Browsing by Author "Olhaberry M."

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    A Group Videoconferencing Intervention (C@nnected) to Improve Maternal Sensitivity: Protocol for a Randomized Feasibility Trial
    (JMIR Publications Inc., 2022) Binda V.; Castanon C.; Olhaberry M.; Abarca C.; Caamano C.
    © 2022 JMIR Publications. All rights reserved.Background: Early childhood development is highly dependent on the sensitive care provided by caregivers, and interventions focused on supporting parents to improve their sensitivity have shown to be effective. The COVID-19 pandemic has had a significant impact on mental health, with pregnant women and mothers of infants being an especially vulnerable group and maternal sensitivity particularly affected. However, access to face-to-face interventions is restricted; thus, it is important to have remote interventions to support this group of mothers. Objective: The objective of this study is to evaluate the feasibility and acceptability of C@nnected, a group videoconferencing intervention to improve maternal sensitivity aimed at mother-infant dyads attending primary health care centers in vulnerable areas of Santiago, Chile. Methods: This is a randomized feasibility single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 3:2 allocation ratio (with more people allocated to the intervention arm). The intervention consists of 4 group videoconferencing sessions adapted from a face-to-face intervention with proven effectiveness. The control group will receive treatment as usual, along with educational brochures. The feasibility and acceptability of this study will be quantitatively and qualitatively assessed. Changes in clinical outcomes relating to maternal sensitivity, depressive symptoms, postpartum maternal attachment, and infant socioemotional development will also be evaluated. Results: We finished adapting the face-to-face intervention to the videoconferencing format in July 2021. The study began recruitment in August 2021, and enrollment is expected to end in August 2022, with final study results expected in December 2022. Conclusions: This study will contribute evidence for the use of eHealth interventions to promote maternal sensitivity. It will also inform the design and implementation of a future randomized clinical trial.
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    Births in Times of Pandemic: Mothers' Views on the Use of COVID-19 Hospital Precautionary MeasuresNacimientos en Pandemia: Percepción de las Madres del Uso de Medidas de Precaución Intrahospitalarias COVID-19
    (2025) Mena C.; Cifuentes J.; Silva R.; Lagos R.; Diaz B.; Palma E.; Morales-Reyes I.; Olhaberry M.; Ambiado S.
    © 2022 by PsykheDue to the COVID-19 pandemic, health institutions adjusted protocols to include additional precautionary measures which may impact mothers' and babies' experiences of birth and post-partum. This mixed-methods cross-sectional study aims to describe mothers' experience of hospital precautionary measures and their view on how these impacted on their levels of discomfort as well as positive and negative feelings experienced by them and their newborns, and maternal depressive symptomatology. A convenience sample from a private clinic in Santiago was used to compare two groups: 62 mothers with a negative Sars-CoV-2 PCR test (controls) and 58 mothers with a positive or pending Sars-CoV-2 PCR test prior to labor (cases), with different precautionary measures applied according to risk. An online questionnaire designed for this study and the EPDS was used. T-tests were used for comparing means as well as non-parametric tests and qualitative thematic analysis. Cases experienced more discomfort than controls, but at the same time they reported feeling significantly more competent. Of the total sample, 51.67% were at risk of postpartum depression, with no significant differences between groups. No significant differences were found in newborns' level of discomfort, stress or positive or negative feelings according to mothers. Mothers reported an overall positive impact on their mother-infant bond. These results emphasize that mothers in their perinatal period have been exposed to a highly stressful context during the pandemic, which has impacted on their mental health. The impact of hospital precautionary measures, their implications for maternity protocols and these patients' need for support are discussed.
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    From Dyad to Triad in Early Childhood: Mentalization-Informed Interventions Developed in Chile
    (2024) Olhaberry M.
    © 2024 JICAP Foundation, Inc.Early interactions with primary caregivers shape child development and lay the foundation for later mental health. In the context of parenting, attachment styles and parental reflective functioning are key elements for infant/child development and can be influenced by adverse or traumatic experiences. Mentalization-based models provide a comprehensive view on, and effective intervention tools for group dyadic and triadic approaches to attachment difficulties during early childhood. This article reviews 3 brief mentalization-informed interventions developed in Chile, focusing on the first three years of life. Participants in these interventions include mothers, fathers, and children with different characteristics from diverse backgrounds. Initial studies focus on mothers with perinatal depressive symptoms and their babies, considering dyads receiving attention from the public service and dyads residing in prisons. Subsequent studies target triads of mother-father-infant with socio-emotional development difficulties and dyads of mother-baby with depressive symptoms attended online during the COVID-19 pandemic. The results demonstrate significant improvements in the quality of dyadic and triadic family interactions, with some also showing symptomatic relief in maternal depression and enhancements in infant development. The studies emphasize the value of video feedback as an effective tool for promoting parental reflective functioning through brief interventions.
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    Group Video Conferencing Intervention “C@nnected” to Enhance Maternal Sensitivity in Primary Care in Chile: A Feasibility Trial
    (2025) Binda V.; Olhaberry M.; Castanon C.; Abarca C.; Caamano C.; Moran-Kneer J.
    © 2025 Cambridge University Press. All rights reserved.Early interventions supporting parental sensitivity have proven effective. Despite advancements in telemedicine, research on remote group parenting interventions remains limited. This study evaluated the feasibility and acceptability of “C@nnected”, a brief group videoconferencing intervention aimed at enhancing maternal sensitivity in mother-infant dyads in Primary Care, Santiago, Chile. A randomized controlled feasibility trial was conducted using quantitative and qualitative methods. Of 44 mother-infant dyads randomized, 26 were assigned to receive the intervention, while 18 were allocated to the control group. Eligibility and recruitment rates were 89% and 36%, respectively, with adherence at 50% and follow-up at 64.5%. The intervention demonstrated high acceptability in both the quantitative and qualitative evaluations. Mothers who participated in the intervention showed high scores in credibility and expectancy and reported increased knowledge, stronger bonds with their children, and greater satisfaction and competence in their motherhood role. This pilot study underscores the potential of “C@nnected” while identifying areas for improvement. The findings provide valuable insights into refining and further evaluating its efficacy through a randomized controlled trial.
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    Online intervention to prevent postnatal depression and anxiety in Chilean new mothers: Protocol for a feasibility trial
    (SAGE Publications Ltd, 2022) Perez J.C.; Aldoney D.; Garcia M.I.; Coo S.; Olhaberry M.; Franco P.; Fernandez O.; Alamo N.; Perez F.; Fisher J.; Rowe H.
    © The Author(s) 2022.Symptoms of postpartum depression and anxiety in new mothers are prevalent and negatively impact maternal emotional wellbeing and infant development. Barriers to accessing treatment prevent women from receiving mental health care, a situation that has worsened due to the COVID-19 pandemic. mHealth interventions hold the potential to support women during the transition to parenthood despite these barriers and to promote the use of preventive interventions. This study uses a mixed methods design to assess the feasibility and preliminary effectiveness of a psychoeducational, guided mHealth intervention to prevent postpartum mental health difficulties in women who receive care in primary health centers in Chile. The study will contribute to evidence-based research on the effectiveness of mHealth interventions for new mothers from an understudied cultural background. The findings will also enable the development of a larger randomized controlled trial to assess the effectiveness of the intervention, which, if effective, could significantly contribute to the emotional wellbeing of women and their families.