Feasibility of M-health Version of "What Were We Thinking" Intervention to Promote Maternal Postpartum Mental Health
Depression, Postpartum, Anxiety Disorders and Symptoms, Maternal Behavior
About this trial
This is an interventional prevention trial for Depression, Postpartum focused on measuring Feasibility Studies, Prevention, mHealth
Eligibility Criteria
Inclusion Criteria:
- First time mothers
- Adult (18 -64 years old)
- Having a healthy infant who is 6-8 weeks age
- Receive medical care in a primary health centers
- Having access to a mobile phone with instant messaging services (i.e., Whatsapp)
- Fluent in Spanish
Exclusion Criteria:
- Severe mental health problem (i.e. schizophrenia, mood disorder with suicidal ideation)
- Cognitive disability
- Actual substance abuse
- High risk for presenting symptoms of depression (EPDS above cut-off score)
- Severe psychosocial problem (i.e. domestic violence, sexual abuse).
Sites / Locations
- Primary Health Center San LuisRecruiting
- Primary Health Center Cardenal Silva HenríquezRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Other
m-health version of WWWT intervention
TREATMENT AS USUAL
Include: a) Psychoeducational information for understanding and managing infant behavior and on parenting. This information will be delivered through instant messaging service for mobile phones (i.e., Whatsapp) 3 times a week for four-week period. Each module will include a very brief video offering information regarding a specific topic, a proposed personal exercise and the invitation to assess the perceived usefulness of the information received. Some modules include links to external, complementary information from the Chilean Infancy Policy. b) Contact with the program facilitator. It will allow mothers to ask questions that arise from the topics addressed in the psychoeducational videos. The answers seek to promote the understanding and elaboration of the contents, and operate by providing expert support; c) A virtual group meeting.
TAU for children under one year of age include routine health checks by health professionals (nurse or doctor), every month from 0 to 4 months of age, and at 6, 8 and 12 months of age. The objective of the routine health care check is to carry out a comprehensive evaluation of the child's development and growth, guide parents and caregivers regarding child development, health and upbringing of the child. Also, promoting exclusive breastfeeding, healthy mother/child bonding (by detecting relevant alterations in this area) and encouraging paternal participation in upbringing and care of the child. Finally, in the health check-ups at 2 and 6 months of age of the child, Edinburgh Postpartum Depression Scale is used for screening depressive symptoms in mothers. At risk cases are referred for mental health assessment and care.