Evidence map›Paper›PMID 41863646›Full record

SynthesisArchives of women's mental health2026

Implementing mental health interventions in perinatal home visiting programs: a systematic review of the literature.

Alasia Ledford, Harry Adynski, Linda Beeber, Byron J Powell, Jada L Brooks, Anna Matthews, Jennifer Leeman

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of women's mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Alasia LedfordCenter for Women's Health Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. alasia@email.unc.edu.ORCID 0000-0002-9485-9638
Harry AdynskiUniversity of California San Francisco, School of Nursing, San Francisco, CA, USA.ORCID 0000-0002-1375-232X
Linda BeeberUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.ORCID 0000-0002-0957-5914
Byron J PowellWashington University, Brown School, St. Louis, MO, USA.ORCID 0000-0001-5245-1186
Jada L BrooksUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.ORCID 0000-0002-7140-3566
Anna MatthewsUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.ORCID 0000-0002-3023-1884
Jennifer LeemanUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.ORCID 0000-0003-3130-8297

Funding

INTERVENTIONS FOR PREVENTING &MANAGING CHRONIC ILLNESST32NR007091 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Cheryl L Giscombe, Cathi Barbra Propper · 1996 to 2026
$11.8M
NINR NIH HHS T32 NR007091NINR NIH HHS T32NR007091-24Rita and Alex Hillman Foundation Hillman Scholar in Nursing Innovation
6 · The paper itself

Abstract

purposePerinatal home visiting programs are well positioned to deliver mental health interventions to those at high risk for adverse mental health outcomes. The purpose of this review was to examine home-based mental health interventions, their effectiveness, and how they have been implemented in perinatal home visiting programs.

methodsFollowing PRISMA guidelines, we searched PubMed, CINAHL, PsycInfo, and Social Work Abstracts for reports of experimental or quasi-experimental studies evaluating outcomes of a mental health intervention delivered in the home setting as part of a perinatal home visiting program in the United States. Data extracted included the study demographics, design, characteristics of the interventions, evidence of intervention effectiveness, implementation strategies, and implementation outcomes and determinants.

resultsData abstractors screened 3,500 articles published from January 2010 to January 2024. Of these, 25 articles reporting findings of 12 distinct mental health interventions met the criteria for inclusion. Interventions were based on a variety of therapeutic approaches such as cognitive behavioral therapy, collaborative problem solving, and motivational interviewing. Interventionists ranged from paraprofessionals such as community health workers to professionals such as registered nurses, nurse practitioners and licensed clinical social workers, in addition to others. Recipients of the interventions were predominantly white women; high risk groups including American Indian/Alaskan Native and Asian/Pacific Islander populations were underrepresented in studies. Studies demonstrated evidence of effectiveness in reducing symptoms of depression. Few studies systematically evaluated implementation outcomes or strategies, or followed standard recommendations for reporting implementation outcomes, limiting synthesis.

conclusionsMental health interventions delivered through perinatal home visiting programs show effectiveness at reducing depressive symptoms, and in a subset of studies, anxiety symptoms, though evidence for reduction in anxiety is more limited. Variations in how implementation measures were reported limited synthesis demonstrating that further research is needed in implementation.

Indexed as

Home Care ServicesHouse CallsMental Health ServicesPerinatal CareCognitive Behavioral TherapyDepression, PostpartumFemaleHumansMental HealthPregnancyUnited StatesHome visitingImplementationMaternityMental health interventionPerinatal depression

Identifiers

PMID41863646

What OpenQuestion holds

Textmetadata
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.