Browsing by Author "Fernández Sanz, Sofía Alejandra"

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    Experiencia de Cuidadores y Facilitadores sobre la Implementación Online de GenerationPMTO en Contexto de Pandemia
    (2023) Grau Rengifo, María Olaya; Pardo Galarce, Débora; Álamo Anich, Nicolle Anette; González Suitt, Karla Priscilla; Fernández Sanz, Sofía Alejandra; Cárdenas Sánchez, María Elvira; Banderas Montalva, José Miguel; Cantizano Rioseco, Luz; Ruíz Leiva, Constanza; Correa Molina, María Luisa; Perry Mitchell, Raúl
    Esta investigación buscó conocer la experiencia de los participantes —15 cuidadores de niñosentre 4 y 12 años de dos escuelas con alto índice de vulnerabilidad en Santiago de Chile y 4facilitadores—del programa GenerationPMTOen su adaptación a modalidad remota, en contexto de crisis sanitaria causada por COVID-19. Se realizóun estudio cualitativo exploratorio descriptivo, en el cual se realizaron entrevistas semiestructuradas a15 cuidadoresde ambas escuelasparticipantes del programa, un grupo focalcon 4facilitadoras que implementaron el programa de forma onliney una revisión documental de las bitácoras completadas por las facilitadoras luego de cada sesión. La información recolectada fue analizada cualitativamente a través de los procedimientos de codificación abierta de la teoría fundamentada, para luego reunir las perspectivas de ambos grupos en un análisis integrado. Desde la experiencia de los participantes, la adaptación del programa a formato onlineresultó exitosa, ya que las facilitadoras lograron desarrollar los contenidos y estrategias de la intervención en modalidad virtual y los cuidadores pudieron participar y aprender desde sus casas, siendo esto compatible con el distanciamiento físico (por COVID-19) y con otras actividades de la vida de los cuidadores. Se destacan como desafíos potenciar la participación y cohesión grupalysuperar barreras relacionadas con la conexión a Internet inestable y/o lugar físico poco adecuado en algunos hogares para participar. Estos resultados muestran una exitosa adaptación del programa desde la perspectiva de sus participantes, aportando aprendizajes que permitirán mejorar la adaptación de este y otros programas a modalidad virtual.
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    Fathers’ Involvement: Mothers’ Perceived Benefits of Promoting Paternal Involvement Through a WhatsApp-Based Preventive Intervention for Postpartum Depression
    (2024) Fernández, Olga; Aldoney, Daniela; Fernández Sanz, Sofía Alejandra; Pérez, Francisca; García, Ignacia M.; Pérez Ewert, Janet Carola; Coo, Soledad
    Introduction: Despite the social and cultural changes of the recent decades, the tasks associated with childcare continue to be assumed mainly by women, increasing stress and, in some cases, negatively affecting maternal mental health. The “m-What were we thinking” (m-WWWT) intervention seeks to reduce the risk of developing postpartum depression and anxiety symptoms in women by increasing self-efficacy in caring for a newborn and perceived social support, with a special focus on the partner's role. The objective of this study was to describe the mothers’ perception of how this intervention facilitated the father's parenting involvement. Methods: Sixty-four text messages from 25 first-time mothers participating in the m-WWWT program were analyzed using the Grounded Theory open and axial coding criteria. Results: There are four subjective themes linked to fathers and parenthood. The first refers to the loss of the previous balance and increased stress with the arrival of the first child; the second, to the importance of watching the intervention videos together; the third, to the possibility of communicating regarding what is happening; and the fourth, to the shared conceptualization of parenting among the couples. Conclusion: These findings suggest that m-WWWT positively influences paternal involvement in the postpartum period, which is a relevant factor to promote maternal and infant well-being.
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    Online Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial
    (Oxford Univ Press INC, 2023) Coo, Soledad; Garcia, Maria Ignacia; Perez, J. Carola; Aldoney, Daniela; Olhaberry Huber, Marcia; Fernandez, Olga; Alamo Anich, Nicolle Anette; Franco Vivanco, Pamela Veronica; Perez, Francisca; Fernández Sanz, Sofía Alejandra; Fisher, Jane; Rowe, Heather
    Objective: Internet-based interventions may positively impact maternal symptoms of postnatal depression and anxiety. This study assessed the feasibility, acceptability, perceived usefulness, and preliminary effectiveness of an m-Health version of “What Were We Thinking?” (mWWWT).Methods: A mixed-methods with a 2-arm randomized parallel design was used. From a total of 477 women, 157 met the inclusion criteria. 128 first-time mothers of full-term infants, aged 4–10 weeks, who received health care at primary public health centers in Chile, were randomly assigned to the experimental (EG, n ¼ 65) or control (CG, n ¼ 63) groups; data of 104 of them (53 and 51, respectively) was analyzed. We used percentages and rates to measure feasibility outcomes and mixed analysis of variance (ANOVA) and latent class analyses (LCA) to assess preliminary effectiveness. Participants completed questionnaires on mental health, social support, and maternal self-efficacy upon recruitment and 3 months after completing the intervention. For the qualitative component, 12 women from the EG were interviewed.Results: Quantitative results show good feasibility outcomes, such as high recruitment (82%), low attrition (EG ¼ 12% and CG ¼ 17%), and high follow-up (EG ¼ 97% and CG ¼ 91%) rates. Qualitative results indicate high acceptability and perceived usefulness of m-WWWT. MixedANOVA did not show significant differences between the groups (all p >.05). However, multinomial regression analysis in LCA showed that women with low baseline symptoms of depression and anxiety benefit from the intervention (B ¼ 0.43, 95% confidence interval 1.09–2.16). Conclusion: m-WWWT is feasible to be implemented in Chile; future studies are needed to assess the intervention’s effectiveness.