An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS)

Warriner, Sian; Crane, Catherine; Dymond, Maret; Krusche, Adele

doi:10.1016/j.midw.2018.05.004

Cited by 37 publications

(41 citation statements)

References 51 publications

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“…Like the protocol that will be used in the present study, this effect size was found in a recent RCT that used a modified MBCP program [24] compared to a TAU active standard childbirth preparation course with no mind-body components. This effect size is also similar to that obtained in other studies using other programs [44], a pilot study evaluating the effectiveness of MBCE [33], a cohort study assessing the MindBabyBody program [34], and a brief pilot adaptation based upon the MBCP program [9]. Considering a statistical power of 80%, a 5% significance level in a between-group interaction with a local alpha of 0.017 in the first test-using Benjamini-Hochberg's procedure-and a dropout rate in the range of 15%-20%, as has been observed in these types of studies [45], 61 participants are needed in each group, for a total sample size of 122 women.…”

Section: Sample Sizesupporting

confidence: 84%

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A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: study protocol for a randomized controlled trial

Sacristan-Martin

Germán

Campayo

et al. 2019

Trials

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Background: Pregnancy and the postpartum period are times of great change for women and their partners, often bringing substantial challenges and stress. Approximately 10%-20% of women suffer from mood disorders such as depression in the perinatal period. There are risks involved in using psychopharmacological interventions to treat perinatal depression. Mindfulness and compassion-based educational programs could be efficacious and costeffective options for the prevention and treatment of perinatal mood disorders. The aim of this study is to assess the efficacy of an adapted Mindfulness-Based Childbirth and Parenting (MBCP) program that includes compassion training for pregnant women in primary care (PC) settings in the Spanish National Health System to decrease perinatal depression. Methods: A multicenter randomized controlled trial (RCT) will be conducted. Participants will be pregnant women (n = 122) and their partners who wish to participate. They will be enrolled and assessed in PC settings and randomly assigned to either: (1) an adapted MBCP educational program tailored to the Spanish National Health System + treatment as usual (TAU); or (2) TAU only. The main outcome to be assessed will be depression, evaluated with the Edinburgh Postnatal Depression Scale (EPDS). Secondary outcomes will include self-reported measures of perceived stress, affects, mindfulness, self-compassion, maternal self-efficacy, and use of health and social services. Patients will be assessed at four timepoints: baseline; post-treatment; and at three and six months after childbirth. Intention-to-treat and per-protocol analyses will be carried out using linear regression mixed models. Effect sizes will be estimated using Cohen's d.

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Section: Sample Sizesupporting

confidence: 84%

“…Among Spanish women, the prevalence of prenatal depressive symptoms is approximately 15% [7]. In addition, prenatal depression appears to affect men; thus, the importance of the presence of the partner in interventions tailored to improve couple wellbeing during pregnancy and postpartum is encouraged [8,9].…”

Section: Introductionmentioning

confidence: 99%

A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: study protocol for a randomized controlled trial

Sacristan-Martin

Germán

Campayo

et al. 2019

Trials

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“…G*Power software was used to calculate the number of participants required. Previous 8‐week mindfulness interventions in pregnant women showed medium‐to‐large effect sizes for anxiety (Cohen's d, 0.48‐0.66) and depression (Cohen's d, 0.42‐0.75) . Thus, at an effect size of d = 0.58, and allowing for a 25% attrition rate, the total number of participants required was 125 for a power of 0.8 …”

Section: Methodsmentioning

confidence: 95%

Effects of an Online Mindfulness Intervention Focusing on Attention Monitoring and Acceptance in Pregnant Women: A Randomized Controlled Trial

Yang¹,

Jia²,

Sun³

et al. 2019

J Midwife Womens Health

153

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Introduction Attention monitoring and acceptance underlie the effects of mindfulness meditation. This study tested the feasibility and acceptability of an online mindfulness intervention for pregnant women as an approach to reduce depressive and anxious symptoms. Method We developed an 8‐week mindfulness intervention program that trained participants to monitor their internal and external experiences in an accepting way. The mindfulness course was based on the Wechat platform. This study was conducted in a women's hospital in China. A total of 123 women with scores on the Generalized Anxiety Disorder Scale and Patient Health Questionnaire suggesting mild or moderate symptoms of depression and anxiety were recruited from the outpatient department between April and June 2018. The participants were randomized to receive the mindfulness intervention or routine prenatal care. The Generalized Anxiety Disorder Scale, the Patient Health Questionnaire, and the Five Facets of Mindfulness Questionnaire were used to evaluate the levels of anxiety, depression, and mindfulness, respectively, before and after the intervention. Results Of the 123 women enrolled in this study, 10 in the intervention group and 11 in the control group did not complete the intervention. The retention rate and feedback suggested that the mindfulness intervention was feasible and acceptable among pregnant women. Participants in the intervention group showed greater declines in depressive and anxious symptoms compared with those in the control group, as well a significant improvement in mindfulness skills (eg, attention monitoring and acceptance). Discussion These results suggest that an online mindfulness intervention may be a promising technique to help women use mindfulness skills to reduce depressive and anxious symptoms. The mindfulness intervention could constitute part of the psychological care provided to pregnant women.

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“…Several web-based mindfulness programs have been developed for informal caregivers of people with physical or mental conditions, showing improvement in caregiver stress and burden [47,48]. Finally, mindfulness for distressed pregnant women and their partners showed an effect on pregnant women's and their partners' anxiety and depression [49].…”

Section: Mindfulness Affecting Health Of Family Membersmentioning

confidence: 99%

The mindful family: a systemic approach to mindfulness, relational functioning, and somatic and mental health

Bögels

Emerson

2019

Current Opinion in Psychology

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An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS)

Cited by 37 publications

References 51 publications

A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: study protocol for a randomized controlled trial

A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: study protocol for a randomized controlled trial

Effects of an Online Mindfulness Intervention Focusing on Attention Monitoring and Acceptance in Pregnant Women: A Randomized Controlled Trial

The mindful family: a systemic approach to mindfulness, relational functioning, and somatic and mental health

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