Neesha Hussain-Shamsy, Lori Wasserman, Greer Slyfield Cook, Kaeli Macdonald, Keisha Greene, Lucy C Barker, Juveria Zaheer, Geetha Mukerji, Simone N Vigod, Emily Seto
{"title":"针对产后抑郁和焦虑症状实施基于视频会议的会话治疗小组:实用评估。","authors":"Neesha Hussain-Shamsy, Lori Wasserman, Greer Slyfield Cook, Kaeli Macdonald, Keisha Greene, Lucy C Barker, Juveria Zaheer, Geetha Mukerji, Simone N Vigod, Emily Seto","doi":"10.1177/20552076241269630","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Group psychotherapy is an effective treatment for postpartum depressive and anxiety symptoms, and interpersonal connection and support through the group process can aid recovery. Little is known about the implication of the delivery of interpersonally oriented group therapy in this population through videoconferencing.</p><p><strong>Objective: </strong>To pragmatically evaluate the implementation of a conversationally-oriented postpartum videoconferencing psychotherapy group for depression and anxiety within the clinical setting.</p><p><strong>Methods: </strong>Over 8 weeks, five to six patients and one therapist facilitator (closed group) meet weekly for 1 hour via a secure videoconferencing platform. We evaluated group adoption metrics for all postpartum videoconferencing psychotherapy groups offered during the evaluation period (October 2021-August 2022), and offered patients the opportunity to complete baseline and post-group quality improvement surveys to evaluate outcomes including acceptability (Satisfaction with Therapist and Therapy Scale-Revised, STTS-R), group process (Group Questionnaire, GQ), and effectiveness (Edinburgh Postnatal Depression Scale, EPDS).</p><p><strong>Results: </strong>Of 153 patients (<i>n</i> = 26 groups), most (72.5%) attended >70% of group sessions. Of 137 patients (<i>n</i> = 24 groups) who were sent surveys, <i>n</i> = 50 (36.5%) completed both baseline and post-group surveys. Mean (<i>SD</i>) ratings were high for acceptability (STTS-R-therapy: 25.0/30 (3.1); STTS-R-therapist: 27.6/30 (2.3)) and group process with GQ ratings of 81.4/91 (7.8) (positive bond), 34.1/56 (3.8) (positive working relationship) and 23.5/63 (4.4) (negative relationship). Patients with probable depression (EPDS ≥ 13) significantly decreased from <i>n</i> = 23 (50%) to <i>n</i> = 19 (41.3%, <i>p</i> < .001), although the absolute score difference was minimal.</p><p><strong>Discussion: </strong>Videoconferencing-based group therapy can be implemented with a robust group process and acceptability in the postpartum period. Impact on clinical outcomes should be further investigated.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301728/pdf/","citationCount":"0","resultStr":"{\"title\":\"Implementation of a conversational, videoconferencing-based therapy group for postpartum depression and anxiety symptoms: A pragmatic evaluation.\",\"authors\":\"Neesha Hussain-Shamsy, Lori Wasserman, Greer Slyfield Cook, Kaeli Macdonald, Keisha Greene, Lucy C Barker, Juveria Zaheer, Geetha Mukerji, Simone N Vigod, Emily Seto\",\"doi\":\"10.1177/20552076241269630\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Group psychotherapy is an effective treatment for postpartum depressive and anxiety symptoms, and interpersonal connection and support through the group process can aid recovery. Little is known about the implication of the delivery of interpersonally oriented group therapy in this population through videoconferencing.</p><p><strong>Objective: </strong>To pragmatically evaluate the implementation of a conversationally-oriented postpartum videoconferencing psychotherapy group for depression and anxiety within the clinical setting.</p><p><strong>Methods: </strong>Over 8 weeks, five to six patients and one therapist facilitator (closed group) meet weekly for 1 hour via a secure videoconferencing platform. We evaluated group adoption metrics for all postpartum videoconferencing psychotherapy groups offered during the evaluation period (October 2021-August 2022), and offered patients the opportunity to complete baseline and post-group quality improvement surveys to evaluate outcomes including acceptability (Satisfaction with Therapist and Therapy Scale-Revised, STTS-R), group process (Group Questionnaire, GQ), and effectiveness (Edinburgh Postnatal Depression Scale, EPDS).</p><p><strong>Results: </strong>Of 153 patients (<i>n</i> = 26 groups), most (72.5%) attended >70% of group sessions. Of 137 patients (<i>n</i> = 24 groups) who were sent surveys, <i>n</i> = 50 (36.5%) completed both baseline and post-group surveys. Mean (<i>SD</i>) ratings were high for acceptability (STTS-R-therapy: 25.0/30 (3.1); STTS-R-therapist: 27.6/30 (2.3)) and group process with GQ ratings of 81.4/91 (7.8) (positive bond), 34.1/56 (3.8) (positive working relationship) and 23.5/63 (4.4) (negative relationship). Patients with probable depression (EPDS ≥ 13) significantly decreased from <i>n</i> = 23 (50%) to <i>n</i> = 19 (41.3%, <i>p</i> < .001), although the absolute score difference was minimal.</p><p><strong>Discussion: </strong>Videoconferencing-based group therapy can be implemented with a robust group process and acceptability in the postpartum period. Impact on clinical outcomes should be further investigated.</p>\",\"PeriodicalId\":51333,\"journal\":{\"name\":\"DIGITAL HEALTH\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-08-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301728/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"DIGITAL HEALTH\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/20552076241269630\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"DIGITAL HEALTH","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/20552076241269630","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Implementation of a conversational, videoconferencing-based therapy group for postpartum depression and anxiety symptoms: A pragmatic evaluation.
Background: Group psychotherapy is an effective treatment for postpartum depressive and anxiety symptoms, and interpersonal connection and support through the group process can aid recovery. Little is known about the implication of the delivery of interpersonally oriented group therapy in this population through videoconferencing.
Objective: To pragmatically evaluate the implementation of a conversationally-oriented postpartum videoconferencing psychotherapy group for depression and anxiety within the clinical setting.
Methods: Over 8 weeks, five to six patients and one therapist facilitator (closed group) meet weekly for 1 hour via a secure videoconferencing platform. We evaluated group adoption metrics for all postpartum videoconferencing psychotherapy groups offered during the evaluation period (October 2021-August 2022), and offered patients the opportunity to complete baseline and post-group quality improvement surveys to evaluate outcomes including acceptability (Satisfaction with Therapist and Therapy Scale-Revised, STTS-R), group process (Group Questionnaire, GQ), and effectiveness (Edinburgh Postnatal Depression Scale, EPDS).
Results: Of 153 patients (n = 26 groups), most (72.5%) attended >70% of group sessions. Of 137 patients (n = 24 groups) who were sent surveys, n = 50 (36.5%) completed both baseline and post-group surveys. Mean (SD) ratings were high for acceptability (STTS-R-therapy: 25.0/30 (3.1); STTS-R-therapist: 27.6/30 (2.3)) and group process with GQ ratings of 81.4/91 (7.8) (positive bond), 34.1/56 (3.8) (positive working relationship) and 23.5/63 (4.4) (negative relationship). Patients with probable depression (EPDS ≥ 13) significantly decreased from n = 23 (50%) to n = 19 (41.3%, p < .001), although the absolute score difference was minimal.
Discussion: Videoconferencing-based group therapy can be implemented with a robust group process and acceptability in the postpartum period. Impact on clinical outcomes should be further investigated.