Browsing by Author "Perez, J. Carola"
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- ItemA complex intervention to support breastfeeding: A feasibility and acceptability study(2023) Lucchini-Raies, Camila; Marquez-Doren, Francisca; Perez, J. Carola; Campos, Solange; Beca, Paulina; Lopez-Dicastillo, OlgaAimsThe aims of this study are to assess the acceptability and feasibility of a multicomponent intervention to support breastfeeding women and their families and explore its effectiveness. MethodsA pilot study with control and intervention groups was conducted using the complex intervention framework in two primary healthcare centres. Overall, 44 childbearing women, their partners/relatives and 20 healthcare professionals participated in the study. The intervention's feasibility and acceptability were measured. The percentage of exclusive breastfeeding rates and women's self-efficacy were measured at pre-intervention, at 10 days postpartum, and again at 2, 4 and 6 months postpartum. Postpartum depression risk was measured at 2 and 6 months postpartum. Professional self-efficacy was measured at pre-intervention and 3 months later. ResultsThe intervention was feasible and acceptable. No difference in self-efficacy existed between the intervention and control groups. Preliminary effects of the intervention were found in exclusive breastfeeding percentage and postpartum depression risk in the intervention group. ConclusionThe intervention is feasible and acceptable. The results are promising not only for breastfeeding maintenance but also for preventing postpartum depression and recovering exclusive breastfeeding during pandemics. Trial registration ID: NCT03944642.
- ItemDiscourse-voice regulatory strategies in the psychotherapeutic interaction : a state-space dynamics analysis(2015) Krause Jacob, Mariane; Tomicic S., Alemka; Martinez, Claudio; Perez, J. Carola; Hollenstein, Tom; Angulo, Salvador; Gerstmann, Adam; Barroux, Isabelle
- ItemHome Language and Literacy Environments and Early Literacy Trajectories of Low-Socioeconomic Status Chilean Children(WILEY, 2020) Mendive, Susana; Mascareno Lara, Mayra; Aldoney, Daniela; Perez, J. Carola; Pezoa, Jose P.This study used Latent Class Analysis to identify groups of children exposed to similar Home Language and Literacy Environments (HLLE) and explored whether belonging to a given HLLE group was related to children's language and early literacy growth from prekindergarten to kindergarten. Participants were 1,425 Chilean mothers and their children (M-age = 52.52 months at baseline) from low-socioeconomic status households. Four HLLE groups were identified, which were associated with different trajectories of language and early literacy development. Children from groups whose mothers either read and talk about past events with them or teach them letters in addition to reading and talking about past events, showed higher relative vocabulary and letter knowledge. Implications for research and interventions are discussed.
- Item"How it is said": Analyses of WhatsApp communications in a postpartum depression preventive intervention(2024) Fernandez, Olga; Perez, J. Carola; Alamo, Nicolle; Fernandez, Sofia; Franco, Pamela; Coo, Soledad; Garcia, M. Ignacia; Aravena, MarcelaIntroduction: "m-What Were We Thinking" (m-WWWT) is an m-health, intervention oriented to prevent symptoms of postpartum depression and anxiety in first-time mothers. Mothers receive psychoeducation and socioemotional support through written communication via text-messaging (i.e., WhatsApp) with the program counsellor. Although the use of m-health interventions targeting mental health has increased, the form/style of communication through text messages between participants and program counsellors has been understudied. Objective: The aim was to describe the formal structure of the communication (Basic Forms) and the communicational intentions (Communicative Intentions) used in the messages sent by the counsellor and to determine if these are related to the post-intervention outcomes. Methods: 438 text messages sent by the counsellor to 53 first-time mothers (M = 25.32 years, SD = 4.23) who participated in the m-WWWT intervention were analyzed. The Therapeutic Activity Coding System was used to capture the communication as a "Communicative Action". Results: The study highlighted the counsellor's frequent use of the "assertion" communicative form (82%) and attuned communicative intentions (52%) and explored (39%) in her messages. The attractors of communication were "assert to attune" and "assert to explore", indicating an empathetic and informative communication style. With respect to their relationship with the intervention outcome, only "assert to explore" messages were positively related to maternal self-efficacy increases. The number of messages was not associated with participants' characteristics at baseline, except for educational level. Discussion: Our results show the relevance of combining the delivery of information with a communication style that allows the counsellor to connect with the specific needs and emotional tone of the participants.
- ItemOnline 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, HeatherObjective: 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.