TY - JOUR
AU - R. Nishida
AU - Y. Sakuma
AU - B. I. Avan
AU - L. T. Day
A1 - 
AB - INTRODUCTION: Cognitive behavioural therapy (CBT) is an evidence-based approach for perinatal mental health, yet its integration into perinatal primary care remains limited. Midwifery-led CBT-based interventions may enhance continuity, accessibility, and acceptability within primary healthcare. To address the gap between evidence and practice, this scoping review mapped existing research on midwifery-led CBT-based interventions and synthesised implementation-relevant characteristics that facilitate their integration into primary care settings. METHODS: We conducted a scoping review following the Arksey and O'Malley framework and PRISMA-ScR guidelines. Five databases, MEDLINE, CINAHL Complete, EMBASE, Web of Science, and Scopus, were searched for studies published between 2004 and 2024. We synthesised data narratively across three domains: contextual, provider-related, and intervention-specific characteristics. Study quality was appraised using the SIGN checklist. RESULTS: Ten studies met the inclusion criteria. Recurring implementation-relevant characteristics were observed in target population selection, intervention timing, provider configuration, and delivery formats, while substantial heterogeneity was observed in baseline symptom severity, intervention intensity, and evaluation approaches across contexts. DISCUSSION: The recurring patterns identified across studies are likely to reflect pragmatic considerations related to feasibility within routine maternity care settings. In contrast, heterogeneity across the literature appears to reflect differences in intervention aims and care contexts, particularly preventive versus treatment-oriented approaches. CONCLUSION: This review provides a foundation for future research to support the integration of midwifery-led CBT-based interventions into perinatal primary care. It highlights the importance of clearly defining intervention intent, developing feasibility-informed implementation strategies, and improving reporting practices to enhance interpretability and comparability across studies.
AD - Department of Mental Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; London School of Hygiene & Tropical Medicine, London, United Kingdom.; Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom.; Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.; Department of Infectious Disease Epidemiology and International Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom. Electronic address: Louise-Tina.Day@lshtm.ac.uk.
AN - 41793997
BT - Midwifery
C5 - Healthcare Disparities; Education & Workforce
DA - Jun
DO - 10.1016/j.midw.2026.104745
DP - NLM
ET - 20260221
JF - Midwifery
LA - eng
N2 - INTRODUCTION: Cognitive behavioural therapy (CBT) is an evidence-based approach for perinatal mental health, yet its integration into perinatal primary care remains limited. Midwifery-led CBT-based interventions may enhance continuity, accessibility, and acceptability within primary healthcare. To address the gap between evidence and practice, this scoping review mapped existing research on midwifery-led CBT-based interventions and synthesised implementation-relevant characteristics that facilitate their integration into primary care settings. METHODS: We conducted a scoping review following the Arksey and O'Malley framework and PRISMA-ScR guidelines. Five databases, MEDLINE, CINAHL Complete, EMBASE, Web of Science, and Scopus, were searched for studies published between 2004 and 2024. We synthesised data narratively across three domains: contextual, provider-related, and intervention-specific characteristics. Study quality was appraised using the SIGN checklist. RESULTS: Ten studies met the inclusion criteria. Recurring implementation-relevant characteristics were observed in target population selection, intervention timing, provider configuration, and delivery formats, while substantial heterogeneity was observed in baseline symptom severity, intervention intensity, and evaluation approaches across contexts. DISCUSSION: The recurring patterns identified across studies are likely to reflect pragmatic considerations related to feasibility within routine maternity care settings. In contrast, heterogeneity across the literature appears to reflect differences in intervention aims and care contexts, particularly preventive versus treatment-oriented approaches. CONCLUSION: This review provides a foundation for future research to support the integration of midwifery-led CBT-based interventions into perinatal primary care. It highlights the importance of clearly defining intervention intent, developing feasibility-informed implementation strategies, and improving reporting practices to enhance interpretability and comparability across studies.
PY - 2026
SN - 0266-6138
SP - 104745
ST - Implementation-relevant characteristics of midwifery-led cognitive behavioural therapy-based interventions for perinatal mental health in primary care: a scoping review
T1 - Implementation-relevant characteristics of midwifery-led cognitive behavioural therapy-based interventions for perinatal mental health in primary care: a scoping review
T2 - Midwifery
TI - Implementation-relevant characteristics of midwifery-led cognitive behavioural therapy-based interventions for perinatal mental health in primary care: a scoping review
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1016/j.midw.2026.104745
VL - 157
VO - 0266-6138
Y1 - 2026
ER -