Madelyne A. Bisby , Noni Jervis , Alana Fisher , Amelia J. Scott , Nickolai Titov , Blake F. Dear
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引用次数: 0
Abstract
Psychological treatments for perinatal depression and anxiety are effective when delivered in-person or remotely. However, new and expectant mothers face considerable barriers to receiving mental health care, especially on an ongoing basis or when delivered in-person. Very brief digital treatments may be able to support women during this time using less time than existing treatments. The current study reports the development and initial evaluation of a therapist-guided digital ultra-brief treatment for perinatal depression or anxiety. The treatment included one online lesson, supporting resources (e.g., practice exercises), and an optional consultation (telephone or secure messaging) with a clinical psychologist. We examined acceptability, satisfaction, and preliminary efficacy in a single-group trial of women with perinatal depression or anxiety symptoms (N = 47). This was accompanied by focus groups of women with lived experience (N = 9) and semi-structured feedback interviews with treatment participants (N = 7). The treatment was feasible to deliver and associated with high completion (90 %) and satisfaction (85 %) rates. Most participants (61 %) completed the treatment without therapist guidance. At 5-weeks post-baseline, participants reported significant reductions in depression (d = 0.79) and anxiety (d = 0.44), noting that the sample reported mild baseline symptom severity. Several areas of improvement to treatment content, delivery, and look and feel were identified. The study supports ultra-brief digital treatments as an acceptable and potentially efficacious way to support women with perinatal depression or anxiety symptoms.
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