A qualitative examination of the implementation of a perinatal collaborative care program

Bayley J. Taple*, Shefali Haldar, S. Darius Tandon, Madhu Reddy, David C. Mohr, Emily S. Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Aim: To identify implementation strategies for collaborative care (CC) that are successful in the context of perinatal care. Background: Perinatal depression is one of the most common complications of pregnancy and is associated with adverse maternal, obstetric, and neonatal outcomes. Although treating depressive symptoms reduces risks to mom and baby, barriers to accessing psychiatric treatment remain. CC has demonstrated benefit in primary care, expanding access, yet few studies have examined the implementation of CC in perinatal care which presents unique characteristics and challenges. Methods: We conducted qualitative interviews with 20 patients and 10 stakeholders from Collaborative Care Model for Perinatal Depression Support Services (COMPASS), a perinatal collaborative care (pCC) program implemented since 2017. We analyzed interview data by employing the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to organize empirically selected implementation strategies from Expert Recommendations for Implementing Change (ERIC) to create a guide for the development of pCC programs. Findings: We identified 14 implementation strategies used in the implementation of COMPASS. Strategies were varied, cutting across ERIC domains (eg, plan, educate, finance) and across EPIS contexts (eg, inner context - characteristics of the pCC program). The majority of strategies were identified by patients and staff as facilitators of pCC implementation. In addition, findings show opportunities for improving the implementation strategies used, such as optimal dissemination of educational materials for obstetric clinicians. The implementation of COMPASS can serve as a model for the process of building a pCC program. The identified strategies can support the implementation of this evidence-based practice for addressing postpartum depression.

Original languageEnglish (US)
Article numberPHC-D-21-00146
JournalPrimary Health Care Research and Development
Volume23
DOIs
StatePublished - Aug 31 2022

Keywords

  • collaborative care
  • implementation strategies
  • perinatal
  • postpartum depression

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Care Planning

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