Effectiveness of a web-enabled psychoeducational resource for postpartum depression and anxiety among women in British Columbia.

Autor: Lawrence CG; Women's Health Research Institute, BC Women's Hospital + Health Centre, Vancouver, BC, Canada.; Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Breau G; School of Human Sciences, Faculty of Education, Health, and Human Sciences, University of Greenwich, Old Royal Naval College, Park Row, London, SE10 9LS, UK. G.Breau@greenwich.ac.uk., Yang L; Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Hellerstein OS; Department of Psychology, University of British Columbia, Vancouver, BC, Canada., Hippman C; Women's Health Research Institute, BC Women's Hospital + Health Centre, Vancouver, BC, Canada.; Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.; Faculty of Nursing, University of Calgary, Calgary, AB, Canada.; Reproductive Mental Health Program, BC Women's Hospital + Health Centre, Vancouver, BC, Canada., Kennedy AL; Reproductive Mental Health Program, BC Women's Hospital + Health Centre, Vancouver, BC, Canada.; Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Ryan D; Reproductive Mental Health Program, BC Women's Hospital + Health Centre, Vancouver, BC, Canada.; Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Shulman B; Reproductive Mental Health Program, BC Women's Hospital + Health Centre, Vancouver, BC, Canada.; Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada., Brotto LA; Women's Health Research Institute, BC Women's Hospital + Health Centre, Vancouver, BC, Canada.; Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Jazyk: angličtina
Zdroj: Archives of women's mental health [Arch Womens Ment Health] 2024 Dec; Vol. 27 (6), pp. 995-1010. Date of Electronic Publication: 2024 May 06.
DOI: 10.1007/s00737-024-01468-8
Abstrakt: Purpose: Postpartum depression (PPD) and anxiety (PPA) affect nearly one-quarter (23%) of women in Canada. eHealth is a promising solution for increasing access to postpartum mental healthcare. However, a user-centered approach is not routinely taken in the development of web-enabled resources, leaving postpartum women out of critical decision-making processes. This study aimed to evaluate the effectiveness, usability, and user satisfaction of PostpartumCare.ca, a web-enabled psychoeducational resource for PPD and PPA, created in partnership with postpartum women in British Columbia.
Methods: Participants were randomized to either an intervention group (n = 52) receiving access to PostpartumCare.ca for four weeks, or to a waitlist control group (n = 51). Measures evaluating PPD (Edinburgh Postnatal Depression Scale) and PPA symptoms (Perinatal Anxiety Screening Scale) were completed at baseline, after four weeks, and after a two-week follow-up. User ratings of website usability and satisfaction and website metrics were also collected.
Results: PPD and PPA symptoms were significantly reduced for the intervention group only after four weeks, with improvements maintained after a two-week follow-up, corresponding with small-to-medium effect sizes (PPD: partial η 2  = 0.03; PPA: partial η 2  = 0.04). Intervention participants were also more likely than waitlist controls to recover from clinical levels of PPD symptoms (χ 2 (1, n = 63) = 4.58, p = .032) and PostpartumCare.ca's usability and satisfaction were rated favourably overall.
Conclusion: Findings suggest that a web-enabled psychoeducational resource, created in collaboration with patient partners, can effectively reduce PPD and PPA symptoms, supporting its potential use as a low-barrier option for postpartum women.
Trial Registration: Protocol for this trial was preregistered on NIH U.S. National Library of Medicine, ClinicalTrials.gov as of May 2022 (ID No. NCT05382884).
Competing Interests: Declarations. Ethical approval: All study procedures were approved and carried out in accordance with the guidelines set by the University of British Columbia and BC Children’s and Women’s Hospital Research Ethics Board (REB number: H21-01379). Consent to participate: Informed consent was obtained from all individual participants included in the study. Competing interests: The authors report no competing financial or non-financial interests that are directly or indirectly related to the work submitted for this publication.
(© 2024. The Author(s).)
Databáze: MEDLINE
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