Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial

Jannati, Nazanin; Mazhari, Shahrzad; Ahmadian, Leila; Mirzaee, Moghaddameh

doi:10.1016/j.ijmedinf.2020.104145

Cited by 65 publications

(109 citation statements)

References 66 publications

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“…Of the 12 articles we included in our analysis, 3 (25%) were study protocols [ 41 , 42 , 43 ] and 2 (16.7%) were reviews of available mobile phone applications related to perinatal depression [ 44 , 45 ]. The 7 remaining articles (58.3%) were research studies [ 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. These studies were heterogeneous in terms of how mobile phone technology was used (e.g., interactive text messaging, automated text messaging, automated voice mail or use of mobile phone application), the purpose of the use of mobile technology (prevention, screening, and/or treatment), the perinatal timeframe in terms of pregnancy or the postpartum period and population in terms of parity ( Table 2 , Table 3 and Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…One of these 5 articles (20%) included first-time expectant mothers only [ 46 ]. The other 5 articles (41.7%), including one study protocol, considered postpartum women [ 43 , 47 , 48 , 49 , 50 , 52 ]. Of these 5 articles, 2 (40%) included first time mothers [ 49 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of these 5 articles, 2 (40%) included first time mothers [ 49 , 50 ]. Five of the 12 studies (41.7%) took place in China [ 43 , 44 , 46 , 48 , 49 ], followed by 3 studies (25%) in Iran [ 47 , 50 , 52 ]. The primary outcome measure of 8 of the 12 studies (66.7%) was the depressive symptoms of women who were pregnant or in the postpartum period [ 41 , 42 , 43 , 46 , 47 , 48 , 50 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five of the 12 studies (41.7%) took place in China [ 43 , 44 , 46 , 48 , 49 ], followed by 3 studies (25%) in Iran [ 47 , 50 , 52 ]. The primary outcome measure of 8 of the 12 studies (66.7%) was the depressive symptoms of women who were pregnant or in the postpartum period [ 41 , 42 , 43 , 46 , 47 , 48 , 50 , 52 ]. Seven of these articles [ 42 , 43 , 46 , 47 , 48 , 50 , 52 ] described the use of the Edinburgh Postnatal Depression Scale to identify depressive symptoms and one article [ 41 ] described the use of the Patient Health Questionnaire—9 to quantify depressive symptoms.…”

Section: Resultsmentioning

confidence: 99%

“…The primary outcome measure of 8 of the 12 studies (66.7%) was the depressive symptoms of women who were pregnant or in the postpartum period [ 41 , 42 , 43 , 46 , 47 , 48 , 50 , 52 ]. Seven of these articles [ 42 , 43 , 46 , 47 , 48 , 50 , 52 ] described the use of the Edinburgh Postnatal Depression Scale to identify depressive symptoms and one article [ 41 ] described the use of the Patient Health Questionnaire—9 to quantify depressive symptoms. One additional study (8.3%) assessed the validity of the Edinburgh Postnatal Depression Scale when administered via telephone interviews [ 51 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

Dosani

Arora

Mazmudar

2020

IJERPH

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Women in low- and middle-income countries have high rates of perinatal depression. As smartphones become increasingly accessible around the world, there is an opportunity to explore innovative mHealth tools for the prevention, screening, and management of perinatal depression. We completed a scoping review of the literature pertaining to the use of mobile phone technologies for perinatal depression in low-and middle-income countries. PubMed CINHAL, and Google Scholar databases were searched, generating 423 results. 12 articles met our inclusion criteria. Two of the 12 articles reviewed mobile phone applications. The remaining 9 articles were study protocols or descriptive/intervention studies. Our results reveal that minimal literature is currently available on the use of mobile health for perinatal depression in low- and middle-income countries. We found four articles that present the results of an intervention that were delivered through mobile phones for the treatment of perinatal depressive symptoms and an additional qualitative study describing the perceptions of mothers receiving cognitive behavioral therapy via telephones. These studies demonstrated that depressive symptoms improved after the interventions. There is potential to improve the quality of mHealth interventions, specifically mobile phone applications for perinatal depressive symptoms and depression, through meaningful collaborative work between healthcare professionals and application developers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

Dosani

Arora

Mazmudar

2020

IJERPH

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User‐centered development process of an evidence‐based mHealth intervention for psychosocially burdened families during the transition to parenthood

Vogel,

Henning,

Wolstein

et al. 2024

Mental Health Science

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Mobile health (mHealth) interventions are a promising approach to promote mothers' and fathers' health in the perinatal period. This may be particularly true for psychosocially burdened families who are poorly reached by current preventive services. Studies are needed that examine how user‐centered and evidence‐based mHealth interventions look like for this target group. The objective of this paper is to describe the iterative development process of the I‐PREGNO app intervention that aims to prevent unhealthy weight gain and to promote mental health in psychosocially burdened families during the perinatal period. The systematic content development process was divided into four stages. User needs were assessed through focus group discussions with psychosocially burdened mothers and healthcare professionals (HPs; stage I). In stage II, a prototype of the app was developed and evaluated through usability tests and a walkthrough with the target group and HPs (stage III). Finally, the behavior change techniques implemented in the app were assessed using an existing taxonomy (stage IV). The focus group discussions revealed that HPs as well as end‐users would benefit from an intervention that addresses psychosocial aspects (i.e., emotion regulation, coping) and links these to health behaviors. The identified needs of the target group during the perinatal period were combined with existing evidence‐based content and translated into 12 app modules. Most of the behavior change techniques used in these thematic modules were assigned to the clusters self‐monitoring, knowledge building, and goal planning. The I‐PREGNO app development process was guided by an iterative and user‐centered approach involving the target audience and a multidisciplinary team of experts. The findings provide valuable implications for the design and development of evidence‐based self‐guided mHealth for hard‐to‐reach groups during the transition to parenthood. The efficacy of the I‐PREGNO intervention will be evaluated in randomized controlled trials in routine care.

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Smartphone-Based Treatment in Psychiatry: A Systematic Review

Faurholt‐Jepsen

Tønning

Kessing

2023

Digital Mental Health

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Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial

Cited by 65 publications

References 66 publications

mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

User‐centered development process of an evidence‐based mHealth intervention for psychosocially burdened families during the transition to parenthood

Smartphone-Based Treatment in Psychiatry: A Systematic Review

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