App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial
Background: Chile has a high prevalence of postpartum depression and a significant treatment gap. Some barriers to postpartum depression care uncover the need for more easily accessible and lower-cost interventions. Chile's high utilization of digital technologies across all social strata and t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Internet Interventions |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214782923000167 |
| _version_ | 1797820655375220736 |
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| author | Pamela Franco Marcia Olhaberry Pim Cuijpers Saskia Kelders Antonia Muzard |
| author_facet | Pamela Franco Marcia Olhaberry Pim Cuijpers Saskia Kelders Antonia Muzard |
| author_sort | Pamela Franco |
| collection | DOAJ |
| description | Background: Chile has a high prevalence of postpartum depression and a significant treatment gap. Some barriers to postpartum depression care uncover the need for more easily accessible and lower-cost interventions. Chile's high utilization of digital technologies across all social strata and the increased use of pregnancy and parenting apps open the possibility of delivering interventions through mobile devices. Cognitive-behavioral internet-based interventions have proven to be effective in reducing symptoms of depression in high-income countries. However, in Chile, this is an underdeveloped field. This manuscript describes a randomized controlled trial protocol that will examine the feasibility and acceptability of a guided 8-week cognitive-behavioral app-based intervention for Chilean postpartum women with depressive symptoms. Method: A small-scale parallel 2-arms trial will be conducted. Postpartum women with minor or major depression will be randomized to the app-based intervention or waitlist. The primary outcomes are feasibility and acceptability variables, mainly; recruitment and eligibility rates, intervention and study adherence, and participants' intervention satisfaction, use, and engagement. Semi-structured interviews with a sub-sample will provide more information about the participants' experience with the intervention. Women's depression status will be assessed at pre-treatment, post-treatment, and 1-month follow-up. Other secondary outcomes will include participants' perceived social support, mother-infant bonding, and maternal satisfaction and self-efficacy. Discussion: This will be the first internet-based intervention aimed at reducing postpartum depression symptoms developed and studied in Chile. If the intervention and procedures prove feasible and acceptable, we plan to study its efficacy in a definitive controlled trial. If the intervention demonstrates to be effective, the aim is to implement it within the Chilean healthcare setting. |
| first_indexed | 2024-03-13T09:41:26Z |
| format | Article |
| id | doaj.art-56e31a26bbeb4add827431734d869b53 |
| institution | Directory Open Access Journal |
| issn | 2214-7829 |
| language | English |
| last_indexed | 2024-03-13T09:41:26Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Internet Interventions |
| spelling | doaj.art-56e31a26bbeb4add827431734d869b532023-05-25T04:24:25ZengElsevierInternet Interventions2214-78292023-04-0132100616App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trialPamela Franco0Marcia Olhaberry1Pim Cuijpers2Saskia Kelders3Antonia Muzard4Doctoral Program in Psychotherapy, School of Psychology, Pontificia Universidad Católica de Chile, Av. Vicuña Mackenna 4860, Santiago, Chile; Millennium Institute for Research in Depression and Personality (MIDAP), Santiago, ChileMillennium Institute for Research in Depression and Personality (MIDAP), Santiago, Chile; School of Psychology, Pontificia Universidad Católica de Chile, Av. Vicuña Mackenna 4860, Santiago, ChileDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, the Netherlands; Corresponding author.Centre for eHealth & Wellbeing Research, Psychology, Health & Technology, Faculty of Behavioral, Management and Social Sciences, University of Twente, Drienerlolaan 5, 7522 NB Enschede, the Netherlands; Optentia Research Unit, North-West University, VTC, South AfricaDoctoral Program in Psychotherapy, School of Psychology, Pontificia Universidad Católica de Chile, Av. Vicuña Mackenna 4860, Santiago, Chile; Millennium Institute for Research in Depression and Personality (MIDAP), Santiago, Chile; School of Psychology, Finis Terrae University, ChileBackground: Chile has a high prevalence of postpartum depression and a significant treatment gap. Some barriers to postpartum depression care uncover the need for more easily accessible and lower-cost interventions. Chile's high utilization of digital technologies across all social strata and the increased use of pregnancy and parenting apps open the possibility of delivering interventions through mobile devices. Cognitive-behavioral internet-based interventions have proven to be effective in reducing symptoms of depression in high-income countries. However, in Chile, this is an underdeveloped field. This manuscript describes a randomized controlled trial protocol that will examine the feasibility and acceptability of a guided 8-week cognitive-behavioral app-based intervention for Chilean postpartum women with depressive symptoms. Method: A small-scale parallel 2-arms trial will be conducted. Postpartum women with minor or major depression will be randomized to the app-based intervention or waitlist. The primary outcomes are feasibility and acceptability variables, mainly; recruitment and eligibility rates, intervention and study adherence, and participants' intervention satisfaction, use, and engagement. Semi-structured interviews with a sub-sample will provide more information about the participants' experience with the intervention. Women's depression status will be assessed at pre-treatment, post-treatment, and 1-month follow-up. Other secondary outcomes will include participants' perceived social support, mother-infant bonding, and maternal satisfaction and self-efficacy. Discussion: This will be the first internet-based intervention aimed at reducing postpartum depression symptoms developed and studied in Chile. If the intervention and procedures prove feasible and acceptable, we plan to study its efficacy in a definitive controlled trial. If the intervention demonstrates to be effective, the aim is to implement it within the Chilean healthcare setting.http://www.sciencedirect.com/science/article/pii/S2214782923000167Randomized controlled trialInternetGuided self-helpDepressionPostpartumCognitive-behavioral therapy |
| spellingShingle | Pamela Franco Marcia Olhaberry Pim Cuijpers Saskia Kelders Antonia Muzard App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial Internet Interventions Randomized controlled trial Internet Guided self-help Depression Postpartum Cognitive-behavioral therapy |
| title | App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial |
| title_full | App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial |
| title_fullStr | App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial |
| title_full_unstemmed | App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial |
| title_short | App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial |
| title_sort | app based intervention for reducing depressive symptoms in postpartum women protocol for a feasibility randomized controlled trial |
| topic | Randomized controlled trial Internet Guided self-help Depression Postpartum Cognitive-behavioral therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2214782923000167 |
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