Evidence map›Paper›PMID 39616388›Full record

ArticleBMC psychology2024

A qualitative exploration of active ingredients and mechanisms of action of an online singing programme with mothers experiencing postnatal depression during the COVID-19 pandemic: SHAPER-PNDO study.

Alexandra Burton, Rebecca H Bind, Rachel Davis, Lorna Greenwood, Ching Yin Lee, Carolina Estevao, Katie Hazelgrove, Celeste Miller, Kristi Priestley, Lavinia Rebecchini and 7 more

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Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Alexandra BurtonDepartment of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. a.burton@ucl.ac.uk.
Rebecca H BindDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Rachel DavisEvidera, The Ark, 201 Talgarth Rd, Hammersmith, London, W6 8BJ, UK.
Lorna GreenwoodBreathe Arts Health Research, The Clarence Centre, 6 St George's Circus, London, SE1 6FE, UK.
Ching Yin LeeDepartment of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Carolina EstevaoDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Katie HazelgroveDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Celeste MillerDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Kristi PriestleyDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Lavinia RebecchiniDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Tim OsbornBreathe Arts Health Research, The Clarence Centre, 6 St George's Circus, London, SE1 6FE, UK.
Hannah DyeBreathe Arts Health Research, The Clarence Centre, 6 St George's Circus, London, SE1 6FE, UK.
Paola DazzanDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Anthony WoodsDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Nikki CraneCulture Team, King's College London, Somerset House East Wing, Strand, London, WC2R 2LS, UK.
Carmine M ParianteDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 5 Cutcombe Rd, Brixton, London, SE5 9RT, UK.
Daisy FancourtDepartment of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.

Funding

Wellcome Trust 219425/Z/19/Z
6 · The paper itself

Abstract

backgroundSocial distancing restrictions and the suspension of in-person treatment and support contributed to an increase in postnatal depression during the coronavirus disease 2019 (COVID-19) pandemic. Creative health interventions can help to alleviate anxiety and depression, with studies showing that singing is particularly effective for supporting the mental health of new mothers. We adapted an in-person group singing programme (Breathe Melodies for Mums (M4M)) to online delivery during the COVID-19 pandemic to support the mental health of new mothers, and, in a feasibility study, found improvements in postnatal depression (PND) symptoms at 6-month follow up. The current qualitative study aimed to explore how and why M4M-online impacted the mental health of those taking part.

methodsWe took a theory-based approach using the INgredients iN ArTs in hEealth (INNATE) Framework of 'active ingredients' and the Multi-level Leisure Mechanisms Framework of 'mechanisms of action' to identify and categorise intervention components and change mechanisms. Iterative consensus building between three researchers was complemented by qualitative semi-structured online interviews with 24 women experiencing PND symptoms who took part in M4M-online. Data were analysed inductively using reflexive thematic analysis.

resultsConsistency was found between the online and in-person interventions in active ingredients relating to project design, content, programme management and the composition of the group. Key differences were in the social and contextual ingredients. Psychological, social and behavioural mechanisms for improved mental health and wellbeing included: (1) Increased self-confidence as a mother, (2) Increased positive emotional responses, (3) A supported exploration of self-dentity, (4) Reduced loneliness and isolation, (5) Increased social bonding and connections with family and (6) Enhanced sense of time through new routines.

conclusionsParticipating in online group singing can support new mothers experiencing PND by triggering psychological, social and behavioural responses that lead to improved mental health. Key programme features are identified which can be used to design future online creative health interventions or tailor in-person activities for remote delivery to support populations who may face practical and social barriers to attending in-person.

Indexed as

COVID-19Depression, PostpartumMothersQualitative ResearchSingingAdultFemaleHumansInternet-Based InterventionMental HealthCOVID-19Creative healthDepression postpartumOnline deliveryPostnatal depressionQualitative researchSinging intervention

Identifiers

PMID39616388
PMCPMC11608468

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LicenceCC BY
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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.