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

IF 3.2 3区医学 Q2 PSYCHIATRY Archives of Women's Mental Health Pub Date : 2024-05-06 DOI:10.1007/s00737-024-01468-8

Claire G Lawrence, Genevieve Breau, Lily Yang, Orli S Hellerstein, Catriona Hippman, Andrea L Kennedy, Deirdre Ryan, Barbara Shulman, Lori A Brotto

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Abstract

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 η² = 0.03; PPA: partial η² = 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).

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不列颠哥伦比亚省妇女产后抑郁和焦虑网络心理教育资源的有效性。

目的：产后抑郁症（PPD）和焦虑症（PPA）影响着加拿大近四分之一（23%）的妇女。然而，以用户为中心的方法在网络资源的开发中并不常见，导致产后妇女被排除在关键决策过程之外。本研究旨在评估 PostpartumCare.ca 的有效性、可用性和用户满意度。PostpartumCare.ca 是一个针对 PPD 和 PPA 的网络心理教育资源，是与不列颠哥伦比亚省的产后妇女合作创建的：参与者被随机分配到干预组（n = 52），接受为期四周的产后护理（PostpartumCare.ca）访问，或者分配到候补对照组（n = 51）。评估 PPD（爱丁堡产后抑郁量表）和 PPA 症状（围产期焦虑筛查量表）的方法分别在基线、四周后和两周随访后完成。此外，还收集了用户对网站可用性和满意度的评分以及网站指标：结果：干预组的 PPD 和 PPA 症状仅在四周后才明显减轻，两周随访后仍有改善，达到中小规模效应（PPD：部分 η2 = 0.03；PPA：部分 η2 = 0.04）。干预参与者也比候补对照组更有可能从临床水平的产后抑郁症状中恢复过来（χ 2 (1, n = 63) = 4.58, p = .032），PostpartumCare.ca的可用性和满意度总体评价良好：结论：研究结果表明，与患者伙伴合作创建的网络心理教育资源可以有效减轻产后抑郁和产后抑郁症状，支持将其作为产后妇女的低门槛选择：截至 2022 年 5 月，该试验的协议已在美国国立卫生研究院（NIH）的美国国家医学图书馆临床试验网站（ClinicalTrials.gov）上预先注册（ID 编号：NCT05382884）。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.