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Evaluating the Effectiveness of an App-Based Nurse-Moderated Program for New Mothers With Depression and Parenting
Alyssa Cp Sawyer1,2,3, Amy L Kaim2,3, Christy E Reece2,3
1School of Public Health, University of Adelaide, Adelaide, Australia.
JMIR Research Protocols
|January 22, 2019
Summary
This study tested a web-based nurse-led intervention for mothers experiencing postnatal depression and caregiving difficulties. The eMums plus program aimed to reduce maternal depressive symptoms and improve caregiving quality for better infant outcomes.
Area of Science:
- Maternal and Child Health
- Digital Health Interventions
- Mental Health Research
Background:
- Postnatal depression negatively impacts mothers and infants, with limited support for subthreshold symptoms.
- Comorbid maternal depressive symptoms and caregiving difficulties often receive fragmented care.
- Web-based, nurse-led interventions offer accessible, integrated support for maternal mental health and caregiving.
Purpose of the Study:
- To describe the protocol for a randomized controlled trial of a web-based, nurse-led intervention.
- To determine if the intervention reduces maternal depressive symptoms.
- To assess if the intervention improves maternal caregiving quality.
Main Methods:
- A pragmatic randomized controlled trial involving 160 mothers of infants aged 2-8 weeks.
- Intervention group received eMums plus (4-month, group-based, nurse-led via app); control group received standard care.
- Primary outcomes: maternal depressive symptoms and caregiving quality at 12 months infant age.
Main Results:
- Participant recruitment occurred from March to July 2017.
- Follow-up data collection was completed by mid-2018.
- Data analysis is currently underway.
Conclusions:
- The eMums intervention, delivered via a mobile app, offers accessible support for mothers early in infancy.
- Evaluating the intervention within routine service delivery facilitates potential adoption.
- This approach addresses the challenges mothers face in attending traditional clinic-based groups.
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