Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial
BackgroundThere 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, a...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Health Services |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2025.1582517/full |
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| author | Emeline Han Rachel Davis Rachel Davis Tayana Soukup Tayana Soukup Alexandra Bradbury Julie Williams Maria Baldellou Lopez Lorna Greenwood Rebecca Bind Carolina Estevao Tim Osborn Hannah Dye Kristi Priestley Lavinia Rebecchini Katie Hazelgrove Manomani Manoharan Anthony Woods Nikki Crane Andy Healey Paola Dazzan Nick Sevdalis Carmine M. Pariante Daisy Fancourt Ioannis Bakolis Ioannis Bakolis Alexandra Burton |
| author_facet | Emeline Han Rachel Davis Rachel Davis Tayana Soukup Tayana Soukup Alexandra Bradbury Julie Williams Maria Baldellou Lopez Lorna Greenwood Rebecca Bind Carolina Estevao Tim Osborn Hannah Dye Kristi Priestley Lavinia Rebecchini Katie Hazelgrove Manomani Manoharan Anthony Woods Nikki Crane Andy Healey Paola Dazzan Nick Sevdalis Carmine M. Pariante Daisy Fancourt Ioannis Bakolis Ioannis Bakolis Alexandra Burton |
| author_sort | Emeline Han |
| collection | DOAJ |
| description | BackgroundThere 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.MethodsA 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.ResultsQuantitative 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.ConclusionM4M 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.
Clinical Trial Registrationidentifier (NCT04834622). |
| format | Article |
| id | doaj-art-98609d5ef56545e88fc929e1867b0413 |
| institution | DOAJ |
| issn | 2813-0146 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| spelling | doaj-art-98609d5ef56545e88fc929e1867b04132025-08-20T03:16:08ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-07-01510.3389/frhs.2025.15825171582517Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trialEmeline Han0Rachel Davis1Rachel Davis2Tayana Soukup3Tayana Soukup4Alexandra Bradbury5Julie Williams6Maria Baldellou Lopez7Lorna Greenwood8Rebecca Bind9Carolina Estevao10Tim Osborn11Hannah Dye12Kristi Priestley13Lavinia Rebecchini14Katie Hazelgrove15Manomani Manoharan16Anthony Woods17Nikki Crane18Andy Healey19Paola Dazzan20Nick Sevdalis21Carmine M. Pariante22Daisy Fancourt23Ioannis Bakolis24Ioannis Bakolis25Alexandra Burton26Department of Behavioural Science and Health, University College London, London, United KingdomCentre for Implementation Science, King’s College London, London, United KingdomEvidera, INC. PPD, Part of Thermofisher Scientific, London, United KingdomCentre for Implementation Science, King’s College London, London, United KingdomDepartment of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, United KingdomDepartment of Behavioural Science and Health, University College London, London, United KingdomCentre for Implementation Science, King’s College London, London, United KingdomCentre for Implementation Science, King’s College London, London, United KingdomBreathe Arts Health Research, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomBreathe Arts Health Research, London, United KingdomBreathe Arts Health Research, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomSouth London and Maudsley NHS Foundation Trust, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomCulture Team, King’s College London, London, United KingdomCentre for Implementation Science, King’s College London, London, United KingdomDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomCentre for Behavioural and Implementation Science Interventions, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, United KingdomDepartment of Behavioural Science and Health, University College London, London, United KingdomCentre for Implementation Science, King’s College London, London, United Kingdom0Department of Biostatistics and Health Informatics, King’s College London, London, United KingdomDepartment of Behavioural Science and Health, University College London, London, United KingdomBackgroundThere 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.MethodsA 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.ResultsQuantitative 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.ConclusionM4M 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. Clinical Trial Registrationidentifier (NCT04834622).https://www.frontiersin.org/articles/10.3389/frhs.2025.1582517/fullpostnatal depressiongroup singingarts in healthcreative health interventionsimplementation outcomes |
| spellingShingle | Emeline Han Rachel Davis Rachel Davis Tayana Soukup Tayana Soukup Alexandra Bradbury Julie Williams Maria Baldellou Lopez Lorna Greenwood Rebecca Bind Carolina Estevao Tim Osborn Hannah Dye Kristi Priestley Lavinia Rebecchini Katie Hazelgrove Manomani Manoharan Anthony Woods Nikki Crane Andy Healey Paola Dazzan Nick Sevdalis Carmine M. Pariante Daisy Fancourt Ioannis Bakolis Ioannis Bakolis Alexandra Burton Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial Frontiers in Health Services postnatal depression group singing arts in health creative health interventions implementation outcomes |
| title | Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial |
| title_full | Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial |
| title_fullStr | Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial |
| title_full_unstemmed | Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial |
| title_short | Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial |
| title_sort | implementation of singing groups for postnatal depression experiences of participants and professional stakeholders in the shaper pnd randomised controlled trial |
| topic | postnatal depression group singing arts in health creative health interventions implementation outcomes |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2025.1582517/full |
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