Klatter, C.K. (Celine) (2021) ‘They do understand how you feel as a pregnant woman’: A multi-method study supporting the acceptability and feasibility of a multidisciplinary intervention for pregnant women with psychiatric and psychosocial symptoms. thesis, Medicine.
Full text available on request.Abstract
Background: Psychiatric disorders and psychosocial symptoms during pregnancy are common and can have long-lasting negative effects on both mother and the (unborn) child. Lack of evidence-based interventions and barriers on patient, provider and health care level make the treatment of these women challenging. The POPP-clinic (psychiatry, obstetrics, paediatrics, psychology) try to overcome these barriers by providing multidisciplinary care and individual treatment plans. Aim: The aim of this study was to quantitatively and qualitatively investigate the feasibility and acceptability of the POPP-clinic form the perspective of both the patient as the caregiver. Method: All women registered at the POPP-clinic with a due date between 01-01-2021 and 31-07-2021 were eligible for inclusion. The study consisted of three components, including a retrospective data-analysis to the in- and outflow of patients and a quantitative and qualitative analysis of patients’ and caregivers’ experiences by a Patient Reported Experience Measure (PREM) questionnaire and semi-structured interviews. Results: Of all included patients (n=103) the retention and adherence rate were 86.4% and 65.0%, respectively. The PREM for patients (n=41) showed median rates between 8.0 and 9.0. Women with psychosocial symptoms were more likely to estimate a lower effect of the treatment on their symptoms. The PREM for caregivers (n=16) showed median rates between 7.0 and 8.5. Thematic analysis of interviews of patients (n=8) led to the following themes: meeting needs: personalization of the treatment plan’, ‘(multidisciplinary) communication as the key to an (un)successful POPP-experience’, ‘the more healthcare experience, the more barriers’ and ‘an experience of relaxation during pregnancy, birth and at the start of motherhood’. Analysis of the interviews of the POPP-specialists (n=8) showed the following themes: ‘an effective personalized intervention for stabilizing psychiatric symptoms’, ‘an effective preventive safety net for women with psychosocial symptoms’ and ‘the unmet need of continuity of care’. Conclusion: This study supports the feasibility and acceptability of the POPP-clinic and provide ground for future (quantitative) prospective research to the effect of multidisciplinary care for pregnant women with psychiatric and psychosocial symptoms.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Ravesteyn, dr. L.M. van and Stekelenburg, prof. dr. J. |
| Faculty: | Medical Sciences |
| Date Deposited: | 07 Jan 2022 10:29 |
| Last Modified: | 07 Jan 2022 10:29 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2997 |
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