Benefits of psychosocial intervention and continuity of care by child and family health nurses in the pre‐ and postnatal period: process evaluation

Kemp, Lynn; Harris, Elizabeth; McMahon, Catherine; Matthey, Stephen; Vimpani, Graham; Anderson, Teresa; Schmied, Virginia; Aslam, Henna

doi:10.1111/jan.12052

Cited by 46 publications

(44 citation statements)

References 41 publications

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“…Factors known to influence service uptake include current mental health, symptom awareness, normalisation of postpartum depression, timeliness of care, perception of usefulness of service, service quality and perceived stigma of being labelled as ‘depressed’ [4, 24, 37, 38]. Factors such as help seeking behaviour may potentially mediate the relationship between risk factors and outcomes [39, 40]. …”

Section: Introductionmentioning

confidence: 99%

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

et al. 2016

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BackgroundPoor mental health in the perinatal period can impact negatively on women, their infants and families. Australian State and Territory governments are investing in routine psychosocial assessment and depression screening with referral to services and support, however, little is known about how well these services are used.The aim of this paper is to report on the health services used by women for their physical and mental health needs from pregnancy to 12 months after birth and to compare service use for women who have been identified in pregnancy as having moderate-high psychosocial risk with those with low psychosocial risk.MethodsOne hundred and six women were recruited to a prospective longitudinal study with five points of data collection (2–4 weeks after prenatal booking, 36 weeks gestation, 6 weeks postpartum, 6 months postpartum and 12 months postpartum) was undertaken. Data were collected via face-to-face and telephone interviews, relating to psychosocial risk factors, mental health and service use. The prenatal psychosocial risk status of women (data available for 83 of 106 women) was determined using the Antenatal Risk Questionnaire (ANRQ) and was used to compare socio-demographic characteristics and service use of women with ‘low’ and ‘moderate to high’ risk of perinatal mental health problems.ResultsThe findings indicate high use of postnatal universal health services (child and family health nurses, general practitioners) by both groups of women, with limited use of specialist mental health services by women identified with moderate to high risk of mental health problems. While almost all respondents indicated that they would seek help for mental health concerns most had a preference to seek help from partners and family before accessing health professionals.ConclusionThese preliminary data support local and international studies that highlight the poor uptake of specialist services for mental health problems in postnatal women, where this may be required. Further research comparing larger samples of women (with low and psychosocial high risk) are needed to explore the extent of any differences and the reasons why women do not access these specialist services.

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Section: Introductionmentioning

confidence: 99%

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

et al. 2016

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“…& Mid-trial qualitative, quantitative, and mixed-method analyses of intervention processes (Kardamanidis, Kemp, and Schmied 2009;Kemp, Anderson, Travaglia, and Harris 2005;Kemp et al 2006); and & Post-trial qualitative and mixed-method causal modeling (Maxwell 2012) of relationships between processes and outcomes (Kemp et al 2013;Zapart, Knight, and Kemp 2016).…”

Section: Core Ingredientsmentioning

confidence: 99%

“…It was developed and trialed in south western Sydney, Australia, and has been demonstrated to be an effective intervention for vulnerable and at-risk mothers (Kemp et al 2011(Kemp et al , 2013; US Department of Health and Human Services 2014). The goals of the MECSH program are to: improve transition to parenting by supporting mothers through pregnancy; improve maternal health and well-being by helping mothers to care for themselves; improve child health and development by helping parents to interact with their children in developmentally supportive ways; develop and promote parents' aspirations for themselves and their children; and, improve family and social relationships and networks by helping parents to foster relationships within the family and with other families and services.…”

Section: Introduction: Balancing Fidelity and Adaptationmentioning

confidence: 99%

Adaptation and Fidelity: a Recipe Analogy for Achieving Both in Population Scale Implementation

Kemp

2016

Prev Sci

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Balancing adherence to fidelity of evidence-based programs and adaptation to local context is one of the key debates in the adoption and implementation of effective programs. Concern about maintaining fidelity to achieve outcomes can result in replication of research-based models that can be a poor fit with the real world. Equally, unplanned adaptation can result in program drift away from the core elements needed to achieve outcomes. To support implementation of the Maternal Early Childhood Sustained Home-visiting (MECSH) program in multiple sites in three countries, an analogy was developed to identify how both fidelity and adaptation can be managed and successfully achieved. This article presents the Commonsense Cookery Book Basic Plain Cake with Variations recipe analogy to articulate the dual requirements of both fidelity and adaptation to achieve quality implementation of the MECSH program. Components classified by the analogy include identification of core ingredients, methods, and equipment that contribute to fundamental outcomes and fidelity to the evidence-based program, and a planned, collaborative approach to identification of needed variations to suit locally sourced capacity, needs, and tastes. Quality is achieved by identifying and measuring the core ingredients and the variations. Sourcing local ingredients and honoring of context support sustainability of quality practice. Using this analogy has assisted adopters of the MECSH program to understand that effective implementation requires uncompromised commitment to expectations of fidelity to the core components and methods; planned, proactive adaptation; systematic monitoring of both core program and agreed variations; and local ownership and sustainability.

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“…Methods of ToC development reported in the literature include review of programme documentation [21], interviews and focus group discussions with key stakeholders [17,22,8], using existing theory or research [23,24] and ToC workshops [8] but few describe their methods in enough detail to replicate the ToC development.…”

Section: Introductionmentioning

confidence: 99%

Using workshops to develop theories of change in five low and middle income countries: lessons from the programme for improving mental health care (PRIME)

Breuer

Silva

Fekadu

et al. 2014

Int J Ment Health Syst

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BackgroundThe Theory of Change (ToC) approach has been used to develop and evaluate complex health initiatives in a participatory way in high income countries. Little is known about its use to develop mental health care plans in low and middle income countries where mental health services remain inadequate.AimsToC workshops were held as part of formative phase of the Programme for Improving Mental Health Care (PRIME) in order 1) to develop a structured logical and evidence-based ToC map as a basis for a mental health care plan in each district; (2) to contextualise the plans; and (3) to obtain stakeholder buy-in in Ethiopia, India, Nepal, South Africa and Uganda. This study describes the structure and facilitator’s experiences of ToC workshops.MethodsThe facilitators of the ToC workshops were interviewed and the interviews were recorded, transcribed and analysed together with process documentation from the workshops using a framework analysis approach.ResultsThirteen workshops were held in the five PRIME countries at different levels of the health system. The ToC workshops achieved their stated goals with the contributions of different stakeholders. District health planners, mental health specialists, and researchers contributed the most to the development of the ToC while service providers provided detailed contextual information. Buy-in was achieved from all stakeholders but valued more from those in control of resources.ConclusionsToC workshops are a useful approach for developing ToCs as a basis for mental health care plans because they facilitate logical, evidence based and contextualised plans, while promoting stakeholder buy in. Because of the existing hierarchies within some health systems, strategies such as limiting the types of participants and stratifying the workshops can be used to ensure productive workshops.

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Benefits of psychosocial intervention and continuity of care by child and family health nurses in the pre‐ and postnatal period: process evaluation

Cited by 46 publications

References 41 publications

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

Adaptation and Fidelity: a Recipe Analogy for Achieving Both in Population Scale Implementation

Using workshops to develop theories of change in five low and middle income countries: lessons from the programme for improving mental health care (PRIME)

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