Introducing the Postpartum Toolkit: An Examination of the Feasibility, Acceptability and Pilot Efficacy of an Online Clinical Tool to Enhance Postpartum Functioning and Emotional Wellbeing

Supporting parents in the transition to parenthood through wellbeing interventions; An international scoping review

PROBLEM

Many first-time parents experience poor wellbeing during the transition to parenthood.

BACKGROUND

The transition to parenthood can be challenging, with consequences to wellbeing for many first-time parents. While parents are often well-supported to care for their children, there are minimal supports available to care for themselves. To support parents in caring for their children, they need to be supported in their own care.

RESEARCH QUESTION

What evidence-based universal interventions supporting parent wellbeing from conception to 12 months post birth exist?

METHODS

A scoping search across four databases to identify studies measuring and reporting wellbeing outcomes of parents who participated in a prevention intervention aiming to improve wellbeing.

FINDINGS

Seventy-four studies, reporting on 70 unique interventions, were included. Interventions were grouped into eight categories depending on their main mechanism of focus. Studies measured a range of wellbeing outcomes. Thirty-five studies provided evidence of effectiveness across all their reported outcomes. These interventions ranged across the different categories of focus, typically included mothers-only, were delivered post-birth, by a facilitator, in-person and individually.

DISCUSSION

Wellbeing is complex and existing evidence demonstrates a range of intervention components that may effectively support parent wellbeing. Inconsistency in defining wellbeing and diversity in outcome measurements limits our ability to determine which components of these interventions are the most effective.

CONCLUSION

Findings from this review support a multifaceted approach to supporting parents' wellbeing during this transition, with considered intervention focus and design to support a universal population across all facets of wellbeing.

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation

BACKGROUND

Using data from a national cohort study and focus groups, the Women-Centred HIV Care (WCHC) Model was developed to inform care delivery for women living with HIV.

METHODS

Through an evidence-based, integrated knowledge translation approach, we developed 2 toolkits based on the WCHC Model for service providers and women living with HIV in English and French (Canada's national languages). To disseminate, we distributed printed advertising materials, hosted 3 national webinars and conducted 2 virtual capacity-building training series.

RESULTS

A total of 315 individuals attended the webinars, and the average WCHC knowledge increased by 29% (SD 4.3%). In total, 131 service providers engaged in 22 virtual capacity-building training sessions with 21 clinical cases discussed. Learners self-reported increased confidence in 15/15 abilities, including the ability to provide WCHC. As of December 2023, the toolkits were downloaded 7766 times.

CONCLUSIONS

We successfully developed WCHC toolkits and shared them with diverse clinical and community audiences through various dissemination methods.