Table 3.
Grade-CERQual assessment
| # | Summarised review finding | GRADE-CERQual Assessment of confidence | Explanation of GRADE-CERQual Assessment | References |
|---|---|---|---|---|
| THEME 1: CONNECTED RELATIONSHIPS | ||||
| 1 | Participants valued personal attributes of clinicians such as sensitivity, warmth, and dedication. | High confidence | No/Very minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Minor concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Coates et al. 2017; Myors et al. 2014b; Wright et al. 2018; Viveiros & Darling 2018; |
| 2 | Having a non-judgmental clinician was important and comforting to women | High confidence | Minor concerns regarding methodological limitations, Minor concerns regarding coherence, No/Very minor concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Hauck et al. 2013; Higgins et al. 2016; Coates et al. 2017; Lever Taylor et al. 2020; Myors et al. 2015b; Wright et al. 2018; Bruce & Hackett 2021; |
| 3 | Peer relationships supported women’s recovery in group therapy sessions and on MBUs | Moderate confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Minor concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Greaves et al. 2021; Powell et al. 2020; Viveiros & Darling 2018; |
| 4 | Women reported reduced contact and difficulty accessing family support due to clashes with relatives' work, long travel distances, inflexible visiting hours, and childcare commitments. | Moderate confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Lever Taylor et al. 2019; Powell et al. 2020; |
| 5 | Women reported that their families were excluded from services. | Low confidence | Minor concerns regarding methodological limitations, Minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Lever Taylor et al. 2019; Lever Taylor et al. 2020; |
| THEME 2: NEW BEGINNINGS | ||||
| 6 | Specialist PMHS supported women in overcoming past traumas which brought positive changes to their lives | High confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Coates et al. 2017; Myors et al. 2014b; Wright et al. 2018; Bruce & Hackett 2021; |
| 7 | Services helped women to grow in confidence as a mother. | Moderate confidence | Minor concerns regarding methodological limitations, Minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Greaves et al. 2021; Coates et al. 2017; Myors et al. 2014b; Wright et al. 2018; |
| THEME 3: MEANINGFUL SERVICE DELIVERY | ||||
| 8 | Service flexibility facilitated women's engagement with services. | High confidence | Minor concerns regarding methodological limitations, Minor concerns regarding coherence, Minor concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Coates et al. 2017; Lever Taylor et al. 2020; Myors et al. 2015b; Viveiros & Darling 2018; |
| 9 | Continuity of clinician was important to women's experience of services. | High confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Minor concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Hauck et al. 2013; Higgins et al. 2016; Lever Taylor et al. 2020; Myors et al. 2014b; Viveiros & Darling 2018; |
| 10 | Information regarding medication management was an important aspect of care to women | Moderate confidence | Minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Lever Taylor et al. 2019; Higgins et al. 2016; Lever Taylor et al. 2020; Wright et al. 2018; |
| 11 | Poor communication and continuity between services were difficulties experienced by women post discharge. | Low confidence | Minor concerns regarding methodological limitations, Minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Lever Taylor et al. 2020; |
| 12 | Women reported a lack of discharge supports following MBU inpatient treatment. | Low confidence | No/Very minor concerns regarding methodological limitations, No/Very minor concerns regarding coherence, Moderate concerns regarding adequacy, and Minor concerns regarding relevance | Griffiths et al. 2019; Lever Taylor et al. 2020; |