Lindahl Ylva-Li, Norén Helene, Skalkidou Alkistis, Åslund Cecilia
Centre for Clinical Research Uppsala University, Västmanland Hospital, Region Västmanland, Västerås, Sweden.
Department of Women´s and Children´s Health, Faculty of Medicine, Uppsala University, Uppsala, Sweden.
JMIR Res Protoc. 2025 Aug 1;14:e67179. doi: 10.2196/67179.
Onset of depression and anxiety can occur before, during, or after pregnancy, and ongoing conditions can either improve or deteriorate at all stages. National and international guidelines recommend that maternal health care should contribute to improving pregnant women's mental health by consistently asking pertinent questions during pregnancy and offering necessary support and care. The implementation of a program for psychosocial assessment has been carried out in a region in Sweden. The program includes the identification of risk factors and ongoing mental ill-health, consultation with psychologists within maternal and child health care, and care pathways to other health care providers.
The general aim of this research project is to investigate the effects of a program for psychosocial assessment during pregnancy on patients, as well as to evaluate the experiences of midwives and psychologists when working with the program.
A multimethod study design will be used to evaluate possible effects of a program for psychosocial assessment during pregnancy, including a pre- and postimplementation comparison, alongside a qualitative study of the professionals' perspectives. Data sources for the research project include patient data from the Swedish Pregnancy Register, medical records, questionnaire responses, and interviews with midwives and psychologists.
The recruitment process is completed, and data collection and analysis are ongoing. The dissemination plan includes several publications of original research and two doctoral theses.
This study's results are expected to be relevant for maternal health care, both nationally and internationally, as scientific evaluations of the effects of implementing a program for psychosocial assessment during pregnancy are scarce. The implementation and evaluation of the program may hopefully, in the future, serve as a model for more standardized and effective care. It may influence national policies and attract attention as a model for improving perinatal mental health and maternity care.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/67179.
抑郁和焦虑可在孕期之前、期间或之后出现，且现有病症在各个阶段都可能改善或恶化。国家和国际指南建议，孕产妇保健应通过在孕期持续询问相关问题并提供必要的支持与护理，来促进孕妇心理健康。瑞典一个地区实施了一项社会心理评估项目。该项目包括识别风险因素和持续存在的精神健康问题、在母婴保健机构内与心理学家进行咨询，以及通往其他医疗服务提供者的护理途径。
本研究项目的总体目标是调查孕期社会心理评估项目对患者的影响，以及评估助产士和心理学家在参与该项目时的体验。
将采用多方法研究设计来评估孕期社会心理评估项目的可能效果，包括实施前后的比较，以及对专业人员观点的定性研究。该研究项目的数据来源包括瑞典妊娠登记处的患者数据、病历、问卷调查回复，以及对助产士和心理学家的访谈。
招募过程已完成，数据收集和分析正在进行。传播计划包括多篇原创研究论文和两篇博士论文。
由于缺乏对孕期实施社会心理评估项目效果的科学评估，预计本研究结果在国内和国际上对孕产妇保健都具有相关性。该项目的实施和评估有望在未来成为更标准化、更有效护理的典范。它可能会影响国家政策，并作为改善围产期心理健康和孕产妇保健的典范而受到关注。
国际注册报告识别码（IRRID）：DERR1-10.2196/67179。
