Feasibility and acceptability of integrating SMS into a postpartum depression preventive intervention delivered in home visitation programs (Preprint)

2021 ◽  
Author(s):  
Alinne Z. Barrera ◽  
Jaime Lynne Hamil ◽  
S. Darius Tandon
Keyword(s):  
At Risk ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Home Visiting ◽  
Preventive Intervention ◽  
Task Force ◽  
Text Messages ◽  
Digital Tool ◽  
Self Monitoring ◽  
Home Visitors

BACKGROUND The Mothers and Babies Course (MB) was recognized by the U.S. Preventive Services Task Force as an evidence-based prevention of postpartum depression (PPD) intervention that should be recommended to pregnant women at risk for PPD. OBJECTIVE This report examines the feasibility and acceptability of enhancing the MB 1-on-1 intervention with the addition of 36 short message service (SMS) text messages that targeted three areas: reinforcement of skills, between session homework reminders, and responding to self-monitoring texts (MB-TXT). METHODS In partnership with 9 home visiting programs, 28 ethnically and racially diverse pregnant women (M=25.6 weeks, SD=9.0) received the MB-TXT. Feasibility was defined by home visitors’ adherence to logging into the HealthySMS platform to enter session data and trigger text messages within seven days of the in-person session. Acceptability of MB-TXT was measured by participants’ usefulness and understanding ratings of the text messages and responses to the self-monitoring text messages. RESULTS On average, home visitors followed the study protocol and entered session-specific data between 5.50-61.17 days following MB 1-on-1 sessions and indicated that participants completed the between session homework almost half the time (M=5.36, SD=3.71). Participants responded to self-monitoring texts at a high level (89.3%) and rated the text message content as very useful and understandable. CONCLUSIONS This report contributes to a growing line of research focused on digital adaptations of MB. SMS is a low-cost, accessible digital tool that can be easily integrated into existing interventions, and implemented in community-based organizations and healthcare systems that serve women at risk for PPD. CLINICALTRIAL ClinicalTrials.gov Identifier: NCT03420755

A depression preventive intervention for rural low-income African-American pregnant women at risk for postpartum depression

2008 ◽  
Vol 11 (5-6) ◽  
pp. 319-325 ◽  
Author(s):  
Kathy Crockett ◽  
Caron Zlotnick ◽  
Melvin Davis ◽  
Nanetta Payne ◽  
Rosie Washington
Keyword(s):  
At Risk ◽  
African American ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Low Income ◽  
Preventive Intervention

scholarly journals A Preventive Intervention for Pregnant Women on Public Assistance at Risk for Postpartum Depression

2006 ◽  
Vol 163 (8) ◽  
pp. 1443-1445 ◽  
Author(s):  
Caron Zlotnick ◽  
Ivan W. Miller ◽  
Teri Pearlstein ◽  
Margaret Howard ◽  
Patrick Sweeney
Keyword(s):  
At Risk ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Preventive Intervention ◽  
Public Assistance

scholarly journals Evaluation of an Intimate Partner Violence Training for Home Visitors Using the Theory of Planned Behavior

2017 ◽  
Vol 19 (2) ◽  
pp. 194-202 ◽  
Author(s):  
Christiaan G. Abildso ◽  
Angela Dyer ◽  
Alfgeir L. Kristjansson ◽  
Michael J. Mann ◽  
Thomas Bias ◽  
...  
Keyword(s):  
At Risk ◽  
Intimate Partner Violence ◽  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Partner Violence ◽  
Home Visiting ◽  
The United States ◽  
Intimate Partner ◽  
Home Visitors ◽  
The Impact

Introduction. Intimate partner violence (IPV) is a public health issue with recent intervention focus by home visiting programs with at-risk families in the United States. Home visitors are typically required to assess IPV but feel unprepared to do so and desire training. Our aim was to evaluate the impact of a daylong IPV training on the intention to enact three key IPV behaviors (screening, making referrals, and safety planning) using the theory of planned behavior. Method. Survey of 125 home visitors in West Virginia was conducted before and after a daylong IPV training. Results. The IPV training had a positive impact on intention to perform the three behaviors of interest, with the greatest impact on the intention to conduct IPV screenings. Discussion. Results provide important preliminary evidence supporting the effectiveness of professional development as a means of increasing intentions to conduct activities related to IPV. The impact on IPV screening intention is promising because screening is the first step in addressing IPV. Conclusion. The IPV training proved beneficial in increasing intentions and such trainings should be expanded, but further study is needed to link intentions to subsequent behaviors to address IPV with at-risk families.

Feasibility of Psychoeducational Sessions in Pregnant Women at Risk for Postpartum Depression

2015 ◽  
Vol 125 ◽  
pp. 30S ◽  
Author(s):  
Lysistrati A. Alimonos ◽  
Gunda Simpkins ◽  
Michael DeAngelo ◽  
Sofia Chernoff ◽  
Krystal Hunter ◽  
...  
Keyword(s):  
At Risk ◽  
Postpartum Depression ◽  
Pregnant Women

scholarly journals Hormonal conditions of postpartum depression

2020 ◽  
Vol 2 (2) ◽  
pp. 43-51
Author(s):  
Katarzyna Jankowska ◽  
Piotr A. Woźniak
Keyword(s):  
At Risk ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Mood Disorders ◽  
Premenstrual Syndrome ◽  
Postpartum Period ◽  
Proper Treatment ◽  
Sudden Drop ◽  
Timely Diagnosis

