scholarly journals NEW DAD STUDY (NEST): A mixed-methods feasibility study of an intervention to improve men’s mental health and wellbeing during their transition to fatherhood

2021 ◽  
Author(s):  
Sharin Baldwin ◽  
Mary Malone ◽  
Trevor Murrells ◽  
Jane Sandall ◽  
Debra Bick
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Transition To Parenthood ◽  
Future Research ◽  
Framework Analysis ◽  
Post Intervention ◽  
Health And Wellbeing ◽  
Guide System ◽  
First Time ◽  
Transition To Fatherhood

Abstract Background: Many health visiting services in England use the Promotional Guide system with mothers and fathers, an intervention to support their transition to parenthood, but there is little known about its use and effectiveness, especially with fathers. The aim of this study was to test the feasibility and acceptability of the Promotional Guide system with first-time fathers and pilot potential outcome measures to assess their mental health and wellbeing. Methods: A mixed methods prospective observational cohort study. Expectant first-time fathers were recruited from four London (UK) local authority boroughs. Data were collected through online pre and post intervention questionnaires, and semi-structured telephone interviews. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using framework analysis. Results: Eighty-six fathers were interested in participating; 7 men did not meet inclusion criteria and 79 were invited to complete the baseline questionnaire. Questionnaires completed by 45 men at both timepoints were included in the final analysis. Ten of these men were also interviewed. Six major categories were identified: 1) Experience of health visitor contact, 2) Experience of Promotional Guides, 3) Experience of perinatal health services, 4) Experience of fatherhood, 5) Fathers’ mental health and wellbeing, and 6) Experience of the research process. While antenatal and postnatal outcomes were collected from 45 first-time fathers, none had received the intervention in its entirety. This study identified major gaps in the implementation of the Promotional Guide system with fathers. Conclusion: This study highlighted first-time fathers’ mental health and wellbeing needs during their transition to fatherhood, and how they wanted to be supported. It also identified barriers to implementation of the Promotional Guide system by health visitors, which need to be addressed prior to any future research into this intervention. These findings have a number of implications for researchers, health professionals, health service managers, commissioners, policy makers and parents.

scholarly journals A mixed-methods feasibility study of an intervention to improve men’s mental health and wellbeing during their transition to fatherhood

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sharin Baldwin ◽  
Mary Malone ◽  
Trevor Murrells ◽  
Jane Sandall ◽  
Debra Bick
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Outcome Measures ◽  
Transition To Parenthood ◽  
Postnatal Period ◽  
Retention Rates ◽  
Health And Wellbeing ◽  
Guide System ◽  
First Time ◽  
Transition To Fatherhood

Abstract Background Many health visiting services in England use the Promotional Guide system with mothers and fathers, an intervention to support their transition to parenthood, but there is little known about its use and effectiveness, especially with fathers. The aim of this study was to test the feasibility and acceptability of the Promotional Guide system with first-time fathers and pilot potential outcome measures to assess their mental health and wellbeing. Methods A mixed methods prospective observational cohort study. Expectant first-time fathers were recruited from four London (UK) local authority boroughs. Data were collected through online pre and post intervention questionnaires, and semi-structured telephone interviews. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using framework analysis. Results Eighty-six fathers were interested in participating; 7 did not meet inclusion criteria and 79 were invited to complete the baseline questionnaire. Questionnaires completed by 45 men at both timepoints were included in the final analysis. Mean and standard deviations were calculated for all outcomes, showing a slight deterioration in the scores across all measures in the postnatal period compared to the antenatal. Ten of these men were also interviewed. Six major categories were identified: 1) Experience of health visitor contact, 2) Experience of Promotional Guides, 3) Experience of perinatal health services, 4) Experience of fatherhood, 5) Fathers’ mental health and wellbeing, and 6) Experience of the research process. While antenatal and postnatal outcomes were collected from 45 first-time fathers, none had received the intervention in its entirety. This study identified major gaps in the implementation of the Promotional Guide system with fathers. Conclusion This study assessed recruitment of first-time fathers, time to complete recruitment, and retention rates and identified outcome measures that could be used in a future definitive study. While it wasn’t possible to examine the potential changes following the use of the Promotional Guide system, the study reported on the changes in the fathers’ ‘states’ in the antenatal and postnatal period. It provided a narrative on whether first-time fathers found it acceptable to be asked about their mental health and wellbeing, highlighted their specific needs during their transition to fatherhood, and how they wanted to be supported. It also identified barriers to implementation of the Promotional Guide system by health visitors, which need to be addressed prior to any future research into this intervention. These findings have a number of implications for researchers, health professionals, health service managers, commissioners, policy makers and parents.

