Each intervention practice was provided a set of
tools to facilitate diagnosis, follow-up, and management
of postpartum depression, which is summarized
in Figure 1. (Tools are available in the Supplemental
Appendix, available at http://annfammed.org/
content/10/4/320/suppl/DC1). The tools included
an outline for the content of follow-up postpartum
depression visits, including repeated use of the PHQ-9
to help determine response to therapy,26 and a written
format for nursing follow-up telephone calls that dealt
with medication initiation, adherence, and side effects.
Selection, modifi cation, and follow-up of specifi c types
of therapy were left to the discretion of the physician
and patient, with the support tools to describe common
side effects and usual dose range for medications
and an explanation of cognitive behavioral therapy.
Each intervention practice was provided a set of
tools to facilitate diagnosis, follow-up, and management
of postpartum depression, which is summarized
in Figure 1. (Tools are available in the Supplemental
Appendix, available at http://annfammed.org/
content/10/4/320/suppl/DC1). The tools included
an outline for the content of follow-up postpartum
depression visits, including repeated use of the PHQ-9
to help determine response to therapy,26 and a written
format for nursing follow-up telephone calls that dealt
with medication initiation, adherence, and side effects.
Selection, modifi cation, and follow-up of specifi c types
of therapy were left to the discretion of the physician
and patient, with the support tools to describe common
side effects and usual dose range for medications
and an explanation of cognitive behavioral therapy.
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