Investigating Protective and Risk Factors and Predictive Insights for Aboriginal Perinatal Mental Health: Explainable Artificial Intelligence Approach.

Journal: Journal of medical Internet research
PMID:

Abstract

BACKGROUND: Perinatal depression and anxiety significantly impact maternal and infant health, potentially leading to severe outcomes like preterm birth and suicide. Aboriginal women, despite their resilience, face elevated risks due to the long-term effects of colonization and cultural disruption. The Baby Coming You Ready (BCYR) model of care, centered on a digitized, holistic, strengths-based assessment, was co-designed to address these challenges. The successful BCYR pilot demonstrated its ability to replace traditional risk-based screens. However, some health professionals still overrely on psychological risk scores, often overlooking the contextual circumstances of Aboriginal mothers, their cultural strengths, and mitigating protective factors. This highlights the need for new tools to improve clinical decision-making.

Authors

  • Guanjin Wang
    School of Nursing, Hong Kong Polytechnic University, Hong Kong, China; Centre for Smart Health, School of Nursing, Hong Kong Polytechnic University, Hong Kong, China. Electronic address: guanjin.br.wang@connect.polyu.hk.
  • Hachem Bennamoun
    School of Information Technology, Murdoch University, Perth, Australia.
  • Wai Hang Kwok
    School of Nursing and Midwifery, Edith Cowan University, WA, Australia.
  • Jenny Paola Ortega Quimbayo
    School of Information Technology, Murdoch University, Perth, Australia.
  • Bridgette Kelly
    Ngangk Yira Institute for Change, Murdoch University, Perth, Australia.
  • Trish Ratajczak
    Ngangk Yira Institute for Change, Murdoch University, Perth, Australia.
  • Rhonda Marriott
    Ngangk Yira Institute for Change, Murdoch University, Perth, Australia.
  • Roz Walker
    Ngangk Yira Institute for Change, Murdoch University, Perth, Australia.
  • Jayne Kotz
    Ngangk Yira Institute for Change, Murdoch University, Perth, Australia.