The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial
BackgroundMany primiparous women usually encounter various parenting and mental health issues after childbirth. The effects of intervention based on internet platform on parenting and mental health outcomes for Chinese first-time mothers remain unknown during the COVID-19 pandemic. Therefore, our re...
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| Format: | Article |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1035872/full |
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| author | Yuting Zhang Jiemin Zhu Sen Li Lingling Huang Qiyu Fang Xujuan Zheng |
| author_facet | Yuting Zhang Jiemin Zhu Sen Li Lingling Huang Qiyu Fang Xujuan Zheng |
| author_sort | Yuting Zhang |
| collection | DOAJ |
| description | BackgroundMany primiparous women usually encounter various parenting and mental health issues after childbirth. The effects of intervention based on internet platform on parenting and mental health outcomes for Chinese first-time mothers remain unknown during the COVID-19 pandemic. Therefore, our research aimed to evaluate the effectiveness of an internet-based support program (ISP) on maternal self-efficacy (MSE), postpartum depression (PPD) and social support for primiparous women amid the pandemic.MethodsA multicenter randomized controlled trial (RCT) was conducted. From May 2020 to March 2021, 242 primiparous women were recruited in the maternity wards of two hospitals in Shenzhen City, China and randomly assigned to the intervention group and the control group. Women in control group (n = 118) received the routine postpartum care, and women in intervention group (n = 118) accessed to the ISP intervention (expert education and peer support) and routine postpartum care. Intervention outcomes were measured at baseline before randomization (T0), post-intervention (T1), and three-month follow up (T2) through questionnaires. The chi-square (χ2), the independent sample t-test and the repeated measures multivariate analysis of covariance were performed, and the two-tailed p-value <0.05 was regarded as statistically significant.ResultsIn comparison with women in the control group, women in the intervention group had a significantly higher score of MSE at T1 (mean: 73.53, standard deviation [SD]: 6.21) and at T2 (mean: 72.90, SD: 6.73); and a lower score of PPD at T1(mean: 6.03, SD: 2.50) and T2 (mean: 5.70, SD: 2.23); and a higher score of social support at T1 (mean: 45.70, SD: 3.73), but no significant difference at T2 (mean: 42.90, SD: 3.29).ConclusionsThe effect of ISP was evaluated to significantly increase the levels of MSE, social support, and to alleviate PPD symptoms for Chinese first-time mothers. As an effective and easily accessible intervention, ISP could become a significant source for health professionals to support primiparous women on parenting and mental health during the COVID-19 pandemic.Trial registrationThe trial is registered at the Chinese Clinical Trials Registry (ChiCTR2000033154). |
| first_indexed | 2024-04-10T16:23:34Z |
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| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T16:23:34Z |
| publishDate | 2023-02-01 |
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| spelling | doaj.art-74044752cfd24ef59c38f16a7ef7efd12023-02-09T09:42:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.10358721035872The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trialYuting Zhang0Jiemin Zhu1Sen Li2Lingling Huang3Qiyu Fang4Xujuan Zheng5School of Nursing, Health Science Centre, Shenzhen University, Shenzhen, ChinaDepartment of Nursing, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, ChinaSchool of Nursing, Health Science Centre, Shenzhen University, Shenzhen, ChinaSchool of Nursing, Health Science Centre, Shenzhen University, Shenzhen, ChinaSchool of Nursing, Health Science Centre, Shenzhen University, Shenzhen, ChinaBackgroundMany primiparous women usually encounter various parenting and mental health issues after childbirth. The effects of intervention based on internet platform on parenting and mental health outcomes for Chinese first-time mothers remain unknown during the COVID-19 pandemic. Therefore, our research aimed to evaluate the effectiveness of an internet-based support program (ISP) on maternal self-efficacy (MSE), postpartum depression (PPD) and social support for primiparous women amid the pandemic.MethodsA multicenter randomized controlled trial (RCT) was conducted. From May 2020 to March 2021, 242 primiparous women were recruited in the maternity wards of two hospitals in Shenzhen City, China and randomly assigned to the intervention group and the control group. Women in control group (n = 118) received the routine postpartum care, and women in intervention group (n = 118) accessed to the ISP intervention (expert education and peer support) and routine postpartum care. Intervention outcomes were measured at baseline before randomization (T0), post-intervention (T1), and three-month follow up (T2) through questionnaires. The chi-square (χ2), the independent sample t-test and the repeated measures multivariate analysis of covariance were performed, and the two-tailed p-value <0.05 was regarded as statistically significant.ResultsIn comparison with women in the control group, women in the intervention group had a significantly higher score of MSE at T1 (mean: 73.53, standard deviation [SD]: 6.21) and at T2 (mean: 72.90, SD: 6.73); and a lower score of PPD at T1(mean: 6.03, SD: 2.50) and T2 (mean: 5.70, SD: 2.23); and a higher score of social support at T1 (mean: 45.70, SD: 3.73), but no significant difference at T2 (mean: 42.90, SD: 3.29).ConclusionsThe effect of ISP was evaluated to significantly increase the levels of MSE, social support, and to alleviate PPD symptoms for Chinese first-time mothers. As an effective and easily accessible intervention, ISP could become a significant source for health professionals to support primiparous women on parenting and mental health during the COVID-19 pandemic.Trial registrationThe trial is registered at the Chinese Clinical Trials Registry (ChiCTR2000033154).https://www.frontiersin.org/articles/10.3389/fpubh.2023.1035872/fullrandomized controlled trialinternet-based interventionprimiparous womenmaternal self-efficacypostpartum depressionsocial support |
| spellingShingle | Yuting Zhang Jiemin Zhu Sen Li Lingling Huang Qiyu Fang Xujuan Zheng The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial Frontiers in Public Health randomized controlled trial internet-based intervention primiparous women maternal self-efficacy postpartum depression social support |
| title | The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial |
| title_full | The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial |
| title_fullStr | The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial |
| title_full_unstemmed | The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial |
| title_short | The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial |
| title_sort | effectiveness of an internet based support program on maternal self efficacy postpartum depression and social support for primiparous women during the covid 19 pandemic randomized controlled trial |
| topic | randomized controlled trial internet-based intervention primiparous women maternal self-efficacy postpartum depression social support |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1035872/full |
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