Perinatal Mental Health Care in Switzerland: Unraveling the Perspectives of Affected Women and Health Professionals
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Mental Disorder
- Sponsor
- Bern University of Applied Sciences
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Narratives of barriers to perinatal mental health care use
- Last Updated
- 6 years ago
Overview
Brief Summary
This qualitative study with quantitative elements examines the health care provided to women who suffered from mental disorder during pregnancy and / or in the first year after birth (i.e. during the perinatal phase). Investigators will perform individual interviews with former PMD patients, and health and social care professionals to gain insights into current health care for PMD patients.
Detailed Description
Background: Perinatal mental disorders (PMD) are highly prevalent (up to 20%), and patients use mental health care at high rates (Berger et al 2018). It is not known if the health care for PMD patients meets the needs of the patients. Aim: The Investigators will identify factors that promote or hinder service provision and access to care, for a range of relevant PMD. The investigation will cover the user and provider perspectives. Methods: The qualitative study consists of two complementary parts to assess user and provider perspectives. In part 1 the Investigators will conduct individual semi-structured interviews with 24 women who have had PMD. The sample will comprise of 4 clusters of relevant ICD-10 F-diagnoses, covering a wide range of mental disorders. The sample will also comprise of participants who received or did not receive mental health care before the last pregnancy. In part 2, the Investigators perform 3 focus groups (with 6-8 participants per group) with health and social care professionals, and a health-insurance delegate, to collect their experiences and perspectives on perinatal health care for PMD patients. The Investigators are guided for data collection and analysis by Levesque's et al (2013) conceptual model on access to health care. Expected results: The study will identify barriers and facilitators for health care access (user perspective) and provision (provider perspective). The study will generate the evidence base needed to develop integrated, coordinated, patient- and family-centered care for patients with various types of PMD.
Investigators
Anke Berger
Project leader
Bern University of Applied Sciences
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Narratives of barriers to perinatal mental health care use
Time Frame: perinatal phase, i.e. pregnancy and first year after birth
Narratives of access-inhibiting factors, in semi-structured individual interviews with former PMD patients
Narratives of mentions of barriers to perinatal mental health care provision
Time Frame: Perinatal phase, i.e. pregnancy and first year after birth
Narratives of provision-inhibiting factors, in focus group interviews with health and social care providers
Narratives of mentions of facilitators of perinatal mental health care use
Time Frame: Perinatal phase, i.e. pregnancy and first year after birth
Narratives of access-promoting factors, in semi-structured individual interviews with former PMD patients
Narratives of mentions of facilitators of perinatal mental health care provision
Time Frame: Perinatal phase, i.e. pregnancy and first year after birth
Narratives of provision-promoting factors, in focus group interviews with health and social care providers
Secondary Outcomes
- Sociodemographic data of participating health care professionals(2019-2020)
- Sociodemographic data of participating affected PMD patients(2019-2020)