Table 2b-.
Quotes from Providers
| Theme | Subtheme | Benefits | Challenges |
|---|---|---|---|
| Time | Total Visit Time |
Quote 10 “I’ve enjoyed it, it feels different…and I feel like I’ve gotten to know the moms a little bit better… I feel like I’m able to connect with the families in a more meaningful way due to the duration of the time that I get to spend with them.” (Pediatrician) Quote 11 And then it came up this sort of longstanding perception on the part of clinicians and social workers that this was not a familiar topic for women. I mean they might certainly have been something they observed, but that the vocabulary for it or how we ask about it as clinicians doesn’t really resonate with people…that there’s a false negative…ether ‘cause the way we say it doesn’t make sense, or it’s so socially undesirable or who knows what. So then with the social worker we decided that if we were gonna try a different form of screening, the value of the screening would go up if people had any idea what we were talking about…So, and that’s how we landed on really spending some time on that topic at the one-month visit. (Pediatrician) |
Quote 12 “I think, I think there’s parents who don’t like the time because sometimes …they have to work and it’s hard for them to ask for a day off because like the Centering group is like half of the day, it’s not just like (an) individual, visit…like thirty minutes or one hour. But Centering is kind of like half the day” (Medical Assistant) |
| Duration of 1:1 Time with Providers |
Quote 13 “Yeah, I mean I still get to examine the kid and, you know, and in some ways, they’re not waiting as long as they would with the standard visit.” (Pediatrician) Quote 14 “…we came up with the idea if we, if we already pinpoint certain individuals that just need a little extra time, which for my group that was certainly the case, it was just a matter of like I’ll see them at the end” (Pediatrician) |
Quote 15 “individually, when we have an individual visit they spend a lot of the early visits talking about who lives in your household, do you plan to go back to work, are you planning to stay home for a while. And… who do you turn to for support…and then after I’ve heard all that then I ask if you’re living with a partner is it a supportive partner, has he ever been violent towards you, you know, so that’s kind of like a nice gradual progression” (Pediatrician) Quote 16 “Sometimes I like collect the concerns and then we’ll deal with it in group. Or I just hope that they don’t feel like they’re being brushed off…” (Pediatrician) |
|
| Presence of Others | Social Interaction |
Quote 17 “…it’s great for the moms to share… ‘cause they have a lot more common experiences, like I can tell them about me going on a website to find certified childcare providers that cost as much as college, and none of that information is gonna be relevant to what’s accessible to them. But they amongst themselves talked about…here’s why older women might be good ‘cause they’re sort of calmer…people had their different experiences and different suggestions about how they navigated it…they’re, living in a similar context, so it’s much more transferrable to the kind of information that would be helpful.” (Pediatrician) |
Quote 18 “...it’ll be like partner dynamics, and we get three examples of how the husband is like awesome and then it’s like alright. And I know this person does not have a partner at all. And you know, but I don’t, I’m not gonna put them on the spot at the same time…I don’t know that this discussion was like helpful in providing emotional support or encouragement to someone who’s a, in a very different set of shoes.” (Pediatrician) |
| Sensitive Topics |
Quote 19 “…someone shared that they actually, I think they might have been like suicidal or psychotic as their postpartum depression manifestation. So, in a first visit this person shares that…and I was very grateful to her and publicly expressed like thank you for sharing that because people don’t talk about it much and it does happen. And I think that it made the experience more identifiable to the other women in the group…this isn’t just me presenting some extreme of it…I try to give an example of it really can affect every, anyone. It’s no evaluation of your strength or value, which I sometimes worry if that’s what people think. And I’m not sure but I just think there was so much more power in a personal testimony to something.” (Pediatrician) |
Quote 20 “we need to be mindful that…these participants not necessarily want to discuss and if they don’t want to discuss their personal things, we need to put it out there that it’s very common, that this happens all the time to people that we know, and these are…this is where to talk, and to go in more information if they don’t share. And if they share, we need to be very tactful on how to transform that into information for everybody, and not into okay, I am disclosing, no?...Something that is too big to handle in the group…because this is one topic, among many topics that we need to address in the session…So there is not much time and you don’t want to say oh thank you for sharing, what’s next.” (Social Worker) |