scholarly journals A qualitative exploratory study of UK first-time fathers’ experiences, mental health and wellbeing needs during their transition to fatherhood

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030792 ◽  
Author(s):  
Sharin Baldwin ◽  
Mary Malone ◽  
Jane Sandall ◽  
Debra Bick
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Early Years ◽  
Mental Illnesses ◽  
Current Evidence ◽  
Full Time ◽  
Perceived Needs ◽  
Health And Wellbeing ◽  
First Time ◽  
Transition To Fatherhood

ObjectivesTo develop an understanding of men’s experiences of first-time fatherhood, their mental health and wellbeing needs.DesignA qualitative study using semi-structured interviews. Data were analysed using framework analysis.SettingTwo large National Health Service integrated care trusts covering four London (UK) local authority boroughs.ParticipantsFirst-time fathers with children under 12 months of age were included. Maximum variation sampling was used, with 21 fathers recruited. Ten of these men described their ethnic background as Indian, seven as White British, one as Spanish, one as Black African, one as Black Caribbean and one as Pakistani. Participants’ ages ranged from 20 to over 60 years; completion of full-time education ranged from high school certificate to doctorate level; and annual income ranged from £15 000 to over £61 000. Non-English speaking fathers, those experiencing bereavement following neonatal death, stillbirth, pregnancy loss, sudden infant death, and fathers with existing severe mental illnesses were excluded.ResultsNine major categories were identified: ‘preparation for fatherhood’, ‘rollercoaster of feelings’, ‘new identity’, ‘challenges and impact’, ‘changed relationship: we’re in a different place’, ‘coping and support’, ‘health professionals and services: experience, provision and support’, ‘barriers to accessing support’, and ‘men’s perceived needs: what fathers want’. Resident (residing with their partner and baby) and non-resident fathers in this study highlighted broadly similar needs, as did fathers for whom English was their first language and those for whom it was not. A key finding of this study relates to men’s own perceived needs and how they would like to be supported during the perinatal period, contributing to the current evidence.ConclusionsThis study provides insight into first-time fathers’ experiences during their transition to fatherhood, with important implications for healthcare policy makers, service providers and professionals for how perinatal and early years services are planned and provided for both new parents.

scholarly journals Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach

2016 ◽  
Vol 47 (3) ◽  
pp. 565-575 ◽  
Author(s):  
P. K. Maulik ◽  
S. Devarapalli ◽  
S. Kallakuri ◽  
A. Tewari ◽  
S. Chilappagari ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Help Seeking ◽  
Common Mental Disorders ◽  
Qualitative Interviews ◽  
Social Contact ◽  
Future Research ◽  
Post Intervention ◽  
Middle Income ◽  
Major Barrier

BackgroundStigma related to mental health is a major barrier to help-seeking resulting in a large treatment gap in low- and middle-income countries (LMIC). This study assessed changes in knowledge, attitude and behaviour, and stigma related to help-seeking among participants exposed to an anti-stigma campaign.MethodThe campaign, using multi-media interventions, was part of the SMART Mental Health Project, conducted for 3 months, across 42 villages in rural Andhra Pradesh, in South India. Mixed-methods evaluation was conducted in two villages using a pre-post design.ResultsA total of 1576 and 2100 participants were interviewed, at pre- and post-intervention phases of the campaign. Knowledge was not increased. Attitudes and behaviours improved significantly (p < 0.01). Stigma related to help-seeking reduced significantly (p < 0.05). Social contact and drama were the most beneficial interventions identified during qualitative interviews.ConclusionThe results showed that the campaign was beneficial and led to improvement of attitude and behaviours related to mental health and reduction in stigma related to help-seeking. Social contact was the most effective intervention. The study had implications for future research in LMIC.

