Patient Perceptions of In-person and Telehealth Group Support for Postpartum Mood and Anxiety Disorders Before and After the COVID-19 Pandemic.

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.