BJGP open · 2026
The PRAMS study (Perinatal Redesign for Accessing Mental Health Services): a research protocol.
СтатьяНазвание и аннотация: Перевод в очереди
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Sheldon Elena May, Ezaydi Naseeb, Hahn Danielle, Hobbs Kelly, Ahmed Saima, Miles Helen, Thompson Julia, Marvin-Dowle Katie, Fryer Kate, Sutton Laura, Silverwood Victoria, Mitchell Caroline, Hind Daniel, Mackenzie Kelly
Аннотация
BACKGROUND: Perinatal mental health (PMH) problems affect 10-20% of women and birthing people during pregnancy and the postnatal year, costing the UK an estimated £8.1 billion annually. Underserved groups - including women and birthing people from minority ethnic groups, deprived areas, and those facing multiple disadvantages - experience the greatest inequalities in access and outcomes. Despite national investment, many fall between primary care (general practice, NHS Talking Therapies) and specialist PMH services, with limited guidance on bridging this gap.
AIM: To co-design an experience-based intervention to address unmet PMH needs among underserved women and birthing people, and to explore barriers to accessing care and gaps across PMH pathways.
DESIGN & SETTING: A mixed-methods study using the Medical Research Council (MRC) framework and an adapted Accelerated Experience-Based Co-Design (AEBCD) approach in the UK.
METHOD: Work package (WP) 1 will survey and interview professionals nationally across diverse roles and organisational contexts. WP2 will involve focus groups and interviews with underserved women and birthing people in Sheffield and Doncaster (South Yorkshire, UK), supported by bilingual community research link workers (CRLWs). Findings will be synthesised and used in co-design workshops (WP3) to develop an accessible, evidence-informed intervention tailored to the needs of an underserved group.
CONCLUSION: The PRAMS (Perinatal Redesign for Accessing Mental Health Services) study will generate clinically relevant insights into improving access to and management of PMH care for underserved women and birthing people. By working collaboratively with practitioners, women and birthing people with lived experience, and community partners, PRAMS will deliver a co-designed intervention with potential to reduce inequalities. Findings will inform local service delivery and contribute national learning on user-led redesign of PMH services across primary and secondary care.
AIM: To co-design an experience-based intervention to address unmet PMH needs among underserved women and birthing people, and to explore barriers to accessing care and gaps across PMH pathways.
DESIGN & SETTING: A mixed-methods study using the Medical Research Council (MRC) framework and an adapted Accelerated Experience-Based Co-Design (AEBCD) approach in the UK.
METHOD: Work package (WP) 1 will survey and interview professionals nationally across diverse roles and organisational contexts. WP2 will involve focus groups and interviews with underserved women and birthing people in Sheffield and Doncaster (South Yorkshire, UK), supported by bilingual community research link workers (CRLWs). Findings will be synthesised and used in co-design workshops (WP3) to develop an accessible, evidence-informed intervention tailored to the needs of an underserved group.
CONCLUSION: The PRAMS (Perinatal Redesign for Accessing Mental Health Services) study will generate clinically relevant insights into improving access to and management of PMH care for underserved women and birthing people. By working collaboratively with practitioners, women and birthing people with lived experience, and community partners, PRAMS will deliver a co-designed intervention with potential to reduce inequalities. Findings will inform local service delivery and contribute national learning on user-led redesign of PMH services across primary and secondary care.