Evidence map›Paper›PMID 37802623›Full record

ArticleBMJ open2023

Facilitators of and barriers to perinatal telepsychiatry care: a qualitative study.

Anna Howard, Sunny Wang, Jamie Adachi, Alexa Yadama, Amritha Bhat

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Anna HowardDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
Sunny WangDepartment of Health Systems and Population Health, University of Washington, Seattle, Washington, USA.
Jamie AdachiDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Alexa YadamaDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Amritha BhatDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA amritha@uw.edu.ORCID 0000-0002-9284-0650
University of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPerinatal mental health disorders such as anxiety, depression and bipolar disorder can negatively impact the health of women and their children without appropriate detection and treatment. Due to increases in mental health symptoms and transmission risks associated with in-person appointments, many clinics transitioned to providing telepsychiatry care during the COVID-19 pandemic. This study sought to identify the facilitators and barriers to receiving perinatal telepsychiatry care from the perspective of patients, clinic staff and psychiatrists.

designQualitative study based on analysis of in depth semistructured interviews.

settingThe study was conducted in a virtual specialty mental health clinic in an academic setting.

participantsEight patients who had been scheduled for an appointment with the perinatal telepsychiatry clinic between 14 May 2021 and 1 August 2021, seven of whom had attended their scheduled appointment with the clinic and one of whom had not, and five staff members including psychiatrists, navigators and clinic managers, participated in in-depth interviews.

resultsTelepsychiatry was perceived by most as preferable to in-person care and easy to attend and navigate. Alternatively, technological difficulties, personal preference for in-person care and scheduling conflicts related to the perinatal period were identified as barriers by some. Participants identified communication between care staff and patients, online patient portals, and appointment reminders as important for facilitating appointment preparedness and attendance.

conclusionsThe findings from this study suggest that telepsychiatry services are perceived positively by patients and care staff and have the potential to improve access to mental healthcare for perinatal patients.

Indexed as

COVID-19PsychiatryTelemedicineChildDelivery of Health CareFemaleHumansPandemicsPregnancyMental healthPostpartumPregnancyTelemedicineTelepsychiatry

Identifiers

PMID37802623
PMCPMC10565296
OpenAlexW4387440100

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.