Schmidt-Hantke Juliane, Vollert Bianka, Nacke Barbara, Hagner Franziska, Brüderl Hannah, Jacobi Corinna
TU Dresden, Institute of Clinical Psychology and Psychotherapy, Chair of Clinical Psychology and E-Mental Health, Chemnitzer Str. 46a, 01187 Dresden, Germany.
Internet Interv. 2024 Aug 12;37:100765. doi: 10.1016/j.invent.2024.100765. eCollection 2024 Sep.
Mental disorders during pregnancy and the postpartum period can have far-reaching consequences. To enhance peripartum mental well-being and prevent peripartum mental disorders, internet- and mobile-based interventions appear promising. They can overcome help-seeking barriers associated with face-to-face conditions and have proven to be effective. However, previous findings are scarce and mixed. The primary objectives of this study were to assess the feasibility and acceptability of an internet-based program aimed at enhancing peripartum mental well-being and preventing postpartum depression.
In total, 149 pregnant, German-speaking women were assigned to the internet-based intervention PandaMom. The program comprises a total of 10 basic and supplementary modules related to pregnancy and postpartum, based on cognitive-behavioral principles. Additionally, PandaMom offers professional, individualized guidance and a moderated group-chat. Assessments were conducted at baseline (pre-intervention), as well as two and five weeks postpartum. The primary outcomes included feasibility, user satisfaction, and adherence to the intervention. Secondary outcomes included depressive symptomatology, anxiety and stress.
PandaMom was found to be feasible, and evaluation of module content and length satisfaction indicated that the intervention was well accepted. Nearly half of the participants utilized the guidance service by responding to individual messages from their intervention moderator. Regarding working alliance, participants reported a strong bond with their intervention moderator. Of the 149 participants, 132 logged into the platform at least once. 113 participants accessed at least one module, with an average of 4.7 modules opened per participant. However, only 16 participants completed the basic modules.
The findings of this study support previous evidence that internet-and mobile-based interventions are feasible and acceptable during pregnancy and the postpartum period. Further research is needed to address the challenge of low adherence and to evaluate the efficacy of PandaMom.
孕期和产后的精神障碍可能会产生深远影响。为了提高围产期心理健康水平并预防围产期精神障碍，基于互联网和移动设备的干预措施似乎很有前景。它们可以克服与面对面情况相关的求助障碍，并且已被证明是有效的。然而，先前的研究结果稀少且不一致。本研究的主要目的是评估一项旨在提高围产期心理健康水平和预防产后抑郁症的基于互联网的项目的可行性和可接受性。
总共149名讲德语的孕妇被分配到基于互联网的干预项目“熊猫妈妈”。该项目基于认知行为原则，共有10个与怀孕和产后相关的基础模块和补充模块。此外，“熊猫妈妈”提供专业的个性化指导和一个有主持人的群组聊天。在基线（干预前）以及产后两周和五周进行评估。主要结果包括可行性、用户满意度和对干预的依从性。次要结果包括抑郁症状、焦虑和压力。
发现“熊猫妈妈”是可行的，对模块内容和时长满意度的评估表明该干预措施被广泛接受。近一半的参与者通过回复干预主持人的个人消息使用了指导服务。关于工作联盟，参与者报告与他们的干预主持人有很强的联系。在149名参与者中，132人至少登录过一次平台。113名参与者访问了至少一个模块，每位参与者平均打开4.7个模块。然而，只有16名参与者完成了基础模块。
本研究结果支持了先前的证据，即基于互联网和移动设备的干预措施在孕期和产后是可行且可接受的。需要进一步研究以应对低依从性的挑战并评估“熊猫妈妈”的疗效。