scholarly journals Promoting Postpartum Mental Health in Fathers: Recommendations for Nurse Practitioners

2017 ◽  
Vol 12 (2) ◽  
pp. 221-228 ◽  
Author(s):  
Sheena V. Kumar ◽  
John L. Oliffe ◽  
Mary T. Kelly
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Nurse Practitioners ◽  
Scoping Review ◽  
Postpartum Period ◽  
Postnatal Period ◽  
Learning Preferences ◽  
The Individual ◽  
First Time ◽  
Transition To Fatherhood

The transition to fatherhood can challenge the mental health of first-time fathers and heighten their risk for postpartum depression (PPD). Paternal PPD not only affects the individual, but relationships with partners and children as well. This scoping review explores paternal PPD, highlighting the factors for and impacts of paternal PPD, the experiences of first-time fathers during the postnatal period, including their knowledge gaps and learning preferences. Drawing on the scoping review findings, recommendations are made for postnatal programs to improve the inclusion of new fathers amid describing how nurse practitioners can promote men’s mental health in the postpartum period.

scholarly journals Is social media bad for mental health and wellbeing? Exploring the perspectives of adolescents

2018 ◽  
Vol 23 (4) ◽  
pp. 601-613 ◽  
Author(s):  
Michelle O’Reilly ◽  
Nisha Dogra ◽  
Natasha Whiteman ◽  
Jason Hughes ◽  
Seyda Eruyar ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Anxiety Disorders ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Mental Wellbeing ◽  
Future Research ◽  
Health And Wellbeing ◽  
Use Of Social Media ◽  
Media Discourses

Despite growing evidence of the effects of social media on the mental health of adolescents, there is still a dearth of empirical research into how adolescents themselves perceive social media, especially as knowledge resource, or how they draw upon the wider social and media discourses to express a viewpoint. Accordingly, this article contributes to this scarce literature. Six focus groups took place over 3 months with 54 adolescents aged 11–18 years, recruited from schools in Leicester and London (UK). Thematic analysis suggested that adolescents perceived social media as a threat to mental wellbeing and three themes were identified: (1) it was believed to cause mood and anxiety disorders for some adolescents, (2) it was viewed as a platform for cyberbullying and (3) the use of social media itself was often framed as a kind of ‘addiction’. Future research should focus on targeting and utilising social media for promoting mental wellbeing among adolescents and educating youth to manage the possible deleterious effects.

scholarly journals The implications of parent mental health and wellbeing for parent-child attachment: A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260891
Author(s):  
Alixandra Risi ◽  
Judy A. Pickard ◽  
Amy L. Bird
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Intergenerational Transmission ◽  
Empirical Studies ◽  
Preliminary Evidence ◽  
Future Research ◽  
Health And Wellbeing ◽  
Parent Mental Health ◽  
Child Attachment ◽  
The Impact

Background Parent mental health and wellbeing may have implications for understanding attachment transmission. In this systematic review, we synthesise the published literature to determine the nature of the relationship between parent mental health and wellbeing and the intergenerational transmission of attachment and to provide recommendations for future research, clinical practice and intervention. Method Using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach, five electronic databases were searched for peer-reviewed empirical studies, published in English. Articles were considered for inclusion if data was collected on adult attachment, child attachment, and a domain of parent mental health/wellbeing. No date parameters were applied to the search strategy. The review was registered with PROPSERO (registration number: CRD42020157247). Results Eleven studies examining the impact on parent mental health and wellbeing on the intergenerational transmission of attachment were identified for inclusion in this review. Our review found preliminary evidence that parent mental health and wellbeing play a role in the intergenerational transmission of attachment. Other key findings from the review were: evidence quality is mixed due to variable measurement of attachment and mental health; studies have mostly included correlational analysis or do not utilise contemporary methodological approaches to testing mediating or moderating relationships; and literature is largely focused on psychopathology and negative factors of mental health. Conclusions The limited scope of parent mental health and wellbeing constructs examined in the literature, the sparse use of robust statistical analyses, and the lack of literature in general makes it difficult to draw conclusions on how and why parent mental health impacts attachment transmission. Addressing these limitations will further progress attachment-related literature and may have particular implications for attachment-informed interventions with clinical populations.

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