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

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...

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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	perinatal depression and anxiety psychotherapy barriers facilitators COVID-19 Medicine R
Acceso en línea:	https://doaj.org/article/0d2795d540d048188a02d0c60f223225
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spelling	oai:doaj.org-article:0d2795d540d048188a02d0c60f2232252021-11-25T17:52:21ZBarriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective10.3390/ijerph1822122341660-46011661-7827https://doaj.org/article/0d2795d540d048188a02d0c60f2232252021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12234https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601During 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 (<i>n</i> = 23), psychotherapy providers (<i>n</i> = 28), and stakeholders (<i>n</i> = 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.Nicole AndrejekSabrina HossainNour Schoueri-MychasiwGul SaeedMaral ZibamanAngie K. Puerto NiñoSamantha Meltzer-BrodyRichard K. SilverSimone N. VigodDaisy R. SinglaMDPI AGarticleperinatal depression and anxietypsychotherapybarriersfacilitatorsCOVID-19MedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12234, p 12234 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	perinatal depression and anxiety psychotherapy barriers facilitators COVID-19 Medicine R
spellingShingle	perinatal depression and anxiety psychotherapy barriers facilitators COVID-19 Medicine R 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 Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective
description	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 (<i>n</i> = 23), psychotherapy providers (<i>n</i> = 28), and stakeholders (<i>n</i> = 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.
format	article
author	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
author_facet	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
author_sort	Nicole Andrejek
title	Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective
title_short	Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective
title_full	Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective
title_fullStr	Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective
title_full_unstemmed	Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective
title_sort	barriers and facilitators to resuming in-person psychotherapy with perinatal patients amid the covid-19 pandemic: a multistakeholder perspective
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0d2795d540d048188a02d0c60f223225
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Barriers and Facilitators to Resuming In-Person Psychotherapy with Perinatal Patients amid the COVID-19 Pandemic: A Multistakeholder Perspective

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