Brooks Kimberly M, Charlot-Swilley Dominique, Robertson Hillary A, Bodrick Nia, Danielson Aimee L, Genovez Marta, Boogaard Claire, Morris Sydney, Deshmukh Sanyukta, Kiker Lauren, Green Olukemi, Le Huynh-Nhu
Children's National Hospital, 1 Inventa Place 5th Floor, Silver Spring, MD 20910, USA.
Department of Psychiatry, Medstar Georgetown University Hospital, Washington, DC 20007, USA.
Int J Environ Res Public Health. 2024 Mar 23;21(4):390. doi: 10.3390/ijerph21040390.
The COVID-19 pandemic has been particularly challenging for the mental health of African American (AA) birthing people. The pandemic necessitated shifting mental health care to online interventions. The goals of this study were to (1) describe an adapted evidence-based group preventive intervention for AA mothers with young children within a pediatric setting and (2) evaluate the feasibility, acceptability, and preliminary effectiveness of this virtual intervention. Phase 1 describes the adaptation of the HealthySteps Mom's Virtual Wellness Group, including eight weekly sessions based on the Mothers and Babies Course. Phase 2 was a mixed-methods, pre-post intervention design. Six AA mothers with young children completed questionnaires related to depression, anxiety, and parenting competence at three time points: pre-intervention (T1), post-intervention (T2), and 3 months post-intervention (T3). The participants also completed a focus group post-T2 to gather qualitative feedback regarding the intervention. The median scores for depression were lower at T2 and increased at T3, and for anxiety, they increased at T2 and decreased at T3. The median scores for parenting competence increased across the three time points. The participants attended a mean of 7.2 sessions (SD = 0.74). The qualitative results indicate that the participants gained a sense of empowerment, enjoyed connecting with other mothers, and acquired information. This pilot study suggests that a virtual intervention is feasible, acceptable, and can increase parenting competence and support among AA mothers with young children.
新冠疫情对非裔美国产妇的心理健康构成了特别的挑战。疫情使得心理健康护理不得不转向在线干预。本研究的目的是：（1）描述一种在儿科环境中为有幼儿的非裔美国母亲量身定制的循证团体预防性干预措施；（2）评估这种虚拟干预措施的可行性、可接受性和初步效果。第一阶段描述了“健康起步妈妈虚拟健康小组”的改编情况，包括基于“母婴课程”的八次每周课程。第二阶段采用混合方法，进行干预前后设计。六位有幼儿的非裔美国母亲在三个时间点完成了与抑郁、焦虑和育儿能力相关的问卷：干预前（T1）、干预后（T2）和干预后3个月（T3）。参与者还在T2之后完成了一个焦点小组，以收集有关该干预措施的定性反馈。抑郁的中位数得分在T2时较低，在T3时升高；焦虑的中位数得分在T2时升高，在T3时降低。育儿能力的中位数得分在三个时间点均有所提高。参与者平均参加了7.2次课程（标准差=0.74）。定性结果表明，参与者获得了一种赋权感，享受与其他母亲的交流，并获取了信息。这项试点研究表明，虚拟干预是可行的、可接受的，并且可以提高有幼儿的非裔美国母亲的育儿能力并给予她们支持。
