Department of Psychiatry, The University of British Columbia, Vancouver, British Columbia, Canada
Centre for Mindfulness, BC Children's Hospital, Vancouver, British Columbia, Canada.
BMJ Open. 2022 Sep 7;12(9):e051935. doi: 10.1136/bmjopen-2021-051935.
Postpartum depression and anxiety (PPDA) is experienced by up to 20% of families in the first year. The condition impacts not only parents but also their developing child. While mindfulness-based interventions (MBI) have shown to be beneficial for this population, many parents do not have access to treatment or find it challenging to commit or complete the treatment. The COVID-19 pandemic has heightened some of the challenges that parents face. The ability to find time for needed self-care and health interventions is also affected by limited childcare support. The opportunity to attend a group online may significantly improve the accessibility to group MBI but may also bring challenges. This study aims to examine the feasibility and acceptability of online MBI groups for parents in families affected with PPDA.
In this feasibility study, participants will include mothers diagnosed with PPDA and their partners. Two online MBI groups will run simultaneously for 8 weeks: one for mothers with PPDA and another one for their partners. The primary outcome will be feasibility of conducting the online groups, assessed from the facilitators' perspective, participants' perspective and attrition throughout the study. The participants' perspectives on feasibility will be assessed by questions including how difficult it was for them to make it to the sessions, specific obstacles encountered and their scheduling preferences. The facilitators' perspective will be assessed by frequency of technical difficulties encountered, of disruptions in the online sessions and of episodes where parents leave the screen (eg, to calm their child). Secondary outcomes will include mental health, couple relationship, satisfaction and acceptability which will also be evaluated through participant questionnaires.
The study has received ethics approval from the University of British Columbia Children's and Women's Research Ethics Board. Study results will be disseminated through peer-reviewed journals and conferences.
NCT04617132.
产后抑郁和焦虑（PPDA）在第一年影响多达 20%的家庭。这种情况不仅影响父母，还影响他们正在发育的孩子。虽然基于正念的干预（MBI）已被证明对这一人群有益，但许多父母无法获得治疗，或者发现难以承诺或完成治疗。COVID-19 大流行加剧了父母所面临的一些挑战。寻找时间进行必要的自我保健和健康干预的能力也受到有限的儿童保育支持的影响。参加在线小组的机会可以显著提高小组 MBI 的可及性，但也可能带来挑战。本研究旨在探讨在线 MBI 小组对受 PPDA 影响的家庭中父母的可行性和可接受性。
在这项可行性研究中，参与者将包括被诊断为 PPDA 的母亲及其伴侣。将同时为患有 PPDA 的母亲及其伴侣开设两个在线 MBI 小组，为期 8 周：一个小组针对母亲，另一个小组针对其伴侣。主要结果将从协调员的角度、参与者的角度和整个研究期间的人员流失来评估在线小组的可行性。参与者对可行性的看法将通过以下问题进行评估，包括他们参加课程的难度、遇到的具体障碍以及他们的日程安排偏好。协调员的看法将通过遇到的技术困难的频率、在线课程的中断以及父母离开屏幕的情况（例如，为了安抚孩子）来评估。次要结果将包括心理健康、夫妻关系、满意度和可接受性，这些也将通过参与者问卷进行评估。
该研究已获得不列颠哥伦比亚大学儿童和妇女研究伦理委员会的伦理批准。研究结果将通过同行评议的期刊和会议进行传播。
NCT04617132。
