Han Emeline, Davis Rachel, Soukup Tayana, Bradbury Alexandra, Williams Julie, Baldellou Lopez Maria, Greenwood Lorna, Bind Rebecca, Estevao Carolina, Osborn Tim, Dye Hannah, Priestley Kristi, Rebecchini Lavinia, Hazelgrove Katie, Manoharan Manomani, Woods Anthony, Crane Nikki, Healey Andy, Dazzan Paola, Sevdalis Nick, Pariante Carmine M, Fancourt Daisy, Bakolis Ioannis, Burton Alexandra
Department of Behavioural Science and Health, University College London, London, United Kingdom.
Centre for Implementation Science, King's College London, London, United Kingdom.
Front Health Serv. 2025 Jul 4;5:1582517. doi: 10.3389/frhs.2025.1582517. eCollection 2025.
There is a rapidly growing evidence base for the effectiveness of creative health interventions in improving mental health, but few studies have explored implementation and scaling of these interventions. The aim of this study was to evaluate the perceived acceptability, appropriateness, and feasibility of a ten-week singing group programme (Breathe Melodies for Mums (M4M)) for mothers experiencing symptoms of postnatal depression (PND) and their babies as well as the programme ingredients that affected these implementation outcomes.
A mixed methods design was adopted. Quantitative data was collected via the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) from 109 intervention participants at 6, 20, and 36 weeks and analysed descriptively. Qualitative semi-structured interviews were conducted with 22 programme participants and 15 professional stakeholders involved in implementing the programme. Qualitative data were analysed using framework analysis.
Quantitative results showed high levels of acceptability, appropriateness, and feasibility among M4M participants, with median scores of 5/5 achieved on the AIM, IAM and FIM at 20 and 36-week follow up. Qualitative results gave insights into the ingredients of M4M that made the programme acceptable, appropriate, and feasible to participants and professional stakeholders. These included "project" ingredients (dose, design, content), "people" ingredients (social composition, activity facilitation), and to a lesser extent, "context" ingredients (setting, project set-up). While participant and stakeholder experiences were largely positive, some challenges and suggestions for improvement were also identified, including broadening recruitment strategies to reach more women.
M4M was highly acceptable, appropriate, and feasible to participants and stakeholders. By identifying the "core" ingredients that facilitated implementation success and strategies to address implementation barriers, these findings have important implications for future implementation and scale-up of M4M and similar creative health programmes.
identifier (NCT04834622).
越来越多的证据表明，创造性健康干预措施在改善心理健康方面是有效的，但很少有研究探讨这些干预措施的实施和推广情况。本研究的目的是评估一项为期十周的歌唱小组计划（“妈妈们的呼吸旋律”（M4M））对有产后抑郁症（PND）症状的母亲及其婴儿的可接受性、适宜性和可行性，以及影响这些实施结果的计划要素。
采用混合方法设计。通过干预措施可接受性量表（AIM）、干预措施适宜性量表（IAM）和干预措施可行性量表（FIM），在第6周、20周和36周收集了109名干预参与者的定量数据，并进行描述性分析。对22名项目参与者和15名参与项目实施的专业利益相关者进行了定性半结构化访谈。定性数据采用框架分析法进行分析。
定量结果显示，M4M参与者的可接受性、适宜性和可行性水平较高，在第20周和36周的随访中，AIM、IAM和FIM的中位数得分均为5/5。定性结果深入了解了使该计划对参与者和专业利益相关者具有可接受性、适宜性和可行性的M4M要素。这些要素包括“项目”要素（剂量、设计、内容）、“人员”要素（社会构成、活动促进），以及在较小程度上的“背景”要素（环境、项目设置）。虽然参与者和利益相关者的体验大多是积极的，但也发现了一些挑战和改进建议，包括扩大招募策略以覆盖更多女性。
M4M对参与者和利益相关者来说是高度可接受、适宜和可行的。通过确定促进实施成功的“核心”要素以及应对实施障碍的策略，这些发现对M4M和类似的创造性健康计划的未来实施和扩大规模具有重要意义。
标识符（NCT04834622）。
