Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels
Abstract Background Peripartum Depression (PPD) affects approximately 10–15% of perinatal women in the U.S., with those of low socioeconomic status (low-SES) more likely to develop symptoms. Multilevel treatment barriers including social stigma and not having appropriate access to mental health reso...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05729-9 |
| _version_ | 1797811264181764096 |
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| author | Alexandra Zingg Tavleen Singh Amy Franklin Angela Ross Sudhakar Selvaraj Jerrie Refuerzo Sahiti Myneni |
| author_facet | Alexandra Zingg Tavleen Singh Amy Franklin Angela Ross Sudhakar Selvaraj Jerrie Refuerzo Sahiti Myneni |
| author_sort | Alexandra Zingg |
| collection | DOAJ |
| description | Abstract Background Peripartum Depression (PPD) affects approximately 10–15% of perinatal women in the U.S., with those of low socioeconomic status (low-SES) more likely to develop symptoms. Multilevel treatment barriers including social stigma and not having appropriate access to mental health resources have played a major role in PPD-related disparities. Emerging advances in digital technologies and analytics provide opportunities to identify and address access barriers, knowledge gaps, and engagement issues. However, most market solutions for PPD prevention and management are produced generically without considering the specialized needs of low-SES populations. In this study, we examine and portray the information and technology needs of low-SES women by considering their unique perspectives and providers’ current experiences. We supplement our understanding of women’s needs by harvesting online social discourse in PPD-related forums, which we identify as valuable information resources among these populations. Methods We conducted (a) 2 focus groups (n = 9), (b) semi-structured interviews with care providers (n = 9) and low SES women (n = 10), and (c) secondary analysis of online messages (n = 1,424). Qualitative data were inductively analyzed using a grounded theory approach. Results A total of 134 open concepts resulted from patient interviews, 185 from provider interviews, and 106 from focus groups. These revealed six core themes for PPD management, including “Use of Technology/Features”, “Access to Care”, and “Pregnancy Education”. Our social media analysis revealed six PPD topics of importance in online messages, including “Physical and Mental Health” (n = 725 messages), and “Social Support” (n = 674). Conclusion Our data triangulation allowed us to analyze PPD information and technology needs at different levels of granularity. Differences between patients and providers included a focus from providers on needing better support from administrative staff, as well as better PPD clinical decision support. Our results can inform future research and development efforts to address PPD health disparities. |
| first_indexed | 2024-03-13T07:20:02Z |
| format | Article |
| id | doaj.art-5792f83c7f7a41f48047b5caeb3cb077 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-13T07:20:02Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-5792f83c7f7a41f48047b5caeb3cb0772023-06-04T11:41:25ZengBMCBMC Pregnancy and Childbirth1471-23932023-06-0123111210.1186/s12884-023-05729-9Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channelsAlexandra Zingg0Tavleen Singh1Amy Franklin2Angela Ross3Sudhakar Selvaraj4Jerrie Refuerzo5Sahiti Myneni6McWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonMcWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonMcWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonMcWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonFaillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, McGovern Medical SchoolUT Physician’s Women’s Center, University of Texas Health Science Center at HoustonMcWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonAbstract Background Peripartum Depression (PPD) affects approximately 10–15% of perinatal women in the U.S., with those of low socioeconomic status (low-SES) more likely to develop symptoms. Multilevel treatment barriers including social stigma and not having appropriate access to mental health resources have played a major role in PPD-related disparities. Emerging advances in digital technologies and analytics provide opportunities to identify and address access barriers, knowledge gaps, and engagement issues. However, most market solutions for PPD prevention and management are produced generically without considering the specialized needs of low-SES populations. In this study, we examine and portray the information and technology needs of low-SES women by considering their unique perspectives and providers’ current experiences. We supplement our understanding of women’s needs by harvesting online social discourse in PPD-related forums, which we identify as valuable information resources among these populations. Methods We conducted (a) 2 focus groups (n = 9), (b) semi-structured interviews with care providers (n = 9) and low SES women (n = 10), and (c) secondary analysis of online messages (n = 1,424). Qualitative data were inductively analyzed using a grounded theory approach. Results A total of 134 open concepts resulted from patient interviews, 185 from provider interviews, and 106 from focus groups. These revealed six core themes for PPD management, including “Use of Technology/Features”, “Access to Care”, and “Pregnancy Education”. Our social media analysis revealed six PPD topics of importance in online messages, including “Physical and Mental Health” (n = 725 messages), and “Social Support” (n = 674). Conclusion Our data triangulation allowed us to analyze PPD information and technology needs at different levels of granularity. Differences between patients and providers included a focus from providers on needing better support from administrative staff, as well as better PPD clinical decision support. Our results can inform future research and development efforts to address PPD health disparities.https://doi.org/10.1186/s12884-023-05729-9Mental healthDigital healthMobile healthSocial media |
| spellingShingle | Alexandra Zingg Tavleen Singh Amy Franklin Angela Ross Sudhakar Selvaraj Jerrie Refuerzo Sahiti Myneni Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels BMC Pregnancy and Childbirth Mental health Digital health Mobile health Social media |
| title | Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels |
| title_full | Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels |
| title_fullStr | Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels |
| title_full_unstemmed | Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels |
| title_short | Digital health technologies for peripartum depression management among low-socioeconomic populations: perspectives from patients, providers, and social media channels |
| title_sort | digital health technologies for peripartum depression management among low socioeconomic populations perspectives from patients providers and social media channels |
| topic | Mental health Digital health Mobile health Social media |
| url | https://doi.org/10.1186/s12884-023-05729-9 |
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