An observational study in Mental Disorder, Perinatal and Depression, sponsored by Bern University of Applied Sciences. Status unknown at 1 site in Switzerland. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-12-04.
Sponsored by Bern University of Applied Sciences · Observational
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This qualitative study with quantitative elements examines the health care provided to women who suffered from mental disorder during pregnancy and / or in the first year after birth (i.e. during the perinatal phase). Investigators will perform individual interviews with former PMD patients, and health and social care professionals to gain insights into current health care for PMD patients.
Background: Perinatal mental disorders (PMD) are highly prevalent (up to 20%), and patients use mental health care at high rates (Berger et al 2018). It is not known if the health care for PMD patients meets the needs of the patients.
Aim: The Investigators will identify factors that promote or hinder service provision and access to care, for a range of relevant PMD. The investigation will cover the user and provider perspectives.
Methods: The qualitative study consists of two complementary parts to assess user and provider perspectives. In part 1 the Investigators will conduct individual semi-structured interviews with 24 women who have had PMD. The sample will comprise of 4 clusters of relevant ICD-10 F-diagnoses, covering a wide range of mental disorders. The sample will also comprise of participants who received or did not receive mental health care before the last pregnancy. In part 2, the Investigators perform 3 focus groups (with 6-8 participants per group) with health and social care professionals, and a health-insurance delegate, to collect their experiences and perspectives on perinatal health care for PMD patients. The Investigators are guided for data collection and analysis by Levesque's et al (2013) conceptual model on access to health care.
Expected results: The study will identify barriers and facilitators for health care access (user perspective) and provision (provider perspective). The study will generate the evidence base needed to develop integrated, coordinated, patient- and family-centered care for patients with various types of PMD.
1,745 studies on the registry are indexed under Mental Disorders; 353 are open to participants now.
This study's planned enrollment of 24 is below the median of 223 across 391 observational studies indexed under Mental Disorders.
Browse Mental Disorders studies →Bern University of Applied Sciences is the lead sponsor of 21 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Population 1: 24 former PMD patients, by 4 groups of F-diagnoses (ICD-10) and 2 groups (yes or no) of pre-existent mental disorders.
Population 2: 18-24 professional health care and social care providers, who are experienced in service provision for PMD patients and are
Sample 1: patients with former PMD
Inclusion criteria:
At least 1 diagnosis in the last perinatal phase out of 4 groups of psychiatric disorders (ICD-10 Chapter V, F00-F99):
Exclusion criterion: Current pregnancy
Sample 2: Professional health and social care providers
Inclusion criteria:
Narratives of barriers to perinatal mental health care use
Narratives of access-inhibiting factors, in semi-structured individual interviews with former PMD patients
Time frame: perinatal phase, i.e. pregnancy and first year after birth
Narratives of mentions of facilitators of perinatal mental health care use
Narratives of access-promoting factors, in semi-structured individual interviews with former PMD patients
Time frame: Perinatal phase, i.e. pregnancy and first year after birth
Narratives of mentions of barriers to perinatal mental health care provision
Narratives of provision-inhibiting factors, in focus group interviews with health and social care providers
Time frame: Perinatal phase, i.e. pregnancy and first year after birth
Narratives of mentions of facilitators of perinatal mental health care provision
Narratives of provision-promoting factors, in focus group interviews with health and social care providers
Time frame: Perinatal phase, i.e. pregnancy and first year after birth
Sociodemographic data of participating affected PMD patients
Sociodemographic data of participating affected PMD patients
Time frame: 2019-2020
Sociodemographic data of participating health care professionals
Sociodemographic data of participating health care professionals
Time frame: 2019-2020
Plan to share: No — The Ethics Committee does not allow sharing of patients' data. The Ethics Committee allows and the Investigators are willing to share the data collected from health and social care professionals upon publication of the study.
Started Jul 2019 (actual). Primary completion is estimated for Feb 2020, 7 months after the start.
Of 150 non-industry observational studies under Mental Disorders, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 77. This study's planned 7 months is below that.
Counting every sponsor, half of 157 studies reached it within 37 months; a quarter within 13 and three quarters within 77.
Mental Disorders covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.
How these figures are worked out, and which studies are left out of them.
This study is status unknown, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.
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Bern University of Applied Sciences