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Understanding the user experience of a web-based screening program for pregnancy specific anxiety: a qualitative
Hamideh Bayrampour1, Nazanin Sadoughian2, Alice Luan2
1Department of Family Practice, Midwifery Program, University of British Columbia, 320 - 5950 University Boulevard, Vancouver, B.C, V6T 1Z3, Canada. hamideh.bayrampour@ubc.ca.
BMC Pregnancy and Childbirth
|July 17, 2026
Summary
Web-based screening for pregnancy-specific anxiety (PSA) is acceptable and feasible for pregnant individuals. Feedback from this study will improve future online mental health screening tools for better perinatal care.
Area of Science:
- Perinatal Mental Health
- Digital Health Interventions
- Psychological Screening
Background:
- Pregnancy-specific anxiety (PSA) is common and linked to negative perinatal outcomes.
- Limited healthcare resources make universal mental health screening challenging.
- Web-based programs offer a scalable solution for mental health assessment and support.
Purpose of the Study:
- To evaluate the feasibility and acceptability of the Pregnancy-Specific Anxiety Screening Program (PSA-SP).
- To understand user experiences and explore help-seeking behaviors post-screening.
- To gather feedback for improving web-based PSA screening tools.
Main Methods:
- Qualitative descriptive study using semi-structured interviews.
- Participants: 19+ years, singleton pregnancy ≤24 weeks gestation, in British Columbia, Canada.
- Thematic analysis of interview transcripts.
Main Results:
- Users found the PSA-SP acceptable, highlighting the benefit of receiving screening scores and contextualized feedback.
- Screening prompted risk appraisal, increased self-awareness, and influenced help-seeking intentions.
- Participants' awareness and readiness to seek support varied, even among those experiencing anxiety.
Conclusions:
- Web-based screening for PSA is acceptable for pregnant individuals.
- User feedback is crucial for refining digital mental health tools.
- Enhanced web-based screening can improve perinatal mental healthcare access.