Expanding Virtual Postpartum Mental Health Care for Latina Women: A Participatory Research and Policy Agenda

Abstract

According to national estimates, postpartum depression (PPD) affects up to 15% of new mothers in the United States, with longterm adverse effects for both mother and child if untreated (Ko,

Motherhood and Me (Mom-Me): The Development of an Acceptance-Based Group for Women with Postpartum Mood and Anxiety Symptoms

“…Women of color experience more barriers to participation-may help to explain why clinical trials primarily include White, middle-class samples-including those related to logistical and sociocultural factors [25]. Stigma and cultural beliefs about motherhood, limited access to health insurance, and a lack of childcare, transportation, and employment responsibilities have all been shown to prevent women of color from participating in or completing CBT or IPT interventions (typically 12-16 sessions needed for any effect) [25]. Therefore, interventions that focus on promoting maternal functioning may help reduce the stigma associated with postpartum treatment.…”

“…This flexibility helps account for the changing composition of group members and enhance inclusivity. Given the number of barriers that these women experience (e.g., transportation, employment, and childcare), it was important to make the group accessible [25]. Seven sessions were chosen given that this allowed for the rotation of topics.…”

“…The first step will include qualitative interviews and/or focus groups with perinatal women and providers to determine the unique needs of this population (using the DART framework) [54]. Given the barriers to participation due to COVID-19 and parenting-related barriers [25], participants will be asked about their preference for in-person, virtual, or hybrid delivery options. Depending on interview findings, Mom-Me may be adapted for an entirely virtual platform (over live video).…”

COVID-19 Vaccine Hesitancy during the Perinatal Period: Understanding Psychological and Cultural Factors to Improve Care and Address Racial/Ethnic Health Inequities

“…Although major models of behavior and existing studies on COVID-19 vaccine hesitancy take into account individual factors, few studies have used community-based participatory research approaches to investigate psychological determinants that may vary widely across underserved communities. Intervention acceptability and efficacy among marginalized and understudied populations can be improved by using community-engaged, patient-centered research that includes key stakeholders in health care (Collins et al, 2018;Gonzalez et al, 2021). Across health care consumers and providers, there is evidence of trends in COVID-19 vaccine hesitancy that are associated with sociodemographic characteristics (Momplaisir et al, 2021;Waring et al, 2022).…”