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Despite higher depression rates during the perinatal period, many individuals remain untreated. Appointment reminder systems can improve attendance and cancellations, and evidence supports providing two reminders within seven days, while accurate patient contact information remains difficult. Purpose: Reduce a 60% perinatal psychiatry no-show rate by comparing current practice with evidence-based approaches using expert evaluation and semi-structured interviews.",{"@graph":63,"@context":123},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/evaluation-of-a-reminder-system-for-perinatal-psychiatric-appointments-dnp-project/279881/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/evaluation-of-a-reminder-system-for-perinatal-psychiatric-appointments-dnp-project/279881.png","ImageObject",442,249,{"name":88,"@type":89},"Rhys","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-25","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115,119],{"name":106,"@type":107,"acceptedAnswer":108},"What problem does the project address?","Question",{"text":109,"@type":110},"Missed psychiatric appointments are common, and perinatal women are especially at risk due to practical logistics. The project targets reducing a high perinatal psychiatry no-show rate.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How was the reminder system evaluated?",{"text":114,"@type":110},"A two-hour work-group meeting with five key experts assessed the current reminder system. A semi-structured interview compared intended appointment reminders with actual delivery to identify strengths and challenges.",{"name":116,"@type":107,"acceptedAnswer":117},"What were the main findings about the current reminder approach?",{"text":118,"@type":110},"The institution uses one automated reminder 48 hours before the appointment. The scheduling database is not updated after cancellations, and some patients receive additional clinician-provided reminders depending on referral source.",{"name":120,"@type":107,"acceptedAnswer":121},"What changes does the study recommend to improve outcomes?",{"text":122,"@type":110},"The project suggests adding an evidence-based additional reminder, since two reminders within seven days are preferred. It also emphasizes addressing cancellations so provider time can be optimized and patient access increased.","https://schema.org",{"og:url":78,"og:type":125,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":127,"canonical":78},"index,follow",{"doc_id":129,"site_id":56},279881,1791744365,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":88,"user_avatar":134,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":22,"language":140,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":61,"update_tm":144,"read_time":145},687207024643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Evaluation of a reminder system for perinatal psychiatric appointments  \nClayton, Lacy R.  \n[https://researchdiscovery.drexel.edu/esploro/outputs/doctoral/Evaluation-of-a-reminder-system-for/991014632937304721/fi](https://researchdiscovery.drexel.edu/esploro/outputs/doctoral/Evaluation-of-a-reminder-system-for/991014632937304721/fi)lesAndLinks?index=0  \nClayton, L. R. (2018) . Evaluation of a reminder system for perinatal psychiatric appointments [Drexel University]. [https://doi.org/10.17918/D8T08W](https://doi.org/10.17918/D8T08W)  \nDocument Version: PDF  \nRepository homepage: [https://researchdiscovery.drexel.edu/](https://researchdiscovery.drexel.edu/)  \nContact: [libsystems@drexel.edu](libsystems@drexel.edu)[ ](libsystems@drexel.edu)Open Access (License Unspecified) Research:Open  \nDownloaded On 2026/09/15 23:23:29-0400  \nPlease do not remove this page  \nRunning head: EVALUATION OF APPOINTMENT REMINDER SYSTEM 1  \nEvaluation of a Reminder System for Perinatal Psychiatric Appointments Lacy R. Clayton, PMHNP-BC, MSN, RN  \nDoctor of Nursing Practice  \nDNP Project Chair: Patti Rager Zuzelo  \nFaculty Advisor: Joanne Serembus  \nDrexel University  \nSeptember, 2018  \nEVALUATION OF APPOINTMENT REMINDER SYSTEM 2  \nÓ Copyright 2018  \nLacy Rae Clayton, All Rights Reserved  \nEVALUATION OF APPOINTMENT REMINDER SYSTEM 3  \nTable of Contents  \nPage  \nAbstract 7  \nChapter One: Introduction and Overview of the Problem 8  \nProblem Statement 10  \nCurrent Practices 10  \nPurpose ofthe DNP Project 11  \nProject Objectives and Outcomes 11  \nClinical Question (PICOT) 12  \nChapter Two: Review of Literature/Synthesis of Literature 13  \nSearch Table 12  \nAppraisal of Evidence 14  \nLimitations 21  \nSummary & Conclusion 22  \nChapter Three: