Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: A randomised controlled
Nana Jiao1, Lixia Zhu2, Yap Seng Chong3
1Research Assistant, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore.
Web-based psychoeducation significantly improved new mothers' self-efficacy and reduced postnatal depression compared to home-based or no intervention. This accessible approach enhances maternal well-being and postnatal care.
Area of Science:
- Maternal Health
- Psychology
- Digital Health Interventions
Background:
- First-time mothers face significant physical, mental, and role-adaptation challenges post-childbirth.
- While home-based psychoeducation shows benefits, accessible, cost-effective web-based interventions are under-explored.
Purpose of the Study:
- To evaluate the effectiveness of web-based versus home-based postnatal psychoeducational interventions for first-time mothers.
- To compare these interventions against a control group in the early postpartum period.
Main Methods:
- A randomized controlled trial with 204 primiparas allocated to web-based, home-based psychoeducation, or control groups.
- Data collected at baseline, and 1, 3, and 6 months post-delivery, measuring self-efficacy, social support, well-being, and satisfaction.
- Cost-effectiveness was also evaluated.
Main Results:
- Web-based intervention improved maternal self-efficacy and reduced postnatal depression compared to controls.
- Both web-based and home-based interventions enhanced social support and postnatal care satisfaction.
- No significant differences in anxiety were found; web-based intervention was non-inferior to home-based.
Conclusions:
- Web-based psychoeducation offers superior benefits for maternal self-efficacy, social support, and postnatal depression.
- This digital intervention is recommended for first-time mothers to improve postnatal care outcomes.
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