The sudden drop in the level of postpartum certain hormones, especially estrogens and progesterone, promotes mood disorders. Some women may have severe symptoms of postpartum depression, that need timely diagnosis and proper treatment. Women with premenstrual syndrome symptoms are particularly at risk of depression. To prevent the dangerous consequences of unrecognized postpartum depression, a requirement was introduced in 2019 in Poland for gynecologists to interview pregnant women and to exclude the occurrence of depression in the postpartum period. The aim of the study is to present the hormonal determinants of postpartum depression with particular attention to risk factors.

scholarly journals Technology to Guide Data-Driven Intervention Decisions: Effects on Language Growth of Young Children at Risk for Language Delay

2020 ◽  
Vol 87 (1) ◽  
pp. 74-91
Author(s):  
Jay Buzhardt ◽  
Charles R. Greenwood ◽  
Fan Jia ◽  
Dale Walker ◽  
Naomi Schneider ◽  
...  
Keyword(s):  
At Risk ◽  
Web Application ◽  
Home Visiting ◽  
Language Delay ◽  
Data Driven ◽  
Children At Risk ◽  
Home Visitors ◽  
Randomized Control ◽  
Language Growth ◽  
K 12

Data-driven decision making (DDDM) helps educators identify children not responding to intervention, individualize instruction, and monitor response to intervention in multitiered systems of support (MTSS). More prevalent in K–12 special education, MTSS practices are emerging in early childhood. In previous reports, we described the Making Online Decisions (MOD) web application to guide DDDM for educators serving families with infants and toddlers in Early Head Start home-visiting programs. Findings from randomized control trials indicated that children at risk for language delay achieved significantly larger growth on the Early Communication Indicator formative language measure if their home visitors used the MOD to guide DDDM, compared to children whose home visitors were self-guided in their DDDM. Here, we describe findings from a randomized control trial indicating that these superior MOD effects extend to children’s language growth on standardized, norm-referenced language outcomes administered by assessors who were blind to condition and that parents’ use of language promotion strategies at home mediated these effects. Implications and limitations are discussed.

scholarly journals Achieving Optimal Gestational Weight Gain, Birth Weight, and Perinatal Outcomes Among Pregnant Women at Risk of Hypertension: Protocol for a Pilot Randomized Controlled Trial

10.2196/16676 ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. e16676
Author(s):  
S M Tafsir Hasan ◽  
Syed Imran Ahmed ◽  
Md Alfazal Khan ◽  
Shafiqul Alam Sarker ◽  
Tahmeed Ahmed
Keyword(s):  
Blood Pressure ◽  
At Risk ◽  
Randomized Controlled Trial ◽  
Weight Gain ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Pilot Trial ◽  
Self Monitoring ◽  
Randomized Controlled ◽  
Hypertensive Disorders

Background Hypertensive disorders, including preeclampsia, complicate 10% of all pregnancies, causing maternal and fetal morbidity and mortality. In Bangladesh, 24% of all maternal deaths are directly attributed to hypertensive disorders. Conventional antenatal care practices often delay or miss detecting hypertensive disorders in pregnancy, which may allow some women to become vulnerable to the adverse consequences of the hypertensive disorders. Regular self-monitoring of blood pressure and weight gain may improve maternal and fetal outcomes among pregnant women at risk of developing hypertensive disorders during pregnancy through early diagnosis, prompt referral, and timely clinical management; however, to undertake a randomized controlled trial of an intervention to reduce adverse consequences of hypertensive disorders in pregnancy, its feasibility must first be determined. Objective The objectives of this study are to evaluate the accuracy of a wearable blood pressure monitoring device (Health Gauge) in order to test the design and methods of a future definitive randomized controlled trial, and to examine the feasibility, acceptability, and fidelity of an intervention focusing on regular monitoring of weight gain and self-monitoring of blood pressure for pregnant women at risk of developing hypertensive disorders and their associated complications. Methods The study is located in Matlab, Bangladesh will be conducted in two phases. First, a wearable blood pressure device (Health Gauge) will be validated in accordance with the European Society of Hypertension International Protocol (revision 2010). Second, a prospective, two-arm, parallel, and nonblinded randomized controlled external pilot trial will be conducted. In the pilot trial, 70 eligible participants will be individually randomized to the intervention arm, in which pregnant women will self-monitor their blood pressure daily using a wearable device (Health Gauge) and be evaluated monthly by trained health workers for weight gain from 20 weeks of gestation until delivery, or the control arm, in which pregnant women will be assessed for weight gain every two months from 20 weeks of gestation until delivery (1:1 intervention to control allocation ratio using a permuted block randomization method with concealment). All women will receive standard antenatal care. Results A validation study of the wearable blood pressure device has successfully been conducted among the general adult population in Matlab, Bangladesh. As of September 2019, the pilot trial has completed enrollment of women who are pregnant (N=70; intervention: n=35; control: n=35) and follow-up of the participants is ongoing. Data analysis is expected to be completed by June 2020, and results are expected to be submitted for publication in August 2020. Conclusions The findings of this study will help us to design a comprehensive, full-scale randomized controlled trial to test the efficacy of regular self-monitoring of blood pressure and weight gain during pregnancy, a simple and inexpensive intervention to help to achieve optimal maternal and fetal outcomes in pregnant women at risk of developing hypertensive disorders and their associated complications during pregnancy. Trial Registration ClinicalTrials.gov NCT03858595; https://clinicaltrials.gov/ct2/show/NCT03858595 International Registered Report Identifier (IRRID) DERR1-10.2196/16676

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