BACKGROUND: The Edinburgh Postnatal @entity308 Scale (EPDS) is widely recommended for perinatal @entity148 and @entity308 screening. However, many Aboriginal @entity1 find EPDS language complex and confusing, and providers find using it with Aboriginal @entity1 challenging. The two part Kimberley @entity62870 's Mood Scale (KMMS) was developed to improve screening: Part 1 is a Kimberley version of EPDS; Part 2 is a psychosocial tool that enables contextualisation of Part 1 scores. We aimed to determine if KMMS is a valid and acceptable method of identifying Kimberley Aboriginal perinatal @entity1 at risk of @entity148 or @entity308 compared to a semi-structured clinical interview. METHODS: Across 15 sites in the Kimberley, Western Australia, 97 Aboriginal @entity1 aged 16 years and older who intended to continue with their pregnancy or had a baby within the previous 12 months were administered the KMMS by trained healthcare providers who provided an overall assessment of no, low, moderate or high risk; 91 @entity1 were then independently assessed by a blinded clinical expert using Diagnostic and Statistical Manual of @entity146 , 4th Edition criteria. A qualitative approach was used to determine KMMS' acceptability. RESULTS: Part 1 had high internal consistency (Cronbach's alpha, 0.89), and overall KMMS risk equivalence for screening for @entity148 or @entity308 was moderate (sensitivity, 83%; specificity, 87%; positive predictive value, 68%). @entity1 found the process easy and useful, and healthcare providers found KMMS more useful than EPDS. Part 2 allowed healthcare providers to ask questions that gave @entity1 an opportunity to express themselves, resulting in a deeper understanding between them. CONCLUSION: KMMS is an effective tool for identifying Kimberley Aboriginal perinatal @entity1 at risk of @entity148 and @entity308 . Adoption of KMMS with culturally safe training and support is likely to improve screening processes, and with further validation may have broader applicability across remote Australia.

Validity and Acceptability of Kimberley @entity62870 's Mood Scale to Screen for Perinatal XXXX and @entity308 in Remote Aboriginal Health Care Settings.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'Participants'] @entity308 :: ('MESH:D003866', 'Disease') :: ['Depression', 'depressive disorders', 'depression'] @entity146 :: ('MESH:D001523', 'Disease') :: ['Mental Disorders'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity62870 :: ('41568', 'Species') :: ['Mum']
@entity148 :: (MESH:D001008,Disease) :: ['Anxiety']
