دورية أكاديمية
أعرض في EDS

"There is always a waitlist": The experiences of perinatal women randomized to a waitlist condition in a trial evaluating a novel online self-directed intervention for perinatal anxiety.

التفاصيل البيبلوغرافية
العنوان: "There is always a waitlist": The experiences of perinatal women randomized to a waitlist condition in a trial evaluating a novel online self-directed intervention for perinatal anxiety.
المؤلفون: Kristjanson AJ; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada., Hardman MP; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada., Penner KE; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada., Gornik ME; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada., Pryor TAM; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada., Petty SK; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada., Alcolado GM; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada., Furer P; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada., Reynolds KA; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.; Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada.
المصدر: Frontiers in health services [Front Health Serv] 2022 Aug 19; Vol. 2, pp. 957368. Date of Electronic Publication: 2022 Aug 19 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 9918334887706676 Publication Model: eCollection Cited Medium: Internet ISSN: 2813-0146 (Electronic) Linking ISSN: 28130146 NLM ISO Abbreviation: Front Health Serv Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Lausanne, Switzerland : Frontiers Media S.A., [2021]-
مستخلص: Background: Pregnant and postpartum women are at a heightened risk for the development or worsening of mental health problems, with elevated rates of mood and anxiety disorders noted across studies. Timely access to mental health supports is critical during the perinatal period (spanning pregnancy to 1 year postpartum), to mitigate potential negative impacts on mother and child. In general adult populations, a small body of research has highlighted the association between being waitlisted for mental health services with a deterioration in mental health. Given the influx of changes experienced in the perinatal period, this population may face unique challenges around being waitlisted. There is a lack of research exploring the experiences of perinatal women waitlisted for psychological services. The current study seeks to understand the experiences of perinatal women randomized to the waitlist condition of a randomized controlled trial.
Methods: N = 20 participants (4 pregnant, 16 postpartum) from Central Canada who were enrolled in a novel online self-directed intervention for perinatal anxiety completed a virtual qualitative interview concerning their experience during the 6-week waitlist period for this randomized controlled trial. Interviews were audio-recorded, transcribed, and analyzed according to reflexive thematic analysis.
Results: Seven main themes were identified, depicting the waitlist experiences of perinatal participants: (a) "There is always a waitlist" (sub-themes: service availability, need to seek out services pre-emptively); (b) Timing of support access is vital during the perinatal period (sub-themes: prenatal, postpartum); (c) Responses to being waitlisted (sub-themes: disappointment, neutral, relief, "there's probably somebody that needs it more than I do"); (d) Identification of helpful supports during the waitlist period (sub-themes: formal supports, informal supports); (e) Connections with research team (sub-themes: communication, resource provision); (f) Impact of waitlist experience on desire to start program (sub-themes: excitement, "out of sight, out of mind," nervousness); and (g) Improving the waitlist experience (sub-themes: communication, resource provision, triaging).
Discussion: Findings highlight the need for timely access to mental health supports during the perinatal period and offer several recommendations for improving the waitlist experience, including providing more frequent waitlist status updates, providing more direct access to intermediate interventions, and triaging patients based on clinical need.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Kristjanson, Hardman, Penner, Gornik, Pryor, Petty, Alcolado, Furer and Reynolds.)
