Journal of clinical psychology in medical settings · 2026
Patient Perceptions of In-person and Telehealth Group Support for Postpartum Mood and Anxiety Disorders Before and After the COVID-19 Pandemic.
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Rai Ishita, Bublitz Margaret, MacLean Joanna, Ayala Nina K, Sönmez Cemile Ceren, Pomerantz Madison, Sharp Meghan
Аннотация
INTRODUCTION: Group-based support is effective at reducing symptoms of postpartum mood and anxiety disorders (PMADs); however, barriers to access exist. Telehealth is an important advancement in healthcare delivery that may mitigate access barriers.
OBJECTIVE: This mixed-methods study explored barriers and facilitators to participation in a provider-led PMADs support group offered in-person and/or via video telehealth.
METHODS: Group attendance and demographics were assessed via chart review for 94 patients who participated via in-person, and/or video telehealth groups. Semi-structured interviews with a purposive sample of attendees (N = 24) explored: (1) barriers to attendance, (2) preference for modality, and (3) recommendations for future care. Framework matrix analysis identified common themes in patient experience. Patients completed the Client Satisfaction Questionnaire.
RESULTS: Group attendance was significantly higher in telehealth compared to in-person format (t = 8.13, p < 0.001). Satisfaction did not differ by modality (F = 0.44, p = 0.65). Themes from qualitative interviews included logistical and technological challenges that served as barriers and/or facilitators to attendance.
DISCUSSION: Barriers to PMAD group participation are present for both in-person and telehealth modalities. While telehealth may mitigate barriers to in-person care, patients raised concerns about the quality of support received from online relationships.
OBJECTIVE: This mixed-methods study explored barriers and facilitators to participation in a provider-led PMADs support group offered in-person and/or via video telehealth.
METHODS: Group attendance and demographics were assessed via chart review for 94 patients who participated via in-person, and/or video telehealth groups. Semi-structured interviews with a purposive sample of attendees (N = 24) explored: (1) barriers to attendance, (2) preference for modality, and (3) recommendations for future care. Framework matrix analysis identified common themes in patient experience. Patients completed the Client Satisfaction Questionnaire.
RESULTS: Group attendance was significantly higher in telehealth compared to in-person format (t = 8.13, p < 0.001). Satisfaction did not differ by modality (F = 0.44, p = 0.65). Themes from qualitative interviews included logistical and technological challenges that served as barriers and/or facilitators to attendance.
DISCUSSION: Barriers to PMAD group participation are present for both in-person and telehealth modalities. While telehealth may mitigate barriers to in-person care, patients raised concerns about the quality of support received from online relationships.