Conceptual Foundation or Model 23  \nConceptual/Theoretical Model 24  \nConclusion 25  \nChapter Four: Project Design 25  \nProject Implementation Steps 25  \nPractice Setting 26  \nKey Informants 27  \nPractice Change/Quality Improvement Design 27  \nData Collection Tools 27  \nEVALUATION OF APPOINTMENT REMINDER SYSTEM 4  \nData Collection Methods 28  \nInstitutional Review Board (IRB) Approval 28  \nConclusion 29  \nChapter Five: Implementation Processes/Procedures 29  \nLetters of Permission 30  \nResources 30  \nConclusion 30  \nChapter Six: Evaluation and Outcomes of Project 31  \nKey Informants 31  \nMethods 31  \nData Analysis 32  \nResults 32  \nConclusion 35  \nChapter Seven: The Essentials of Doctoral Education for Advanced Nursing Practice 36  \nImplications to Practice/Policy Changes 36  \nEssential I: Scientific Underpinnings 37  \nApplicability to Project 37  \nImplications for Practice 37  \nEssential II: Organizational and Systems Leadership 37  \nApplicability to Project 38  \nImplications for Practice 38  \nEssential III: Clinical Scholarship and Analytical Methods 38  \nEVALUATION OF APPOINTMENT REMINDER SYSTEM 5  \nApplicability to Project 39  \nImplications for Practice 39  \nEssential IV: Information Systems/Technology 39  \nApplicability to Project 39  \nImplications for Practice 40  \nEssential V: Healthcare Policy for Advocacy 40  \nApplicability to Project 40  \nImplications for Practice 40  \nEssential VI: Interprofessional Collaboration 41  \nApplicability to Project 41  \nImplications for Practice 41  \nEssential VII: Clinical Prevention and Population Health 42  \nApplicability to Project 42  \nImplications for Practice 42  \nEssential VIII: Advanced Nursing Practice 42  \nApplicability to Project 43  \nImplications for Practice 43  \nChapter Eight: Project Implications and Conclusions 44  \nProject Strengths and Limitations 44  \nSignificance/Implications 45  \nConclusion 45  \nEVALUATION OF APPOINTMENT REMINDER SYSTEM 6  \nReferences 46  \nAppendices 54  \nEVALUATION OF APPOINTMENT REMINDER SYSTEM 7  \nAbstract  \nBackground: Rates for missed appointments (no-shows) are especially high in psychiatry. Perinatal women are particularly at risk for missing appointments due to logistics such as childcare and transportation. Though rates of depression","cbCaipNDI5Z125fD","https://ap.wps.com/l/cbCaipNDI5Z125fD","pdf",775531,"English","# Abstract\n# Chapter One: Introduction and Overview of the Problem\n## Problem Statement\n## Current Practices\n## Purpose of the DNP Project\n## Project Objectives and Outcomes\n## Clinical Question (PICOT)\n# Chapter Two: Review of Literature/Synthesis of Literature\n## Appraisal of Evidence\n## Limitations\n## Summary & Conclusion\n# Chapter Three: Conceptual Foundation or Model\n## Conceptual/Theoretical Model\n# Chapter Four: Project Design\n## Project Implementation Steps\n## Practice Setting\n## Data Collection Tools\n## Data Collection Methods\n## Institutional Review Board (IRB) Approval\n# Chapter Five: Implementation Processes/Procedures\n## Letters of Permission\n## Resources\n# Chapter Six: Evaluation and Outcomes of Project\n## Methods\n## Data Analysis\n## Results\n## Conclusion\n# Chapter Eight: Project Implications and Conclusions\n## Project Strengths and Limitations\n## Significance/Implications\n# References","[{\"question\":\"What problem does the project address?\",\"answer\":\"Missed psychiatric appointments are common, and perinatal women are especially at risk due to practical logistics. The project targets reducing a high perinatal psychiatry no-show rate.\"},{\"question\":\"How was the reminder system evaluated?\",\"answer\":\"A two-hour work-group meeting with five key experts assessed the current reminder system. A semi-structured interview compared intended appointment reminders with actual delivery to identify strengths and challenges.\"},{\"question\":\"What were the main findings about the current reminder approach?\",\"answer\":\"The institution uses one automated reminder 48 hours before the appointment. The scheduling database is not updated after cancellations, and some patients receive additional clinician-provided reminders depending on referral source.\"},{\"question\":\"What changes does the study recommend to improve outcomes?\",\"answer\":\"The project suggests adding an evidence-based additional reminder, since two reminders within seven days are preferred. It also emphasizes addressing cancellations so provider time can be optimized and patient access increased.\"}]","Evaluation of a Reminder System for Perinatal Psychiatric Appointments - DNP Project | PDF",1789529024,25]