nurse or midwife who has gone on to do further training.
What is a health visitor specialist?
Health visitors are specialist community public health nurses, (SCPHN) registered midwives or nurses. They specialise in working with families with a child aged 0 to five to identify health needs as early as possible and improve health and wellbeing by promoting health, preventing ill health and reducing inequalities.
What is the EPDS used for?
The Edinburgh Postnatal Depression Scale (EPDS) is one of the tools most commonly used to screen for depression in this setting. This is a 10-item questionnaire which has been validated in many different populations and i able in almost every language.
What is whooley?
The Whooley Questions originated as part of the PRIME-MD diagnostic interview which was developed by Pfizer in 1993 to help primary care physicians diagnose psychiatric disorders. The PRIME-MD included 5 diagnostic modules, one each for depression, anxiety, alcohol use, eating and somatoform disorders.
What are the four principles of health visiting?
In 1977, four principles for health visiting practice were published:
- Search for health needs;
- Stimulate an awareness of health needs;
- Influence policies affecting health;
- Facilitate health-enhancing activities (Council for the Education and Training of Health Visitors, 1977).
What can Health visitors help with?
The sorts of things your health visitors can help and support you with is anything you may be concerned about, so your health, your family’s health, postnatal depression and then all the routine baby things that come up: feeding, sleeping, crying, minor ailments, when to see a doctor.
Why are the Whooley questions important for mental health?
The Whooley questions are useful for ruling out depression in that few people who answer no to both questions are depressed according to a ‘gold standard’ diagnostic interview. A positive screen is… Regional perinatal mental health care pathway: December 2012. Revised July 2017 (PDF)
Where did the Whooley questions originate in the Diagnostic Interview?
Where did the Whooley Questions originate? The Whooley Questions originated as part of the PRIME-MD diagnostic interview which was developed by Pfizer in 1993 to help primary care physicians diagnose psychiatric disorders. Pfizer’s goal was to broaden/expand prescribing of Zoloft (which Pfizer started selling in 1991) outside of psychiatry.
When to ask the Whooley questions during pregnancy?
NICE recommends that health care professionals ask two questions at a woman’s booking visit with the midwife, twice more during pregnancy, at the health visitor’s first visit, six weeks post natal, three months postnatal, and eight months to one year postnatal.
Is the Whooley question a substitute for clinical assessment?
Using the Whooley questions is not a substitute for clinical assessment. Bosanquet K, Bailey D, Gilbody S, et al (2015). Diagnostic accuracy of the Whooley questions for the identification of depression: a diagnostic meta-analysis (PDF). BMJ Open 5:e008913. Baldwin DS, Anderson IM, Nutt DJ, et al (2014).