IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i22p12234-d684698.html
   My bibliography  Save this article

Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective

Author

Listed:
  • Nicole Andrejek

    (Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada)

  • Sabrina Hossain

    (Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada
    These authors contributed equally to this work.)

  • Nour Schoueri-Mychasiw

    (Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada
    These authors contributed equally to this work.)

  • Gul Saeed

    (Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada)

  • Maral Zibaman

    (Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada)

  • Angie K. Puerto Niño

    (Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada)

  • Samantha Meltzer-Brody

    (Department of Psychiatry, School of Medicine, University of North Carolina, Chapel Hill, NC 27514, USA)

  • Richard K. Silver

    (Department of Obstetrics & Gynecology, NorthShore University Health System, Evanston, IL 60201, USA)

  • Simone N. Vigod

    (Department of Psychiatry, Women’s College Hospital, Toronto, ON M5S 1B2, Canada
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5T 1R8, Canada)

  • Daisy R. Singla

    (Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada
    Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5T 1R8, Canada
    Campbell Family Mental Health Research Institute, Center of Addiction and Mental Health, Toronto, ON M6J 1H4, Canada)

Abstract

During the COVID-19 pandemic, outpatient psychotherapy transitioned to telemedicine. This study aimed to examine barriers and facilitators to resuming in-person psychotherapy with perinatal patients as the pandemic abates. We conducted focus group and individual interviews with a sample of perinatal participants ( n = 23), psychotherapy providers ( n = 28), and stakeholders ( n = 18) from Canada and the U.S. involved in the SUMMIT trial, which is aimed at improving access to mental healthcare for perinatal patients with depression and anxiety. Content analysis was used to examine perceived barriers and facilitators. Reported barriers included concerns about virus exposure in a hospital setting (77.8% stakeholders, 73.9% perinatal participants, 71.4% providers) or on public transportation (50.0% stakeholders, 26.1% perinatal participants, 25.0% providers), wearing a mask during sessions (50.0% stakeholders, 25.0% providers, 13.0% participants), lack of childcare (66.7% stakeholders, 46.4% providers, 43.5% perinatal participants), general transportation barriers (50.0% stakeholders, 47.8% perinatal participants, 25.0% providers), and the burden of planning and making time for in-person sessions (35.7% providers, 34.8% perinatal participants, 27.8% stakeholders). Reported facilitators included implementing and communicating safety protocols (72.2% stakeholders, 47.8% perinatal participants, 39.3% providers), conducting sessions at alternative or larger locations (44.4% stakeholders, 32.1% providers, 17.4% perinatal participants), providing incentives (34.8% perinatal participants, 21.4% providers, 11.1% stakeholders), and childcare and flexible scheduling options (31.1% perinatal participants, 16.7% stakeholders). This study identified a number of potential barriers and illustrated that COVID-19 has fostered and amplified barriers. Future interventions to facilitate resuming in-person sessions should focus on patient-centered strategies based on empathy regarding ongoing risk-aversion among perinatal patients despite existing safety protocols, and holistic thinking to make access to in-person psychotherapy easier and more accessible for perinatal patients.

