ArticleCommunications medicine2025
Advancing telemedicine and task-sharing to improve access to psychotherapy for perinatal populations.
Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04153864 (Scaling Up Maternal Mental Healthcare by Increasing Access to Treatment), which is not on this map. Not yet cited in PubMed.
What it found
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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.
Scaling Up Maternal Mental Healthcare by Increasing Access to Treatment (SUMMIT): A Pragmatic, Non-inferiority Trial for Perinatal Depression and Anxiety
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Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT) trial (ClinicalTrials.gov: NCT04153864) examined two solutions to improving access to psychotherapy for perinatal populations: telemedicine and task-sharing with non-specialist providers (individuals without prior specialized training or experience in delivering mental healthcare). The SUMMIT trial showed that telemedicine and non-specialist-delivered psychotherapy were non-inferior to treatment delivered in-person or by a specialist mental health provider. Our aim was to conduct an implementation assessment of task-sharing and telemedicine to inform best practices when providing access to psychotherapy treatment for perinatal patients in real world healthcare settings.
methodsIn this current study, we examined barriers and facilitators of task-sharing and telemedicine-delivered psychotherapy from a multistakeholder perspective (N = 105). We interviewed perinatal participants (n = 70) who received psychotherapy and specialist or non-specialist providers (n = 35) who delivered psychotherapy in the SUMMIT trial. We conducted an inductive thematic analysis.
resultsOur results show many facilitators of telemedicine across all stakeholder groups, including alleviating childcare needs through convenience, flexibly, and increased accessibility. Although perinatal participants and providers express that there are some benefits of in-person delivery (e.g., seeing physical cues and minimizing privacy concerns), we find that there are more barriers than facilitators of in-person psychotherapy. Regarding task-sharing, perinatal participants who received treatment from non-specialist and specialist providers report the same facilitators at similar rates, including capacity for active listening and empathy.
conclusionsOur implementation assessment shows that telemedicine and task-sharing are acceptable, feasible, and patient-centred solutions to improve access to evidence-based psychotherapies across healthcare settings.
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Registered trials
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