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Objectives: Suicide is the leading cause of maternal death in New Zealand particularly amongst Māori and Pacific. We explored current maternal mental health (MMH) screening practices and supports. Methods: Qualitative research included interviews and focus groups with maternity carers and mothers of Māori and Pacific descent. Thematic analysis used a general inductive approach. Results: Both mothers and carers reported that MMH screening is ad hoc and discussed multilevel barriers that hamper screening and access to supports. Conclusion: There are gaps in MMH services, and service improvements need to be targeted at patient, provider, and systems levels. [ABSTRACT FROM AUTHOR]

This paper describes development of a prototype data analytics portal for analysis of accumulated screening results from eCHAT (electronic Casefinding and Help Assessment Tool). eCHAT allows individuals to conduct a selfadministered lifestyle and mental health screening assessment, with usage to date chiefly in the context of primary care waiting rooms. The intention is for wide rollout to primary care clinics, including secondary school based clinics, resulting in the accumulation of population-level data. Data from a field trial of eCHAT with sexual health questions tailored to youth were used to support design of a data analytics portal for population-level data. The design process included user personas and scenarios, screen prototyping and a simulator for generating largescale data sets. The prototype demonstrates the promise of wide-scale selfadministered screening data to support a range of users including practice managers, clinical directors and health policy analysts. [ABSTRACT FROM AUTHOR]

Women undergoing cancer treatments and their healthcare providers encounter challenges in fertility preservation (FP) discussions and decision‐making. A systematic review of qualitative research was conducted to gain in‐depth understanding of factors influencing FP discussions and decision‐making. Major bibliographic databases and grey literature in English from 1994 to 2016 were searched for qualitative research exploring patient/provider perspectives on barriers and facilitators to FP decision‐making. Two researchers screened article titles, abstracts and full‐texts. Verbatim data on research questions, study methodology, participants, findings and discussions of findings were extracted. Quality assessment and thematic analysis were conducted. The search yielded 74 studies dating from 2007 onwards; 29 met the inclusion criteria. Analysis revealed three types of barriers: (a) FP knowledge, skills and information deficits contributed to discomfort for providers and discontent for patients; (b) psychosocial factors and clinical issues influenced providers' practices around FP discussions and patients' decision‐making; and (c) material, social and structural factors (e.g., lack of resources and accessibility) posed challenges to FP discussions. Potential facilitators to FP discussions and decision‐making were also identified. A discussion of ways to improve physician's knowledge and facilitate women's decision‐making and access to FP is presented, along with areas for policy development and further research. [ABSTRACT FROM AUTHOR]

This paper describes development of a prototype data analytics portal for analysis of accumulated screening results from eCHAT (electronic Case-finding and Help Assessment Tool). eCHAT allows individuals to conduct a self-administered lifestyle and mental health screening assessment, with usage to date chiefly in the context of primary care waiting rooms. The intention is for wide roll-out to primary care clinics, including secondary school based clinics, resulting in the accumulation of population-level data. Data from a field trial of eCHAT with sexual health questions tailored to youth were used to support design of a data analytics portal for population-level data. The design process included user personas and scenarios, screen prototyping and a simulator for generating large-scale data sets. The prototype demonstrates the promise of wide-scale self-administered screening data to support a range of users including practice managers, clinical directors and health policy analysts.