A qualitative examination of the implementation of a perinatal collaborative care program.
Prim Health Care Res Dev
; 23: e51, 2022 08 31.
Article
in English
| MEDLINE | ID: covidwho-2016470
ABSTRACT
AIM:
To identify implementation strategies for collaborative care (CC) that are successful in the context of perinatal care.BACKGROUND:
Perinatal depression is one of the most common complications of pregnancy and is associated with adverse maternal, obstetric, and neonatal outcomes. Although treating depressive symptoms reduces risks to mom and baby, barriers to accessing psychiatric treatment remain. CC has demonstrated benefit in primary care, expanding access, yet few studies have examined the implementation of CC in perinatal care which presents unique characteristics and challenges.METHODS:
We conducted qualitative interviews with 20 patients and 10 stakeholders from Collaborative Care Model for Perinatal Depression Support Services (COMPASS), a perinatal collaborative care (pCC) program implemented since 2017. We analyzed interview data by employing the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to organize empirically selected implementation strategies from Expert Recommendations for Implementing Change (ERIC) to create a guide for the development of pCC programs.FINDINGS:
We identified 14 implementation strategies used in the implementation of COMPASS. Strategies were varied, cutting across ERIC domains (eg, plan, educate, finance) and across EPIS contexts (eg, inner context - characteristics of the pCC program). The majority of strategies were identified by patients and staff as facilitators of pCC implementation. In addition, findings show opportunities for improving the implementation strategies used, such as optimal dissemination of educational materials for obstetric clinicians. The implementation of COMPASS can serve as a model for the process of building a pCC program. The identified strategies can support the implementation of this evidence-based practice for addressing postpartum depression.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Perinatal Care
/
Depression, Postpartum
Type of study:
Prognostic study
/
Qualitative research
Limits:
Child
/
Female
/
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Prim Health Care Res Dev
Year:
2022
Document Type:
Article
Affiliation country:
S146342362200038X
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