Suggested Citation

  • Nicole Andrejek & Sabrina Hossain & Nour Schoueri-Mychasiw & Gul Saeed & Maral Zibaman & Angie K. Puerto Niño & Samantha Meltzer-Brody & Richard K. Silver & Simone N. Vigod & Daisy R. Singla, 2021. "Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12234-:d:684698
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/22/12234/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/22/12234/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    2. Gavin Andrews & Pim Cuijpers & Michelle G Craske & Peter McEvoy & Nickolai Titov, 2010. "Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-6, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jennifer Tartaglia & Michelle McIntosh & Jonine Jancey & Jane Scott & Andrea Begley, 2021. "Exploring Feeding Practices and Food Literacy in Parents with Young Children from Disadvantaged Areas," IJERPH, MDPI, vol. 18(4), pages 1-18, February.
    2. Şahika Simsek-Cetinkaya & Simge Evrenol Ocal, 2023. "“Psychological Injuries Are Not Visible†: Experiences and Perceptions of Midwives and Nurses about Domestic Violence during Pregnancy," Clinical Nursing Research, , vol. 32(8), pages 1115-1123, November.
    3. Silvia Scaramuzzi & Sara Gabellini & Giovanni Belletti & Andrea Marescotti, 2021. "Agrobiodiversity-Oriented Food Systems between Public Policies and Private Action: A Socio-Ecological Model for Sustainable Territorial Development," Sustainability, MDPI, vol. 13(21), pages 1-32, November.
    4. Tongyu Meng & Jamie Newth & Christine Woods, 2022. "Ethical Sensemaking in Impact Investing: Reasons and Motives in the Chinese Renewable Energy Sector," Journal of Business Ethics, Springer, vol. 179(4), pages 1091-1117, September.
    5. Annette Peart & Virginia Lewis & Chris Barton & Grant Russell, 2020. "Healthcare professionals providing care coordination to people living with multimorbidity: An interpretative phenomenological analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2317-2328, July.
    6. Soo-Yong Shin & Eun-Ju Lim, 2021. "Clinical Work and Life of Mid-Career Male Nurses: A Qualitative Study," IJERPH, MDPI, vol. 18(12), pages 1-10, June.
    7. Fatoumata Fofana & Pat Bazeley & Antoine Regnault, 2020. "Applying a mixed methods design to test saturation for qualitative data in health outcomes research," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-12, June.
    8. Nuchjarin Intalar & Yasushi Ueki & Chawalit Jeenanunta, 2024. "Enhancing Competitiveness: Driving and Facilitating Factors for Industry 4.0 Adoption in Thai Manufacturing," Economies, MDPI, vol. 12(8), pages 1-23, August.
    9. Thomas Dax & Oliver Tamme, 2023. "Attractive Landscape Features as Drivers for Sustainable Mountain Tourism Experiences," Tourism and Hospitality, MDPI, vol. 4(3), pages 1-16, June.
    10. Dimitrios Gouglas & Kendall Hoyt & Elizabeth Peacocke & Aristidis Kaloudis & Trygve Ottersen & John-Arne Røttingen, 2019. "Setting Strategic Objectives for the Coalition for Epidemic Preparedness Innovations: An Exploratory Decision Analysis Process," Service Science, INFORMS, vol. 49(6), pages 430-446, November.
    11. Matthys, Marie-Luise & Acharya, Sushant & Khatri, Sanjaya, 2021. "“Before cardamom, we used to face hardship”: Analyzing agricultural commercialization effects in Nepal through a local concept of the Good Life," World Development, Elsevier, vol. 141(C).
    12. Radomska Joanna & Hajdas Monika & Wołczek Przemysław & Glinka Beata, 2023. "Wide open? Creative industries and open strategizing challenges," International Journal of Management and Economics, Warsaw School of Economics, Collegium of World Economy, vol. 59(2), pages 117-136, June.
    13. Stephanie W. Lee & Jing Xu & Tai-Ming Wut & Yui-Yip Lau & Joseph H. L. Chan & Tin-Shing Liu & Louis W. Y. Mok & Jason K. Y. Chan, 2024. "Aging in Place in Hong Kong and Its Implications for Sustainable Development: A Qualitative Study Exploring the Needs, Beliefs, Behaviors, and Well-Being of Older Adults through Self-Determination The," Sustainability, MDPI, vol. 16(8), pages 1-18, April.
    14. Shailaja Tetali & Sureshkumar Kamalakannan & Shilpa Sadanand & Melissa Glenda Lewis & Sara Varughese & Annie Hans & G. V. S. Murthy, 2022. "Evaluation of the Impact of the First Wave of COVID-19 and Associated Lockdown Restrictions on Persons with Disabilities in 14 States of India," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
    15. John R. Blakeman & Wendy M. Woith & Kim S. Astroth & Sheryl H. Jenkins & Stephen J. Stapleton, 2020. "A qualitative exploration of prodromal myocardial infarction fatigue experienced by women," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(19-20), pages 3882-3895, October.
    16. Fahlstedt, Oskar & Temeljotov-Salaj, Alenka & Lohne, Jardar & Bohne, Rolf André, 2022. "Holistic assessment of carbon abatement strategies in building refurbishment literature — A scoping review," Renewable and Sustainable Energy Reviews, Elsevier, vol. 167(C).
    17. Juliane Peters & Ana Simaens, 2020. "Integrating Sustainability into Corporate Strategy: A Case Study of the Textile and Clothing Industry," Sustainability, MDPI, vol. 12(15), pages 1-35, July.
    18. Mikkel Nøjgaard & Cristiano Smaniotto & Søren Askegaard & Ciprian Cimpan & Dmitry Zhilyaev & Henrik Wenzel, 2020. "How the Dead Storage of Consumer Electronics Creates Consumer Value," Sustainability, MDPI, vol. 12(14), pages 1-16, July.
    19. Antonio Jesús Ramos-Morcillo & César Leal-Costa & César Hueso-Montoro & Rafael del-Pino-Casado & María Ruzafa-Martínez, 2019. "Concept of Health and Sickness of the Spanish Gypsy Population: A Qualitative Approach," IJERPH, MDPI, vol. 16(22), pages 1-16, November.
    20. Gugerty, Mary Kay & Mitchell, George E. & Santamarina, Francisco J., 2021. "Discourses of evaluation: Institutional logics and organizational practices among international development agencies," World Development, Elsevier, vol. 146(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12234-:d:684698. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.