Extending the Impact of a Video Conference Delivered Psychological Intervention for Perinatal Mental Health Conditions across NHS Wales
Cardiff and Vale University Health Board
Introduction:
Perinatal mental health conditions affect 1 in 5 women and are the leading cause of maternal death in the perinatal period. Long NHS Wales waiting times for psychological therapy create unacceptable risks for mothers and babies. Barriers such as childcare, mobility, and stigma also limit access. To address this, Cardiff and Vale UHB developed a remote-delivered group psychological intervention - ACT-for-PNMH - to improve timely and equitable access to evidence-based care.
Methods:
ACT-for-PNMH is a transdiagnostic group therapy based on Acceptance and Commitment Therapy (ACT), adapted for online delivery using BPS and ADAPT frameworks. A multidisciplinary expert reference group (ERG) of staff and service users co-designed the intervention. Pilot trials and qualitative evaluations were conducted, with additional research funding used to develop and test a national training package. Equity was supported by loaning digital devices to participants without access.
Outcomes:
The online programme proved safe, feasible, and effective, with moderate-to-large improvements in mental health symptoms. Over 350 women have accessed it in Cardiff and Vale UHB, and 72 staff across all Welsh health boards have been trained. ACT-for-PNMH is now routinely delivered in five health boards. Qualitative feedback highlighted its accessibility and impact—especially for those who would struggle to attend face-to-face sessions.
Learnings:
Remote delivery works well for many, but not all. Barriers include digital access, childcare, and private space. Offering both in-person and online options is vital. Tailored implementation plans and flexible staff training are needed across health boards.
What next?
We will support the ongoing delivery of ACT-for-PNMH across Wales, develop primary care and self-help versions, continue research and evaluation, and expand training nationally and internationally - sharing this NHS Wales-developed intervention with healthcare providers in England, Malaysia, Pakistan, and the USA.
