Women's experiences of factors affecting treatment engagement and adherence in internet delivered Behavioural Activation for Postnatal Depression

O’Mahen, Heather; Grieve, Hannah; Jones, Jennifer; McGinley, Julia; Woodford, Joanne; Wilkinson, Esther L.

doi:10.1016/j.invent.2014.11.003

Cited by 54 publications

(78 citation statements)

References 25 publications

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“…Identifying desired treatment formats of web-based treatments which fit the specific needs of postpartum women with anxiety may improve treatment outcomes and adherence (O'Mahen et al, 2015). So far, one study has looked at preferences for internet treatments specific to women with postpartum depression after pregnancy complications (Maloni, Przeworski, & Damato, 2013).…”

Section: Introductionmentioning

confidence: 99%

Interest in web-based treatments for postpartum anxiety: an exploratory survey

Ashford

Ayers

Olander

2017

Journal of Reproductive and Infant Psychology

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Based on the stated preferences of participating women it is recommended that postpartum anxiety web-based treatments include different forms of therapist support and use a flexibly accessible smartphone/tablet application format with content split into short sections. The findings also suggest that unpaid social media can be feasible in reaching women with postpartum anxiety, but additional efforts are needed to reach a more diverse population.

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Section: Introductionmentioning

confidence: 99%

Interest in web-based treatments for postpartum anxiety: an exploratory survey

Ashford

Ayers

Olander

2017

Journal of Reproductive and Infant Psychology

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“…Indeed, we have reported elsewhere that baseline social functioning was related to number of modules completed in this sample (O'Mahen et al 2013), and we found that number of modules completed was associated with sudden gains. This finding is further supported by a qualitative study of women who took part in a minimally supported online BA treatment for PPD; women who had poor practical social support and worse functioning reported that they struggled to engage with the treatment content (O'Mahen et al 2015).…”

Section: Discussionmentioning

confidence: 71%

Shape of change in internet based behavioral activation treatment for depression

O’Mahen

Wilkinson

Bagnall

et al. 2017

Behaviour Research and Therapy

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Participants were postpartum Women with Major Depressive Disorder (n=42) who received online BA supported in 30-minute telephone sessions by a mental health worker. Depression symptoms were assessed at each session and number of sessions completed were recorded by the online program. Therapist records were rated for client stressful life event and therapist concrete focus. A quadratic pattern provided the best fit with the data; a cubic pattern was a poor fit. Sudden gains, but not depression spikes, predicted lower depression scores at 17-week outcome. Women who had higher baseline social functioning, did not experience a stressful life event during therapy, and completed more online modules, but not more telephone sessions, were more likely to have a sudden gain. A concrete therapist focus was associated with sudden gains. These results extend research on trajectories of change and sudden gains to an online BA treatment and to postpartum depression, and suggest important client and therapist factors associated with sudden gains.

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“…44 In addition, perinatal women have indicated that anonymity and flexibility in the time to perform the assessment or to receive treatment are important factors influencing their decision to search for mental health assistance. 58,59 Despite the potential of ICT in PeD screening, this review evidenced that the integration of ICT in this field is still very rare. In addition, our study revealed some strengths (e.g., the consensus about the screening tool to be used) and weaknesses (e.g., inconsistency in the cutoffs used, infrequent use of apps for telemonitoring, exclusion of teenage mothers, and a major focus on the postpartum period) of the existent literature.…”

Section: Discussionmentioning

confidence: 97%

“…Making the technology customizable is another way of enhancing engagement, as reported by women. 38,58 Virtual and augmented reality might serve this purpose, 73,74 as both technologies make customization feasible. To date, however, the utility of virtual and augmented reality for mental health screening in perinatal women remains unexplored.…”

Section: Implications For Future Research and Clinical Practicementioning

confidence: 99%

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The Use of Information and Communication Technologies in Perinatal Depression Screening: A Systematic Review

Martínez-Borba

Suso‐Ribera

Osma

2018

Cyberpsychology, Behavior, and Social Networking

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Perinatal mental illness refers to psychiatric disorders that exist during pregnancy and up to 1 year after childbirth. The aim of this systematic review was to discuss the use of Information and Communication Technologies (ICTs) on perinatal depression (PeD) screening in the past three decades. Published articles were searched between 1990 and 2018, both in English and Spanish. In the search, we used different keywords, such as ''pregnancy,'' ''depression,'' or ''technology'' in ScienceDirect, PubMed-NCBI, and Web of Science. We found 10 articles that combined the use of ICTs and a focus on PeD screening. Studied periods included pregnancy (n = 2) and postpartum (n = 8). The telephone was the most commonly used communication method (n = 5), followed by the Internet (n = 4). One investigation used both, the telephone and the Internet. The Edinburgh Postnatal Depression Scale was the most frequently used screening measure (n = 8). The proportion of depressed perinatal women varied across studies depending on the pregnancy status and the cutoff values used, showing a very broad range between 5.8 and 51.9 percent. Despite the increasing popularity of ICTs in health settings, their use in perinatal mental health screening is still rare. Overall, encouraging findings have been reported when using ICTs for screening of PeD, such as eliminating the need to travel to the health center to conduct the screening and allowing for a wider dissemination. However, more research is needed to support their inclusion in perinatal care.

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Women's experiences of factors affecting treatment engagement and adherence in internet delivered Behavioural Activation for Postnatal Depression

Cited by 54 publications

References 25 publications

Interest in web-based treatments for postpartum anxiety: an exploratory survey

Interest in web-based treatments for postpartum anxiety: an exploratory survey

Shape of change in internet based behavioral activation treatment for depression

The Use of Information and Communication Technologies in Perinatal Depression Screening: A Systematic Review

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