Browsing by Author "Ou, Christine H. K."
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Item Correlates of Canadian mothers’ anger during the postpartum period: A cross-sectional survey(BMC Pregnancy and Childbirth, 2022) Ou, Christine H. K.; Hall, Wendy A.; Rodney, Paddy; Stremler, RobynAlthough some women experience anger as a mood problem after childbirth, postpartum anger has been neglected by researchers. Mothers’ and infants’ poor sleep quality during the postpartum period has been associated with mothers’ depressive symptoms; however, links between mothers’ sleep quality and postpartum anger are unclear. This study aimed to determine proportions of women with intense anger, depressive symptoms, and comorbid intense anger and depressive symptoms, and to examine mothers’ and infants’ sleep quality as correlates of postpartum anger.Item Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study(PLoS ONE, 2024) Ou, Christine H. K.; Daly, Zachary; Carter, Michelle; Hall, Wendy A.; Zusman, Enav Z.; Russolillo, Angela; Duffy, Sheila; Jenkins, EmilyPerinatal mental illness is an important public health issue, with one in five birthing persons experiencing clinically significant symptoms of anxiety and/or depression during pregnancy or the postpartum period. The purpose of this study was to develop a consensus-based model of integrated perinatal mental health care to enhance service delivery and improve parent and family outcomes. We conducted a three-round Delphi study using online surveys to reach consensus (≥75% agreement) on key domains and indicators of integrated perinatal mental health care. We invited modifications to indicators and domains during each round and shared a summary of results with participants following rounds one and two. Descriptive statistics were generated for quantitative data and a thematic analysis of qualitative data was undertaken. Study participants included professional experts in perinatal mental health (e.g., clinicians, researchers) (n = 36) and people with lived experience of perinatal mental illness within the past 5 years from across Canada (e.g., patients, family members) (n = 11). Consensus was reached and all nine domains of the proposed model for integrated perinatal mental health care were retained. Qualitative results informed the modification of indicators and development of an additional domain and indicators capturing the need for antiracist, culturally safe care. The development of an integrated model of perinatal mental health benefitted from diverse expertise to guide the focus of included domains and indicators. Engaging in a consensus-building process helps to create the conditions for change within health services.Item Dissemination of evidence based interventions for pediatric sleep disorders – The Niagara project: Process and outcomes(Sleep Medicine X, 2019) Hall, Wendy A.; Biletchi, Jeff; Hunter, Debbie L.; Lemay, Stephanie; Ou, Christine H. K.; Rempel, LynnBackground/objective This paper describes evidence-based strategies for the dissemination of empirically supported interventions for infant behavioral sleep problems. Methods To identify parents' needs, a survey sampled 1022 parents in the Niagara region about use of health resources, tracking occurred of public health nurses' consultations with parents about infant sleep, and nurses obtained sleep workshop evaluation data from 18 parents. A focus group with 10 participants, a survey of Niagara Region Public Health and Emergency Services (NRPH&ES) employees, and consultations with external stakeholders identified gaps in parents' and infants' care and public health nurses' training needs. We developed solutions by creating evidence-based tools and a program for parents and public health nurses. We implemented and disseminated information via sharing tools on the NRPH&ES website, and workshops for community agencies and public health nurses. Results Seventy childhood educators, support workers, and social and public health professionals attended our community workshop. Twenty-three public health nurses attended our training workshop. In guided discussion, nurses evaluated the workshop as addressing gaps in knowledge and enhancing NRPH&ES interventions to manage infants' behavioral sleep problems. Fifteen parents attended a sleep workshop pilot, with seven parents indicating a preference for follow-up telephone support. Fifty individuals attended our oral presentation at the Ontario Public Health Convention. Conclusions For next directions, community and other public health agencies want access to our tools and program components. We received a research grant to design, implement, and evaluate sharing tools and program components with community agencies (daycares and childcare centres).Item Examining the gaps in perinatal mental health care: A qualitative study of the perceptions of perinatal service providers in Canada(Frontiers in Global Womens Health, 2023) DeRoche, Christina; Hooykaas, Amanda; Ou, Christine H. K.; Charlebois, Jaime; King, KristaIn Canada, access to perinatal mental health services is disparate across districts, regions, provinces, and territories. Questions remain as to how gaps in service are being experienced by Canadian service providers and clinicians. This paper examines three key questions: 1) What are the experiences of care providers with respect to the screening, identifying, and managing perinatal mental health disorders? 