Implementing a group singing intervention for postpartum depression within the Italian health service
BackgroundIn the United Kingdom a singing intervention for Postpartum Depression (PPD) titled “Music and Motherhood” was found to be effective. The World Health Organization Regional Office for Europe coordinated a study to assess the feasibility of implementing and adapting the intervention in othe...
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Frontiers Media S.A.
2024-10-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1461965/full |
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| author | Ilaria Lega Ilaria Luzi Simona Mastroeni Claudia Ferraro Silvia Andreozzi Serena Donati Pietro Grussu Valentina Cavazzana Patrizia Proietti Patrizia Magliocchetti Chiara Monaldi Cristina Biglia Rossana Oreggia Catterina Seia Calum Smith Calum Smith Katey Warran Katey Warran Nils Fietje The Italy and GLOBUS Music and Motherhood Groups |
| author_facet | Ilaria Lega Ilaria Luzi Simona Mastroeni Claudia Ferraro Silvia Andreozzi Serena Donati Pietro Grussu Valentina Cavazzana Patrizia Proietti Patrizia Magliocchetti Chiara Monaldi Cristina Biglia Rossana Oreggia Catterina Seia Calum Smith Calum Smith Katey Warran Katey Warran Nils Fietje The Italy and GLOBUS Music and Motherhood Groups |
| author_sort | Ilaria Lega |
| collection | DOAJ |
| description | BackgroundIn the United Kingdom a singing intervention for Postpartum Depression (PPD) titled “Music and Motherhood” was found to be effective. The World Health Organization Regional Office for Europe coordinated a study to assess the feasibility of implementing and adapting the intervention in other countries. In Italy, recent studies have highlighted the need to promote the availability of effective interventions for PPD in primary care.AimTo describe the implementation of “Music and Motherhood” within the Italian primary care services dedicated to pregnancy and postnatal care in three different geographical locations, thus providing an example of strategies for implementing an arts and health intervention in primary care that can improve health and well-being.MethodsA 10-week group singing intervention for mothers with PPD was conducted as part of a single arm feasibility study. Data were collected through one-to-one interviews, focus groups and questionnaires from the professionals involved in the implementation and selected participating mothers. A conceptual framework including acceptability, appropriateness, feasibility, fidelity, implementation process, costs and sustainability was adopted for analysis. Number of sessions attended by mothers and implementation outcome measures for acceptability, appropriateness and feasibility, each consisting of four items rated on a 5-point Likert scale were also gathered.ResultsThe intervention was found to be inclusive of women from different socio-cultural backgrounds and appropriate to the context. The group setting and the use of an arts-based intervention helped to de-medicalise the process of care maximising resources. Singing helped mothers to express their feelings and find strategies to improve interaction with their child. Attention to mothers’ needs and the co-presence of the professional singing leader and a health professional were among the key factors. The median number of sessions attended was nine out of 10. In terms of acceptability, almost 90% of the professionals were in complete agreement that they liked and approved the intervention.ConclusionOur study adds to the evidence that an arts and health intervention proven effective in one culture and linguistic context can be adapted to another. Collaboration among health professionals and artists in the implementation process and adequate funding are instrumental in moving from project to programme level. |
| format | Article |
| id | doaj-art-65d1ebbbfd6041699cd27fabc8d3094c |
| institution | OA Journals |
| issn | 2296-858X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Frontiers Media S.A. |
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| spelling | doaj-art-65d1ebbbfd6041699cd27fabc8d3094c2025-08-20T01:50:45ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-10-011110.3389/fmed.2024.14619651461965Implementing a group singing intervention for postpartum depression within the Italian health serviceIlaria Lega0Ilaria Luzi1Simona Mastroeni2Claudia Ferraro3Silvia Andreozzi4Serena Donati5Pietro Grussu6Valentina Cavazzana7Patrizia Proietti8Patrizia Magliocchetti9Chiara Monaldi10Cristina Biglia11Rossana Oreggia12Catterina Seia13Calum Smith14Calum Smith15Katey Warran16Katey Warran17Nils Fietje18The Italy and GLOBUS Music and Motherhood GroupsWomen’s, Children’s and Adolescents’ Health, National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, ItalyRisk Factors Surveillance and Health Promotion Strategies, National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, ItalyWomen’s, Children’s and Adolescents’ Health, National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, ItalyWomen’s, Children’s and Adolescents’ Health, National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, ItalyWomen’s, Children’s and Adolescents’ Health, National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, ItalyWomen’s, Children’s and Adolescents’ Health, National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, ItalyAzienda ULSS 6 Euganea, Este, ItalyDandelion Associazione di promozione sociale, Maserà di Padova, ItalyASL Roma 2, Rome, ItalyASL Roma 2, Rome, ItalyStudio Lago—Il centro della voce, Rome, ItalyASL Città di Torino, Turin, ItalyCultural Welfare Center, Turin, ItalyCultural Welfare Center, Turin, ItalyNuffield Department of Population Health, University of Oxford, Oxford, United Kingdom0Consultant, Behavioural and Cultural Insights Unit, World Health Organization Regional Office for Europe, Copenhagen, Denmark1Social Biobehavioural Research Group, Research Department of Behavioural Science and Health, University College London, London, United Kingdom2School of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom3Behavioural and Cultural Insights Unit, World Health Organization Regional Office for Europe, Copenhagen, DenmarkBackgroundIn the United Kingdom a singing intervention for Postpartum Depression (PPD) titled “Music and Motherhood” was found to be effective. The World Health Organization Regional Office for Europe coordinated a study to assess the feasibility of implementing and adapting the intervention in other countries. In Italy, recent studies have highlighted the need to promote the availability of effective interventions for PPD in primary care.AimTo describe the implementation of “Music and Motherhood” within the Italian primary care services dedicated to pregnancy and postnatal care in three different geographical locations, thus providing an example of strategies for implementing an arts and health intervention in primary care that can improve health and well-being.MethodsA 10-week group singing intervention for mothers with PPD was conducted as part of a single arm feasibility study. Data were collected through one-to-one interviews, focus groups and questionnaires from the professionals involved in the implementation and selected participating mothers. A conceptual framework including acceptability, appropriateness, feasibility, fidelity, implementation process, costs and sustainability was adopted for analysis. Number of sessions attended by mothers and implementation outcome measures for acceptability, appropriateness and feasibility, each consisting of four items rated on a 5-point Likert scale were also gathered.ResultsThe intervention was found to be inclusive of women from different socio-cultural backgrounds and appropriate to the context. The group setting and the use of an arts-based intervention helped to de-medicalise the process of care maximising resources. Singing helped mothers to express their feelings and find strategies to improve interaction with their child. Attention to mothers’ needs and the co-presence of the professional singing leader and a health professional were among the key factors. The median number of sessions attended was nine out of 10. In terms of acceptability, almost 90% of the professionals were in complete agreement that they liked and approved the intervention.ConclusionOur study adds to the evidence that an arts and health intervention proven effective in one culture and linguistic context can be adapted to another. Collaboration among health professionals and artists in the implementation process and adequate funding are instrumental in moving from project to programme level.https://www.frontiersin.org/articles/10.3389/fmed.2024.1461965/fullart and healthpostpartum depressionfamily care centresprimary carematernal health servicesImplementation |
| spellingShingle | Ilaria Lega Ilaria Luzi Simona Mastroeni Claudia Ferraro Silvia Andreozzi Serena Donati Pietro Grussu Valentina Cavazzana Patrizia Proietti Patrizia Magliocchetti Chiara Monaldi Cristina Biglia Rossana Oreggia Catterina Seia Calum Smith Calum Smith Katey Warran Katey Warran Nils Fietje The Italy and GLOBUS Music and Motherhood Groups Implementing a group singing intervention for postpartum depression within the Italian health service Frontiers in Medicine art and health postpartum depression family care centres primary care maternal health services Implementation |
| title | Implementing a group singing intervention for postpartum depression within the Italian health service |
| title_full | Implementing a group singing intervention for postpartum depression within the Italian health service |
| title_fullStr | Implementing a group singing intervention for postpartum depression within the Italian health service |
| title_full_unstemmed | Implementing a group singing intervention for postpartum depression within the Italian health service |
| title_short | Implementing a group singing intervention for postpartum depression within the Italian health service |
| title_sort | implementing a group singing intervention for postpartum depression within the italian health service |
| topic | art and health postpartum depression family care centres primary care maternal health services Implementation |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1461965/full |
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