Cultural adaptation of an intervention to prevent postnatal depression and anxiety in Chilean new mothers

Coo, Soledad; García, María Ignacia; Awad, Natalia; Rowe, Heather; Fisher, Jane

doi:10.1080/02646838.2019.1705264

Cited by 4 publications

(5 citation statements)

References 32 publications

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“…Furthermore, screening for maternal postnatal depression reaches 89% of women using the public health care system. However, only 22.4% of those identified at risk access treatment because of long waiting periods for services, mistrust and negative perceptions of intervention care, and a general misinformation about pre and postnatal depression (Coo, García, Awad, Rowe, & Fisher, 2019). Therefore, in addition to the timely provision of high‐quality mental health services for mothers experiencing depression, our results corroborate the need to offer evidence‐based dyadic interventions to foster contingent, warm, and sensitive interactions between mother and child.…”

Section: Discussionmentioning

confidence: 99%

Family Risk and Externalizing Problems in Chilean Children: Mediation by Harsh Parenting and Emotional Support

et al. 2020

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Latent class analysis and multigroup mediation were used with 8,860 families in Chile to identify risk groups varying in socioeconomic status, family structure, and maternal depression, to determine whether profiles differed in children's development of externalizing problems (EP) from 35 to 61 months, and maternal parenting that predicted EP. Four groups were identified: one no-risk profile and three risk profiles, impoverished and undereducated, depressed and impoverished, and father-absent and impoverished. All classes differed in EP. Maternal emotional support and harsh parenting were differentially associated with the development of EP across the three risk groups, relative to the low-risk group. Thus, specific constellations of adversities differentially predicted children's EP and socialization processes mediating links between risk and EP. Implications are discussed.

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Section: Discussionmentioning

confidence: 99%

Family Risk and Externalizing Problems in Chilean Children: Mediation by Harsh Parenting and Emotional Support

et al. 2020

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“…49 The intervention, including participants’ materials and facilitator´s manual have been adapted to be used with Chilean populations. 22 The m-WWWT program includes (see Figure 1):(a) Psychoeducational information on infant behavior and changes in interpersonal dynamics associated with parenting. Modules aimed at understanding and managing infant behavior include information on infant temperament; how to understand and respond to infant crying; soothing strategies; patterns of infant sleep and how to establish positive sleep habits; the use of settling strategies, infant feeding; and issues about the development of healthy daily care routines.…”

Section: Methodsmentioning

confidence: 99%

“…49 The intervention, including participants' materials and facilitator´s manual have been adapted to be used with Chilean populations. 22 The m-WWWT program includes (see Figure 1):…”

Section: Interventionmentioning

confidence: 99%

“…The Spanish version of WWWT holds the potential to significantly contribute to maternal, paternal and infant emotional wellbeing in the postpartum period. 22 Despite the effectiveness of perinatal preventive interventions, low attendance is a challenge that remains to be effectively addressed. This has become increasingly relevant due to the COVID-19 crisis, which has been associated with restrictions to visit health centers and allocation of most health professionals to assist COVID-19 patients.…”

Section: Introductionmentioning

confidence: 99%

“…The Spanish version of WWWT holds the potential to significantly contribute to maternal, paternal and infant emotional wellbeing in the postpartum period. 22…”

Section: Introductionmentioning

confidence: 99%

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Online intervention to prevent postnatal depression and anxiety in Chilean new mothers: Protocol for a feasibility trial

Pérez

Aldoney

García

et al. 2022

Health Informatics J

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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.

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Online Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial

Coo,

García,

Pérez

et al. 2023

Journal of Pediatric Psychology

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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?” (m-WWWT). 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 = 65) or control (CG, n = 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 = 12% and CG = 17%), and high follow-up (EG = 97% and CG = 91%) rates. Qualitative results indicate high acceptability and perceived usefulness of m-WWWT. Mixed ANOVA 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 = 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.

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Cultural adaptation of an intervention to prevent postnatal depression and anxiety in Chilean new mothers

Cited by 4 publications

References 32 publications

Family Risk and Externalizing Problems in Chilean Children: Mediation by Harsh Parenting and Emotional Support

Family Risk and Externalizing Problems in Chilean Children: Mediation by Harsh Parenting and Emotional Support

Online intervention to prevent postnatal depression and anxiety in Chilean new mothers: Protocol for a feasibility trial

Online Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial

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