Perinatal depression prevention through home visitation: a cluster randomized trial of mothers and babies 1-on-1

Abstract

Postpartum depression is highly prevalent in low-income women and has significant health effects on mother and child. This pilot study tested the effectiveness of the newly adapted Mothers and Babies (MB) 1-on-1 intervention. A cluster randomized trial was conducted with 8 programs using trained home visitors to deliver MB 1-on-1 and 6 delivering usual home visiting. One hundred twenty pregnant women not experiencing major depression were enrolled. Outcomes were assessed at baseline and 3- and 6-months postpartum. The rate of change in depressive and anxiety symptoms between groups was significant at 6 months, but not 3 months. No statistically significant differences between groups were found on secondary outcomes except perceptions of social support at 6 months. There was variability in use of MB skills, with fewer women using cognitive restructuring techniques. Although larger studies should be conducted, MB 1-on-1 appears promising in using home visitors to deliver a cognitive behavioral intervention to women at risk for postpartum depression.

Delivering the Thinking Healthy Programme for perinatal depression through peers: an individually randomised controlled trial in India

“…Third, we observed that a high proportion (60%) of participants in the control group showed remission at 6 months which also accounted for waning intervention effects at 6 months compared with 3 months, as observed in other perinatal depression trials. 29,30 The most likely explanation for this remission is the natural history of the condition, in particular for mild and moderate cases. 31 In addition it may be plausible that some non-specific elements, for example the participation in the research interviews or the enhancement of usual care, may have mediated symptom improvement.…”

Postpartum Depression: Far Reaching Impact and the Role of Empowerment

“…Treatments involving education and early support for mothers were found to be helpful in addressing early symptoms as well as reducing the long-term detrimental effects of PPD (Brazeau et al, 2018). focuses on mood, stress and attachment of mother and infant (Tandon et al, 2018). IPT is a brief and present-focused therapy that centers on the interpersonal context of depression (Carter et al, 2010).…”

“…The literature highlighted the success of interventions that focused on education and empowerment of mothers (Tandon et al, 2018;McFarlane et al, 2016;Thitipitchayanant et al, 2018;Turan et al, 2018). For the purpose of this study, empowerment is defined as the increasing self-efficacy, knowledge and competence that comes from working toward a self-determined goal (Cattaneo & Chapman, 2010).…”

“…Empowerment approaches resulted in self-reported decreased in symptompatology associated with PPD, lower self-report of pain and stress, and improved emotional regulation skills (Fonseca et al, 2019;Mao et al, 2012;Thitipitchayanant et al, 2018). Open Journal of Depression factor for postpartum depression and a supportive factor in recovery (Kleinman & Reizer, 2018;Tandon et al, 2018;McFarlane et al, 2016).…”

Perinatal mental health around the world: priorities for research and service development in the USA

“…These interventions are often delivered by non-mental health professionals such as nurses and home visitors. 5,6 The evidence for the superiority of these interventions has been mixed, which has been partially attributable to the success of usual care provided by home-visiting programmes and the occasional high attrition rate in trials.…”