| Title: |
Implementing routine assessment of perinatal anxiety: case studies |
| Authors: |
Sinesi, A.; Constantinou, G.; Yuill, C.; Meades, R.; Cheyne, H.; Maxwell, M.; Best, C.; Ayers, S.; Shakespeare, J.; Alderdice, F.; Jomeen, J.; Howard, G. |
| Publisher Information: |
National Institute for Health and Care Research |
| Publication Year: |
2025 |
| Collection: |
City University London: City Research Online |
| Subject Terms: |
BF Psychology; RG Gynecology and obstetrics; RJ101 Child Health. Child health services |
| Description: |
Background During pregnancy and the first postnatal year, a substantial proportion of women experience perinatal anxiety, which is associated with increased risk of adverse birth, maternal and child development outcomes. Identification of perinatal anxiety is recommended in various countries, but there is a lack of consensus on the most effective, acceptable and feasible measure to use. The Methods of Assessing Perinatal Anxiety study previously found the Stirling Antenatal Anxiety Scale to be diagnostically accurate and acceptable to women. Objectives This study aimed to determine the acceptability and feasibility of implementing new assessment of perinatal anxiety in healthcare services. Design and methods Implementation case studies of perinatal anxiety assessment using the Stirling Antenatal Anxiety Scale in three National Health Service sites in the United Kingdom. Semistructured interviews and focus groups were conducted before and after implementation with healthcare professionals working in maternity, primary care and psychological services that had contact with perinatal women. Preimplementation data collection was used to develop an implementation and training strategy for each site. Interviews and focus groups were conducted with the same participants post implementation. Data were analysed using framework analysis and a combined inductive-deductive approach. Setting and participants Two National Health Service trusts in England and one National Health Service health board in Scotland. Participants were healthcare professionals, including midwives, health visitors, clinical psychologists and mental health nurses, who used the scale during the implementation period. Other stakeholders such as service managers and team leads were also interviewed. Sites were selected to represent different types of service and pathways of care. The sample comprised 37 participants at preimplementation and 27 at the postimplementation stage. Intervention Implementation of new assessment of perinatal anxiety in National ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| Relation: |
https://openaccess.city.ac.uk/id/eprint/35289/1/3047938.pdf; Sinesi, A. orcid:0000-0002-0221-3654 orcid:0000-0002-0221-3654 , Constantinou, G. https://openaccess.city.ac.uk/view/creators_id/georgina=2Econstantinou.html orcid:0000-0002-2389-7901 orcid:0000-0002-2389-7901 , Yuill, C. https://openaccess.city.ac.uk/view/creators_id/cassandra=2Eyuill=2E2.html orcid:0000-0002-3918-5917 orcid:0000-0002-3918-5917 , Meades, R. https://openaccess.city.ac.uk/view/creators_id/rose=2Emeades.html orcid:0000-0002-6944-6428 orcid:0000-0002-6944-6428 , Cheyne, H. orcid:0000-0001-5738-8390 orcid:0000-0001-5738-8390 , Maxwell, M. orcid:0000-0003-3318-9500 orcid:0000-0003-3318-9500 , Best, C. orcid:0000-0002-3652-2498 orcid:0000-0002-3652-2498 , Ayers, S. https://openaccess.city.ac.uk/view/creators_id/susan=2Eayers=2E1.html orcid:0000-0002-6153-2460 orcid:0000-0002-6153-2460 , Shakespeare, J. orcid:0000-0003-0770-8098 orcid:0000-0003-0770-8098 , Alderdice, F. orcid:0000-0003-2404-5644 orcid:0000-0003-2404-5644 , Jomeen, J. orcid:0000-0002-4510-583X orcid:0000-0002-4510-583X Howard, G. orcid:0009-0006-3071-5981 orcid:0009-0006-3071-5981 view all authorsEPJS_limit_names_shown_load( 'creators_name_35289_et_al', 'creators_name_35289_rest' ); (2025). Implementing routine assessment of perinatal anxiety: case studies. Health and Social Care Delivery Research, 13(32), pp. 1-17. doi:10.3310/wwmd9982 https://doi.org/10.3310/wwmd9982 |
| DOI: |
10.3310/wwmd9982 |
| Availability: |
https://openaccess.city.ac.uk/id/eprint/35289/; https://openaccess.city.ac.uk/id/eprint/35289/1/3047938.pdf; https://doi.org/10.3310/wwmd9982 |
| Rights: |
cc_by_4_0_ipl |
| Accession Number: |
edsbas.6721DA5E |
| Database: |
BASE |