Pilot Study of the Mastery Lifestyle Intervention
R Jeanne Ruiz1, Matt Newman, Kathie Records
1R. Jeanne Ruiz, PhD, WHCNP-BC, FAAN, is Professor, Microgen Laboratories, LaMarque, Texas. Matt Newman, PhD, is President, Serenity Research & Consulting LLC, Austin, Texas. Kathie Records, PhD, RN, FAAN, is Associate Professor, University of Northern Colorado Greeley. Joel C. Wommack, PhD, is Professor, Microgen Laboratories, LaMarque, Texas. Raymond P. Stowe, PhD, is Professor, Microgen Laboratories, LaMarque, Texas. Rebecca M. Pasillas, PhD, is Research Assistant Professor, University of Texas at El Paso.
Nursing Research
|November 7, 2019
Summary
The Mastery Lifestyle Intervention (MLI) effectively reduced depression and anxiety in pregnant Mexican-American women. This culturally tailored program proved feasible and acceptable in prenatal clinics, improving maternal mental health.
Area of Science:
- Maternal Health
- Mental Health
- Cultural Psychiatry
Background:
- Acculturation significantly impacts quality of life and emotional health during pregnancy.
- Developing targeted interventions is crucial for improving maternal well-being and infant outcomes, such as preterm birth, particularly for Mexican-American women.
- The need for culturally sensitive mental health support during the prenatal period is increasingly recognized.
Purpose of the Study:
- To evaluate the acceptability, feasibility, and preliminary efficacy of the Mastery Lifestyle Intervention (MLI).
- To assess the MLI's impact on reducing depressive and anxiety symptoms in pregnant Latinas.
- To determine the intervention's effectiveness in improving coping strategies among the target population.
Main Methods:
- Pilot studies conducted in urban and rural Texas prenatal clinics with self-identified Mexican-American Latinas (n=15).
- A pretest/posttest, quasi-experimental design was employed.
- Measures included anxiety, depressive symptoms, and positive/negative coping strategies, with data collected via electronic tablets.
Main Results:
- The MLI was successfully implemented in a prenatal clinic setting, demonstrating high participant satisfaction.
- Participants found six sessions of 1.5–2 hours ideal.
- Medium to large effect sizes were observed for decreases in depressive and anxiety symptoms, and negative coping, with small effect sizes for increases in positive coping.
Conclusions:
- The Mastery Lifestyle Intervention is a well-accepted and feasible culturally tailored behavioral therapy for pregnant Latinas.
- Administered in a group setting by nurse practitioners, the MLI shows preliminary efficacy in reducing depression and anxiety.
- Further research is warranted to confirm these findings in larger, diverse populations.
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