Guided web app intervention for reducing symptoms of depression in postpartum women: Results of a feasibility randomized controlled trial

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-04-25 DOI:10.1016/j.invent.2024.100744

Pamela Franco , Marcia Olhaberry , Saskia Kelders , Antonia Muzard , Pim Cuijpers

{"title":"Guided web app intervention for reducing symptoms of depression in postpartum women: Results of a feasibility randomized controlled trial","authors":"Pamela Franco , Marcia Olhaberry , Saskia Kelders , Antonia Muzard , Pim Cuijpers","doi":"10.1016/j.invent.2024.100744","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Chile faces a significant postpartum depression prevalence and treatment gap, necessitating accessible interventions. While cognitive-behavioral internet-based interventions have proven effective in high-income countries, this field is underdeveloped in Chile. Based on the country's widespread use of digital technology, a guided 8-week cognitive-behavioral web app intervention named “<em>Mamá, te entiendo</em>” was developed.</p></div><div><h3>Objective</h3><p>This study aimed to assess the acceptability and feasibility of “<em>Mamá, te entiendo</em>”, for reducing depressive symptomatology in postpartum women.</p></div><div><h3>Methods</h3><p>Sixty-five postpartum women with minor or major depression were randomly assigned to either intervention or waitlist. Primary outcomes centered on study feasibility, intervention feasibility, and acceptability. Semi-structured interviews with a sub-sample enriched the understanding of participants' experiences. Secondary outcomes included mental health variables assessed at baseline, post-intervention, and 1-month follow-up.</p></div><div><h3>Results</h3><p>Chilean women displayed great interest in the intervention. 44.8 % of participants completed the intervention. Participants reported high satisfaction and engagement levels, with interviewees highlighting the value of the intervention's content, exercises, and therapist's feedback. However, preliminary efficacy analysis didn't reveal a significant interaction between group and time for outcome measures.</p></div><div><h3>Discussion</h3><p>This research represents a pioneering effort in Chile to evaluate an internet-based intervention for postpartum depression symptoms. The demonstrated feasibility and acceptability highlight the potential of integrating technology-driven approaches into mental health interventions. However, the intervention did not demonstrate superiority, as both groups exhibited similar positive progress in several outcomes. Therefore, the following research phase should involve a larger and more diverse sample to assess the intervention's effectiveness, identify influencing factors, and determine the individuals who benefit the most.</p></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":null,"pages":null},"PeriodicalIF":3.6000,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221478292400037X/pdfft?md5=0766f34b959a85f82df1805dbbede146&pid=1-s2.0-S221478292400037X-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221478292400037X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Chile faces a significant postpartum depression prevalence and treatment gap, necessitating accessible interventions. While cognitive-behavioral internet-based interventions have proven effective in high-income countries, this field is underdeveloped in Chile. Based on the country's widespread use of digital technology, a guided 8-week cognitive-behavioral web app intervention named “Mamá, te entiendo” was developed.

Objective

This study aimed to assess the acceptability and feasibility of “Mamá, te entiendo”, for reducing depressive symptomatology in postpartum women.

Methods

Sixty-five postpartum women with minor or major depression were randomly assigned to either intervention or waitlist. Primary outcomes centered on study feasibility, intervention feasibility, and acceptability. Semi-structured interviews with a sub-sample enriched the understanding of participants' experiences. Secondary outcomes included mental health variables assessed at baseline, post-intervention, and 1-month follow-up.

Results

Chilean women displayed great interest in the intervention. 44.8 % of participants completed the intervention. Participants reported high satisfaction and engagement levels, with interviewees highlighting the value of the intervention's content, exercises, and therapist's feedback. However, preliminary efficacy analysis didn't reveal a significant interaction between group and time for outcome measures.

Discussion

This research represents a pioneering effort in Chile to evaluate an internet-based intervention for postpartum depression symptoms. The demonstrated feasibility and acceptability highlight the potential of integrating technology-driven approaches into mental health interventions. However, the intervention did not demonstrate superiority, as both groups exhibited similar positive progress in several outcomes. Therefore, the following research phase should involve a larger and more diverse sample to assess the intervention's effectiveness, identify influencing factors, and determine the individuals who benefit the most.

查看原文本刊更多论文

减少产后妇女抑郁症状的指导性网络应用干预：可行性随机对照试验的结果

背景智利的产后抑郁症发病率和治疗缺口都很大，因此有必要采取干预措施。在高收入国家，基于互联网的认知行为干预被证明是有效的，但在智利，这一领域却发展不足。本研究旨在评估 "Mamá, te entiendo "在减少产后妇女抑郁症状方面的可接受性和可行性。方法 65 名患有轻度或重度抑郁症的产后妇女被随机分配到干预或等待名单中。主要结果集中在研究可行性、干预可行性和可接受性上。对部分样本进行的半结构化访谈丰富了对参与者经历的了解。次要结果包括基线、干预后和 1 个月随访时评估的心理健康变量。44.8%的参与者完成了干预。参与者的满意度和参与度都很高，受访者强调了干预内容、练习和治疗师反馈的价值。然而，初步的疗效分析并未显示出组别与时间之间在结果测量上的显著交互作用。已证明的可行性和可接受性凸显了将技术驱动方法整合到心理健康干预中的潜力。然而，干预措施并没有显示出优越性，因为两组在几项结果上都取得了类似的积极进展。因此，下一阶段的研究应涉及更大、更多样化的样本，以评估干预的有效性，找出影响因素，并确定受益最大的人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions