{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:37:50Z","timestamp":1792611470396,"version":"4.5.0"},"reference-count":17,"publisher":"Royal College of General Practitioners","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2025,11,11]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Perinatal mental health (PMH) problems affect 10\u201320% of women and birthing people during pregnancy and the postnatal year, costing the UK an estimated \u00a38.1 billion annually. Underserved groups \u2014 including women and birthing people from minority ethnic groups, deprived areas, and those facing multiple disadvantages \u2014 experience the greatest inequalities in access and outcomes. Despite national investment, many fall between primary care (general practice, NHS Talking Therapies) and specialist PMH services, with limited guidance on bridging this gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To co-design an experience-based intervention to address unmet PMH needs among underserved women and birthing people, and to explore barriers to accessing care and gaps across PMH pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>A mixed-methods study using the Medical Research Council (MRC) framework and an adapted Accelerated Experience-Based Co-Design (AEBCD) approach in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Work package (WP) 1 will survey and interview professionals nationally across diverse roles and organisational contexts. WP2 will involve focus groups and interviews with underserved women and birthing people in Sheffield and Doncaster (South Yorkshire, UK), supported by bilingual community research link workers (CRLWs). Findings will be synthesised and used in co-design workshops (WP3) to develop an accessible, evidence-informed intervention tailored to the needs of an underserved group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The PRAMS (Perinatal Redesign for Accessing Mental Health Services) study will generate clinically relevant insights into improving access to and management of PMH care for underserved women and birthing people. By working collaboratively with practitioners, women and birthing people with lived experience, and community partners, PRAMS will deliver a co-designed intervention with potential to reduce inequalities. Findings will inform local service delivery and contribute national learning on user-led redesign of PMH services across primary and secondary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2025.0206","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T17:45:13Z","timestamp":1765388713000},"page":"BJGPO.2025.0206","source":"Crossref","is-referenced-by-count":1,"title":["The PRAMS study (Perinatal Redesign for Accessing Mental Health Services): a research protocol"],"prefix":"10.3399","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1927-471X","authenticated-orcid":false,"given":"Elena May","family":"Sheldon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naseeb","family":"Ezaydi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Hobbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saima","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Miles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Marvin-Dowle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Fryer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Sutton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6754-7129","authenticated-orcid":false,"given":"Victoria","family":"Silverwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4790-0095","authenticated-orcid":false,"given":"Caroline","family":"Mitchell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6409-4793","authenticated-orcid":false,"given":"Daniel","family":"Hind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Mackenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"2026102105001028000_10.3.BJGPO.2025.0206.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2013.09.002"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.2","unstructured":"Centre for Mental Health (2014) Costs of perinatal mental health problems. accessed. https:\/\/www.centreformentalhealth.org.uk\/publications\/costs-perinatal-mental-health-problems\/. 30 Mar 2026."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.3","unstructured":"Knight M Kenyon S Tuffnell D et al (2015) Saving lives, improving mothers\u2019 care: surveillance of maternal deaths in the UK 2011\u201313 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009\u201313 (National Perinatal Epidemiology Unit, University of Oxford, Oxford)."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.4","unstructured":"Felker A Patel R Kotnis R et al (2025) Saving lives, improving mothers\u2019 care: lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2021\u201323. accessed. https:\/\/www.npeu.ox.ac.uk\/assets\/downloads\/mbrrace-uk\/reports\/maternal-report-2025\/MBRRACE-UK%20Maternal%20Report%202025%20-%20Main%20ONLINE%20v1.0.pdf. 30 Mar 2026."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.5","unstructured":"Draper ES Gallimore ID Smith LK et al (2020) MBRRACE-UK Perinatal Mortality Surveillance Report: UK perinatal deaths for births from January to December 2018. accessed. https:\/\/www.npeu.ox.ac.uk\/assets\/downloads\/mbrrace-uk\/reports\/perinatal-surveillance-report-2018\/MBRRACE-UK_Perinatal_Surveillance_Report_2018_-_final_v3.pdf. 30 Mar 2026."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.6","unstructured":"NHS England (2023) Core20PLUS5 (adults) \u2014 an approach to reducing healthcare inequalities. accessed. https:\/\/www.england.nhs.uk\/about\/equality\/equality-hub\/national-healthcare-inequalities-improvement-programme\/core20plus5\/. 30 Mar 2026."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-066703"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.06.072"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.9","unstructured":"Department of Health and Social Care (2021) The best start for life: a vision for the 1,001 critical days. The early years healthy development review report. accessed. .. https:\/\/www.gov.uk\/government\/publications\/the-best-start-for-life-a-vision-for-the-1001-critical-days. 30 Mar 2026."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.10","unstructured":"Oates M (2000) Perinatal maternal mental health services: council report CR88 (Royal College of Psychiatrists, London)."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.12","doi-asserted-by":"publisher","DOI":"10.2752\/175630615X14212498964312"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.13","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00380-5"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.14","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-025-01450-7"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.15","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-6-35"},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.16","unstructured":"Deep End Research Alliance (DERA) (2024) Working with Community Researchers Toolkit. accessed. https:\/\/sites.google.com\/sheffield.ac.uk\/dera\/research-within-communities\/community-researcher-toolkit. 30 Mar 2026."},{"key":"2026102105001028000_10.3.BJGPO.2025.0206.17","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp23X733461"}],"container-title":["BJGP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/BJGPO.2025.0206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:38:46Z","timestamp":1792607926000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgpopen.org\/lookup\/doi\/10.3399\/BJGPO.2025.0206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,10]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,10,21]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.3399\/BJGPO.2025.0206"],"URL":"https:\/\/doi.org\/10.3399\/bjgpo.2025.0206","relation":{},"ISSN":["2398-3795"],"issn-type":[{"value":"2398-3795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,10]]}}}