Developing a Guided Web App for Postpartum Depression Symptoms: User-Centered Design Approach.

Area of Science:

• Digital Health
• Mental Health Interventions
• Perinatal Care

Background:

• Psychological internet-based interventions show promise for perinatal depression.
• Low user engagement is a significant barrier, often due to misaligned technology, user needs, and context.
• A user-centered, iterative approach involving stakeholders is crucial for effective intervention design.

Purpose of the Study:

• To develop a user-friendly, internet-based psychological intervention for perinatal depression.
• To address symptoms of perinatal depression using an iterative, user-centered development process.

Main Methods:

• Utilized the Center for eHealth Research and Disease Management Roadmap (contextual inquiry, value specification, design).
• Incorporated a comprehensive literature review, surveys, focus groups, usability interviews, and a technical pilot.
• Iteratively gathered feedback on prototypes to refine user experience and intervention features.

Main Results:

• Identified a demand for accessible perinatal mental health solutions, with internet-based interventions being viable.
• Developed 'Mamá, te entiendo,' a guided web app based on CBT, attachment, and mentalization theories.
• The intervention targets postpartum depression symptoms with 6 core modules, 3 additional modules, case examples, homework, and e-coach feedback.

Conclusions:

• Emphasizes the critical role of user-centered, iterative development in psychological internet-based interventions.
• This approach enhances understanding of user needs and service design, improving intervention utility and effectiveness.
• Highlights the value of requirement sessions and stakeholder involvement in optimizing digital health solutions.