Online mental health screening for rural fathers over the perinatal period.

Objective: To determine the feasibility of identifying distressed fathers in rural areas of NSW via a 'light touch' support program (SMS4dads). Design: A retrospective observational study using self‐reported distress and routinely captured help‐seeking behaviour over a 14‐month period (September 202...

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Publicado en:Australian Journal of Rural Health Vol. 31; no. 5; pp. 796 - 805
Autores principales: Fletcher, Richard, Regan, Casey, Leigh, Lucy, Dizon, Jason, Deering, April
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
      vid: 31
      iid: 5
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ajr.12997
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        atl: Online mental health screening for rural fathers over the perinatal period.
      aug:
        au:
          Fletcher, Richard
          Regan, Casey
          Leigh, Lucy
          Dizon, Jason
          Deering, April
        affil: School of Health Sciences, The University of Newcastle, Callaghan New South Wales,, Australia
      sug:
        subj:
          Internet-Based Intervention
          Mental Health
          Health Screening
          Rural Areas
          Fathers Psychosocial Factors
          Perinatal Period
          Human
          Retrospective Design
          Nonexperimental Studies
          Confidence Intervals
          Support, Psychosocial
          Mental Disorders
          Support, Social
          Depression
          Anxiety
          Pilot Studies
          Scales
          Psychological Well-Being
          Descriptive Statistics
          Suicide
          Help Seeking Behavior
      ab: Objective: To determine the feasibility of identifying distressed fathers in rural areas of NSW via a 'light touch' support program (SMS4dads). Design: A retrospective observational study using self‐reported distress and routinely captured help‐seeking behaviour over a 14‐month period (September 2020–December 2021) comparing rural and urban fathers. Setting: Rural and urban Local Health Districts in NSW. Participants: A total of 3261 expectant and new fathers enrolled in a text‐based information and support service (SMS4dads). Main Outcome Measures: Registrations, K10 score, program engagement, attrition, escalation and referral to online mental health services. Results: Rural (13.3%) and urban (13.2%) enrolments were equivalent. Rural fathers had higher rates of distress than urban fathers (rural 19%; urban 16%) and were more likely to be smokers, consume alcohol at risky levels and report lower education levels. Rural fathers were more likely to exit the program early (HR = 1.32; 95% CI 1.08–1.62; p = 0.008); however, once adjusted for demographic factors aside from rurality, this increased likelihood was nonsignificant (HR = 1.10; 95% CI 0.88–1.38; p = 0.401). Although engagement with psychological support during the program was equivalent, a greater proportion of rural participants were escalated to online mental health support (7.7%) than urban participants (6.1%); however, this was nonsignificant (p = 0.222). Conclusion: Digital platforms offering text‐based parenting information in a 'light touch' format may be an effective way to screen rural fathers for mental distress and connect them to online support.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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