Posmontier Bobbie, Horowitz June Andrews, Geller Pamela A, Elgohail Mona, McDonough Mary, Alvares Kayla, Smoot Jaleesa, Chang Katie, Ma Tony
Jefferson College of Nursing, Thomas Jefferson University, Philadelphia, PA 19107, USA.
College of Nursing & Health Sciences, University of Massachusetts Dartmouth, Dartmouth, MA 02747, USA.
Explor Neurosci. 2024;3(4):309-320. doi: 10.37349/en.2024.00052. Epub 2024 Aug 6.
The PRECEDE-PROCEED model is a comprehensive planning and theoretical framework that incorporates epidemiological, environmental, behavioral, and social factors systematically to design, implement, and evaluate health promotion programs. As such, PRECEDE-PROCEED is a highly effective tool for addressing complex and significant public health concerns like postpartum depression (PPD). PPD negatively impacts mothers and their infants, with studies showing that approximately one in eight mothers experience PPD, leading to adverse effects on maternal functioning and infant development. However, access to specialized evidence-based treatment remains significantly limited due to barriers including social determinants of health. This paper explores the application of the PRECEDE-PROCEED model as a planning and theoretical framework for the design and development of MommaConnect, an innovative digital healthcare platform aimed at reducing PPD symptoms and improving maternal-infant interaction while overcoming barriers to treatment. Key components of the MommaConnect design and development process are mapped onto the steps of the PRECEDE-PROCEED model. MommaConnect features are aligned with specific stages of the model, from assessing, predisposing, enabling, and reinforcing factors to designing, implementing, and evaluating the intervention. By leveraging this model, MommaConnect represents a promising innovative approach to address PPD to improve maternal functioning and infant health in a digitally-enabled era. This paper underscores the importance of utilizing a framework like the PRECEDE-PROCEED model in the design and development of innovative healthcare solutions.
“教育-生态诊断-评价-促成-强化模式”（PRECEDE-PROCEED模式）是一个全面的规划和理论框架，它系统地整合了流行病学、环境、行为和社会因素，以设计、实施和评估健康促进项目。因此，PRECEDE-PROCEED模式是解决诸如产后抑郁症（PPD）等复杂且重大的公共卫生问题的高效工具。PPD会对母亲及其婴儿产生负面影响，研究表明，约八分之一的母亲会经历PPD，这会对母亲的功能和婴儿的发育产生不利影响。然而，由于包括健康的社会决定因素在内的障碍，获得专门的循证治疗的机会仍然极为有限。本文探讨了PRECEDE-PROCEED模式作为一种规划和理论框架在MommaConnect的设计和开发中的应用。MommaConnect是一个创新的数字医疗平台，旨在减轻PPD症状，改善母婴互动，同时克服治疗障碍。MommaConnect设计和开发过程的关键组成部分被映射到PRECEDE-PROCEED模式的各个步骤上。MommaConnect的功能与该模式的特定阶段相匹配，从评估、易患因素、促成因素和强化因素，到设计、实施和评估干预措施。通过利用这一模式，MommaConnect代表了一种有前景的创新方法，以解决PPD问题，在数字赋能时代改善母亲的功能和婴儿健康。本文强调了在创新医疗解决方案的设计和开发中使用诸如PRECEDE-PROCEED模式这样的框架的重要性。