References: J Nerv Ment Dis. 2021 Jun 1;209(6):426-433. (PMID: 33660686)
BMC Pregnancy Childbirth. 2020 Oct 14;20(1):618. (PMID: 33054795)
Health Expect. 2017 Feb;20(1):35-46. (PMID: 28052539)
Health Promot Int. 2014 Dec;29(4):751-8. (PMID: 23648336)
Br J Surg. 2020 Oct;107(11):1440-1449. (PMID: 32395848)
Psychiatry Res. 2021 Jan;295:113552. (PMID: 33229122)
Arch Psychiatr Nurs. 2016 Feb;30(1):7-12. (PMID: 26804495)
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57. (PMID: 9881538)
Scand J Caring Sci. 2012 Jun;26(2):245-53. (PMID: 21950600)
Early Hum Dev. 2002 Dec;70(1-2):3-14. (PMID: 12441200)
Arch Womens Ment Health. 2015 Apr;18(2):255-257. (PMID: 25209355)
BMC Pregnancy Childbirth. 2021 Mar 1;21(1):171. (PMID: 33648450)
Midwifery. 2015 Dec;31(12):1177-85. (PMID: 26433622)
J Affect Disord. 2016 Aug;200:148-55. (PMID: 27131505)
Soc Work Public Health. 2019;34(7):596-605. (PMID: 31242074)
J Affect Disord. 2008 May;108(1-2):101-11. (PMID: 18001841)
Asian J Psychiatr. 2021 Feb;56:102533. (PMID: 33418283)
CMAJ. 2021 Jun 7;193(23):E835-E843. (PMID: 34099467)
BMC Health Serv Res. 2017 Nov 21;17(1):763. (PMID: 29162112)
Arch Psychiatr Nurs. 2022 Feb;36:70-77. (PMID: 35094829)
BMJ Open. 2020 Dec 30;10(12):e040731. (PMID: 33380483)
J Affect Disord. 2016 Oct;203:292-331. (PMID: 27317922)
J Affect Disord. 2022 Feb 15;299:483-491. (PMID: 34952107)
Brain Behav Immun. 2005 Jul;19(4):296-308. (PMID: 15944068)
BMC Pregnancy Childbirth. 2022 May 10;22(1):398. (PMID: 35538436)
J Fam Psychol. 2000 Mar;14(1):59-70. (PMID: 10740682)
J Perinat Med. 2021 Dec 07;50(3):261-269. (PMID: 34881549)
J Psychiatr Res. 2021 Apr;136:157-166. (PMID: 33596462)
PLoS One. 2015 Mar 26;10(3):e0121459. (PMID: 25811851)
BMC Pregnancy Childbirth. 2021 Sep 17;21(1):625. (PMID: 34530772)
Health Expect. 2021 Jun;24(3):978-990. (PMID: 33769657)
BMC Pregnancy Childbirth. 2013 Dec 13;13:233. (PMID: 24330429)
Epidemiol Psychiatr Sci. 2014 Jun;23(2):201-9. (PMID: 23931673)
Int J Environ Res Public Health. 2022 Feb 24;19(5):. (PMID: 35270296)
Br J Psychiatry. 1987 Jun;150:782-6. (PMID: 3651732)
BMC Pregnancy Childbirth. 2020 Jun 17;20(1):363. (PMID: 32546131)
BMC Public Health. 2022 Mar 17;22(1):523. (PMID: 35300654)
Front Psychiatry. 2021 Jun 24;12:674194. (PMID: 34248710)
Curr Oncol. 2021 May 13;28(3):1867-1878. (PMID: 34068441)
Midwifery. 2018 Nov;66:79-87. (PMID: 30149202)
Am Psychol. 2012 Apr;67(3):231-43. (PMID: 22040221)
Midwifery. 2014 May;30(5):491-8. (PMID: 24035399)
Clin Psychol Rev. 2008 Oct;28(7):1125-37. (PMID: 18472200)
Arch Womens Ment Health. 2014 Oct;17(5):443-54. (PMID: 24699796)
Arch Womens Ment Health. 2006 Sep;9(5):253-63. (PMID: 16699837)
Br J Gen Pract. 2019 Oct 31;69(688):e768-e776. (PMID: 31548296)
فهرسة مساهمة: Keywords: anxiety; mental health; mental health services; perinatal; qualitative; thematic analysis; waitlist experiences
تواريخ الأحداث: Date Created: 20230317 Latest Revision: 20230318
رمز التحديث: 20230320
مُعرف محوري في PubMed: PMC10012752
DOI: 10.3389/frhs.2022.957368
PMID: 36925892
قاعدة البيانات: MEDLINE
الوصف
تدمد:2813-0146
DOI:10.3389/frhs.2022.957368