Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study

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dc.contributor.authorOu, Christine H. K.
dc.contributor.authorDaly, Zachary
dc.contributor.authorCarter, Michelle
dc.contributor.authorHall, Wendy A.
dc.contributor.authorZusman, Enav Z.
dc.contributor.authorRussolillo, Angela
dc.contributor.authorDuffy, Sheila
dc.contributor.authorJenkins, Emily
dc.date.accessioned2025-02-03T19:29:25Z
dc.date.available2025-02-03T19:29:25Z
dc.date.issued2024
dc.description.abstractPerinatal mental illness is an important public health issue, with one in five birthing persons experiencing clinically significant symptoms of anxiety and/or depression during pregnancy or the postpartum period. The purpose of this study was to develop a consensus-based model of integrated perinatal mental health care to enhance service delivery and improve parent and family outcomes. We conducted a three-round Delphi study using online surveys to reach consensus (≥75% agreement) on key domains and indicators of integrated perinatal mental health care. We invited modifications to indicators and domains during each round and shared a summary of results with participants following rounds one and two. Descriptive statistics were generated for quantitative data and a thematic analysis of qualitative data was undertaken. Study participants included professional experts in perinatal mental health (e.g., clinicians, researchers) (n = 36) and people with lived experience of perinatal mental illness within the past 5 years from across Canada (e.g., patients, family members) (n = 11). Consensus was reached and all nine domains of the proposed model for integrated perinatal mental health care were retained. Qualitative results informed the modification of indicators and development of an additional domain and indicators capturing the need for antiracist, culturally safe care. The development of an integrated model of perinatal mental health benefitted from diverse expertise to guide the focus of included domains and indicators. Engaging in a consensus-building process helps to create the conditions for change within health services.
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.description.sponsorshipThis study was funded by a Michael Smith Health Research British Columbia Convening & Collaborating Award grant (2020). The funding agency, Michael Smith Health Research BC (C2-2020-1426), had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.identifier.citationOu, C., Daly, Z., Carter, M., Hall, W. A., Zusman, E. Z., Russolillo, A., Duffy, S., & Jenkins, E. (2024). Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study. PLoS ONE, 19(5), e0303012. https://doi.org/10.1371/journal.pone.0303012
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0303012
dc.identifier.urihttps://hdl.handle.net/1828/21048
dc.language.isoen
dc.publisherPLoS ONE
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subject.departmentSchool of Nursing
dc.titleDeveloping consensus to enhance perinatal mental health through a model of integrated care: Delphi study
dc.typeArticle

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