2) What gaps in perinatal mental health care have been identified? and 3) What approaches have been taken by providers, communities, and regions in addressing the needs of their populations? To address these questions, 435 participants from across Canada were surveyed using an online survey constructed by the research members of the CPMHC. A qualitative analysis of the data revealed three key themes: groups marginalized by the current perinatal mental health system, gaps and supports identified by communities; and systemic and policy issues. From these three themes we have identified the key components of changes required in the national approach to perinatal mental health disorders. We identify key resources that could be utilized to create policy change and provide recommendations for change.Item Healthcare needs and access in a sample of Chinese young adults in Vancouver, British Columbia: A qualitative analysis(International Journal of Nursing Sciences, 2017) Ou, Christine H. K.; Wong, Sabrina T.; Levesque, Jean-Fréderic; Saewyc, ElizabethObjectives Immigrants of Chinese ethnicity and young people (between 18 and 30 years of age) are known to access health services less frequently and may be at greater risk for experiencing unmet health needs. The purpose of this study was to examine the health beliefs, health behaviors, primary care access, and perceived unmet healthcare needs of Chinese young adults. Methods Semi-structured in-depth interviews were carried out with eight Chinese young adults in Vancouver, Canada. Results A content analysis revealed that these Chinese young adults experienced unmet healthcare needs, did not have a primary care provider, and did not access preventive services. Cultural factors such as strong family ties, filial piety, and the practice of Traditional Chinese Medicine influenced their health behaviors and healthcare access patterns. Conclusion Chinese young adults share similar issues with other young adults in relation to not having a primary care provider and accessing preventive care but their health beliefs and practices make their needs for care unique from other young adults.Item Mom and baby: Sleep and mood study(2022) Ou, Christine H. K.; Hall, Wendy A.; Rodney, Paddy; Stremler, RobynThis infographic summarizes findings from the publication: Ou, C. H., Hall, W. A., Rodney, P., & Stremler, R. (2022). Correlates of Canadian mothers’ anger during the postpartum period: a cross-sectional survey. BMC Pregnancy and Childbirth, 22(1), 1-12.Item Parental patterns of alcohol consumption during the COVID-19 pandemic: Scoping review(Interactive Journal of Medical Research, 2024) Ou, Christine H. K.; Corby, Kathryn; Booth, Kelsey; Ou, Hui-HuiBackground: The declaration of the COVID-19 pandemic led to public health restrictions that impacted the lives of people across the globe. Parents were particularly burdened with balancing multiple responsibilities, such as working from home while caring for and educating their children. Alcohol use among parents is an area that warrants further exploration. Objective: This study aimed to investigate patterns of parental alcohol consumption during the COVID-19 pandemic, focusing on relative changes in the frequency and quantity of alcohol use compared to prepandemic use, nonparent adult samples, or both. Methods: A scoping review informed by the methodology of Arksey and O’Malley explored patterns of parental alcohol consumption during the COVID-19 pandemic. Searches were conducted in CINAHL, Ovid MEDLINE, PsycINFO, and Web of Science. Search terms were created using the Joanna Briggs Institute framework of Population, Concept, and Context, with the population being parents and the concept being alcohol consumption during the COVID-19 pandemic. Results: The database search yielded 3568 articles, which were screened for eligibility. Of the 3568 articles, 40 (1.12%) met the inclusion criteria and were included in the scoping review. Findings indicated the following: (1) having children at home was a factor associated with parental patterns of alcohol use; (2) mixed findings regarding gender-related patterns of alcohol consumption; and (3) linkages between parental patterns of alcohol use and mental health symptoms of stress, depression, and anxiety. Conclusions: This scoping review revealed heterogeneous patterns in parental alcohol use across sociocultural contexts during the COVID-19 pandemic. Given the known harms of alcohol use, it is worthwhile for clinicians to assess parental drinking patterns and initiate conversations regarding moderation in alcohol use.Item Seeing red: A grounded theory study of women's anger after childbirth(Qualitative Health Research, 2022) Ou, Christine H. K.; Hall, Wendy A.; Rodney, Paddy; Stremler, RobynPersistent intense anger is indicative of postpartum distress, yet maternal anger has been little explored after childbirth. Using grounded theory, we explained how and why mothers develop intense anger after childbirth and the actions they take to manage their anger. Twenty mothers of healthy singleton infants described their experiences of anger during the first two postpartum years. Mothers indicated they became angry when they had violated expectations, compromised needs, and felt on edge (e.g., exhausted, stressed, and resentful), particularly around infants’ sleep. Mothers described suppressing and/or expressing anger with outcomes such as conflict and recruiting support. Receiving support from partners, family, and others helped mothers manage their anger, with more positive outcomes. Women should be screened for intense anger, maternal-infant sleep problems, and adequacy of social supports after childbirth. Maternal anger can be reduced by changing expectations and helping mothers meet their needs through social and structural supports.Item Seeing Red: Women’s experiences of anger in the first two years after birth(2022) Ou, Christine H. K.; Hall, Wendy A.; Rodney, Paddy; Stremler, RobynThis infographic summarizes findings from the publication: Ou, C. H., Hall, W. A., Rodney, P., & Stremler, R. (2022). Seeing red: A grounded theory study of women’s anger after childbirth. Qualitative Health Research, 32(12), 1780-1794.