Guided web app intervention for reducing symptoms of depression in postpartum women: Results of a feasibility randomized controlled trial

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dc.contributor.authorFranco, Pamela
dc.contributor.authorOlhaberry, Marcia
dc.contributor.authorKelders, Saskia
dc.contributor.authorMuzard, Antonia
dc.contributor.authorCuijpers, Pim
dc.date.accessioned2025-01-20T16:17:02Z
dc.date.available2025-01-20T16:17:02Z
dc.date.issued2024
dc.description.abstractBackground: Chile faces a significant postpartum depression prevalence and treatment gap, necessitating accessible interventions. While cognitive-behavioral internet-based interventions have proven effective in highincome countries, this field is underdeveloped in Chile. Based on the country 's widespread use of digital technology, a guided 8-week cognitive-behavioral web app intervention named " Mam a, te entiendo " was developed. Objective: This study aimed to assess the acceptability and feasibility of " Mam <acute accent> a, te entiendo ", for reducing depressive symptomatology in postpartum women. Methods: Sixty-five postpartum women with minor or major depression were randomly assigned to either intervention or waitlist. Primary outcomes centered on study feasibility, intervention feasibility, and acceptability. Semi-structured interviews with a sub-sample enriched the understanding of participants ' experiences. Secondary outcomes included mental health variables assessed at baseline, post-intervention, and 1-month follow-up. Results: Chilean women displayed great interest in the intervention. 44.8 % of participants completed the intervention. Participants reported high satisfaction and engagement levels, with interviewees highlighting the value of the intervention 's content, exercises, and therapist 's feedback. However, preliminary efficacy analysis didn 't reveal a significant interaction between group and time for outcome measures. Discussion: This research represents a pioneering effort in Chile to evaluate an internet-based intervention for postpartum depression symptoms. The demonstrated feasibility and acceptability highlight the potential of integrating technology -driven approaches into mental health interventions. However, the intervention did not demonstrate superiority, as both groups exhibited similar positive progress in several outcomes. Therefore, the following research phase should involve a larger and more diverse sample to assess the intervention 's effectiveness, identify influencing factors, and determine the individuals who benefit the most.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.invent.2024.100744
dc.identifier.eissn2214-7829
dc.identifier.urihttps://doi.org/10.1016/j.invent.2024.100744
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/90577
dc.identifier.wosidWOS:001235391100001
dc.language.isoen
dc.revistaInternet interventions-the application of information technology in mental and behavioural health
dc.rightsacceso restringido
dc.subjectRandomized controlled trial
dc.subjectInternet-based intervention
dc.subjectGuided self-help
dc.subjectDepression
dc.subjectPostpartum
dc.subjectCognitive-behavioral therapy
dc.subjectFeasibility
dc.subjectAcceptability
dc.subject.ods05 Gender Equality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa03 Salud y bienestar
dc.titleGuided web app intervention for reducing symptoms of depression in postpartum women: Results of a feasibility randomized controlled trial
dc.typeartículo
dc.volumen36
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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