Evidence map›Paper›PMID 38977965›Full record

ArticleBMC psychiatry2024

Women's engagement with community perinatal mental health services: a realist evaluation.

L Fisher, A Davey, G Wong, S Morgan-Trimmer, L M Howard, H Sharp, K H Atmore, J Brook, G Collins, J Domoney and 3 more

Abstract read
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In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

13 authors.

L FisherDepartment of Primary Care and Mental Health, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
A DaveyMood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK.
G WongNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
S Morgan-TrimmerDepartment of Health and Community Sciences, University of Exeter Medical School, Exeter, UK.
L M HowardSection of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
H SharpDepartment of Primary Care and Mental Health, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
K H AtmoreDepartment of Global Health and Social Medicine, School of Global Affairs, King's College London, London, UK.
J BrookThe Tavistock and Portman NHS Foundation Trust, London, UK.
G CollinsMood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK.
J DomoneySection of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
E MakindeMood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK.
C McCreeCentre for Parent and Child Support and Community Perinatal services, South London and Maudsley NHS Foundation Trust, London, UK.
Heather A O'MahenMood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK. H.OMahen@exeter.ac.uk.

Funding

Health Services and Delivery Research Programme 17/49/38
6 · The paper itself

Abstract

backgroundIn recognition of the burden of Perinatal Mental Health problems, NHS England invested £365 million to transform women's access to mental health care, including investment in Community Perinatal Mental Health Services. This study examined how elements of provider care affected women's engagement with these services.

methodsSemi-structured interviews were conducted with 139 women and explored their experiences of care from 10 different Community Perinatal Mental Health Teams; including which service components participants believed made a difference to their initial and continued engagement. Realist analysis was used to create context-mechanism-outcome configurations (CMOCs) across interviews, since not all parts of the configurations were always articulated within singular interviews.

resultsFour key pillars for engagement were identified: perinatal competence, relationship building, accurate reassurance, and reliability. The way perinatal competencies were relayed to women mattered; compassion, understanding and consistency were critical interactional styles. The extent to which these factors affected women's engagement varied by their context and personal characteristics.

conclusionsAs mental health problems increase, disproportionately affecting vulnerable populations, it is critical to continue to ensure support is not only available, but appropriately meets the needs of those individuals. Our findings suggest that key staff behaviours applied at the right time can support women's engagement and potentially contribute to better treatment outcomes.

Indexed as

Community Mental Health ServicesPerinatal CareAdultEnglandFemaleHumansMental DisordersPregnancyQualitative ResearchYoung AdultPatient experiencePerinatal Mental HealthQualitativeRealist evaluationService Engagement

Identifiers

PMID38977965
PMCPMC11232178

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Registered trials

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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.