Developing a coaching manual to provide human support for the Mothers and Babies Online (eMB) perinatal mental health intervention

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 : 2024-11-17 DOI:10.1016/j.invent.2024.100792

Lara Baez , Jaime Hamil , Elaine McBride , Katherine A. Czech , Bayley J. Taple , Adriana Santillano , Mingjing Huang , Alinne Z. Barrera , S. Darius Tandon

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引用次数: 0

Abstract

Background

Depression that occurs in pregnancy or postpartum (perinatal depression) impacts 1 in 5 mothers, yet access to effective and high-quality preventative interventions remains elusive for most. Digital interventions are a promising solution to this treatment gap because of the ubiquity of mobile devices and internet access. The Mothers and Babies Online Course (eMB) is an online adaptation of Mothers and Babies, an evidence-based preventative program for postpartum depression. Preliminary studies of eMB point to its potential efficacy, but low engagement with eMB was a major limitation. Leveraging home visitors as coaches to guide clients through eMB may be a way to increase uptake and engagement, and ultimately improve outcomes when implemented in home visiting programs.

Objective

The aim of this study was to implement user-centered design methods to develop a coaching manual for home visitors to implement eMB.

Methods

10 parents and 10 home visitors were interviewed individually. Measures included a “think aloud” activity and a semi-structured interview focused on gaining insight into parent and home visitor needs and preferences regarding eMB coaching in the context of home visiting. Thematic analysis was used to derive themes and sub-themes from interview transcripts.

Results

Parents were enthusiastic about eMB, but noted barriers including limited time and forgetfulness. Parents also thought that their home visitor would be the ideal eMB coach because of the existing close relationship. Home visitors shared that eMB would fit seamlessly into their home visiting workflow. They also thought that home visitors could address challenges that parents encounter in using eMB and leverage their relationship with parents to crystalize learning. Home visitors also noted that a coaching manual would be a key part of successful eMB implementation. Thus, valuable insights from parents and home visitors were used to create a coaching manual.

Conclusions

Parents and home visitors were both enthusiastic about eMB with adjunctive coaching, and home visitors agreed that a coaching manual would be vital in guiding them to help parents through eMB. Results highlight the importance of engaging end-users in all aspects of online intervention design, including the coaching manual. The effectiveness of the intervention and utility of the coaching protocol will be evaluated in a future pilot trial.

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编写辅导手册，为母婴在线（eMB）围产期心理健康干预提供人力支持

背景孕期或产后抑郁症（围产期抑郁症）影响着五分之一的母亲，但大多数人仍然无法获得有效和高质量的预防性干预措施。由于移动设备和互联网无处不在，数字干预是解决这一治疗缺口的可行方案。母亲与婴儿在线课程（eMB）是对《母亲与婴儿》的在线改编，《母亲与婴儿》是一项针对产后抑郁症的循证预防计划。对 eMB 的初步研究显示了其潜在的功效，但 eMB 的低参与度是其主要局限。本研究的目的是采用以用户为中心的设计方法，为家庭访视者开发一本实施电子母婴教育的辅导手册。方法：对 10 位家长和 10 位家庭访视者进行了单独访谈。访谈措施包括 "大声想一想 "活动和半结构式访谈，重点是深入了解家长和家访者在家访中对电子母婴辅导的需求和偏好。采用主题分析法从访谈记录中得出主题和次主题。结果家长们对电子教具充满热情，但也指出了一些障碍，包括时间有限和健忘。家长们还认为，由于已有的密切关系，他们的家庭访视者将是理想的电子教具指导者。家访者认为，电子教具可以完美地融入他们的家访工作流程。他们还认为，家访人员可以解决家长在使用电子教具时遇到的难题，并利用他们与家长的关系来促进学习。家访者还指出，辅导手册将是成功实施电子教育管理的关键部分。结论家长和家庭访视者都热衷于使用辅助辅导的电子教具，家庭访视者也认为辅导手册对于指导他们帮助家长完成电子教具至关重要。研究结果凸显了让最终用户参与在线干预设计（包括辅导手册）各个方面的重要性。干预的有效性和指导方案的实用性将在未来的试点试验中进行评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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