None listed
Conditions
Brief summary
Fathers' perinatal mental health is a major public health issue, but few fathers seek or are offered mental health support. Emerging evidence suggests that fathers prefer informal, digital methods of perinatal support, but currently few tools exist for them to access. This research project aims to evaluate an app-based mindfulness-CBT intervention for fathers mental health using an RCT design. A secondary, exploratory aim is to investigate the usefulness of social media data for identifying fathers in-need of support. The hypothesis is: Participants allocated to the smartphone intervention will experience significantly greater reductions in mental health symptoms, parenting self-efficacy, and infant bonding at post-test (4 weeks from baseline) relative to participants allocated to the wait-list control.
Interventions
The intervention will be delivered via a smartphone app. The intervention is designed to address core paternal postpartum depression, anxiety, and stress symptoms and maintaining factors. There will be 4 modules to this intervention completed over 4 weeks, and participants will be asked to complete these modules in order. The content covering each module is as follows: (1) a values clarification and goal setting module; (2) a mindfulness meditation module, containing relaxation techniques to help manage mood; (3) a cognitive restructuring module, assisting participants to increase positive thoughts, and manage negative thoughts; and (4) a behavioural activation module, encouraging participants to increase their engagement in pleasant activities, e.g., activity planning, behaviour tracking. Participants will be encouraged to commence each new module after around 7 days, although they will be instructed that they can go at a pace that suits them. Each module will take approximately 30mins to complete, and participants will be encouraged to implement the strategies prescribed in each module on a daily basis. Each module will contain various audio recordings of a professional describing and guiding the intervention content and what is required; various quizzes to facilitate learning; text boxes for participants to read; and writing spaces for participants to record their thoughts, feelings and behaviors to certain exercises. The app also contains additional resources, including a self-monitoring tool for daily mood monitoring (with feedback graphs) and psychoeducation materials designed specifically for this study educating participants on precipitating and perpetuating factors for paternal perinatal depression, anxiety and stress. App-based notifications will be provided on a daily basis to enhance adherence to the intervention. Adherence to the intervention will be monitored through app usage analytics.
Sponsors
Study design
Eligibility
Inclusion criteria
(1) aged 18 or over; (2) identify as a father; (3) have an infant aged under 12 months of age; (4) be a user and contributor to the social media platform Reddit; (5) have sufficient English literacy; (6) have access to an Android or iOS smartphone or tablet for the duration of the study; and (7) be moderately symptomatic for depression, anxiety, or stress (EPDS, DASS)
Exclusion criteria
None