Depression, Postpartum
Conditions
Keywords
postpartum, nursing, follow-up
Brief summary
The purpose of the study is to determine whether a web-based nursing intervention delivered during the postpartum period will decrease symptoms of postpartum depression and parenting stress.
Detailed description
The purpose of this randomized, controlled trial is to determine whether receiving standardized messages (text or email) from a postpartum nurse four times/week for 6 months after delivery will decrease symptoms of postpartum depression and parenting stress. Enrolled women will be randomized to one of three groups. The first group will receive the usual care, which is a phone call from a nurse within the first few weeks postpartum. The second group will receive four standardized messages each week, the content of which will include infant care, maternal self-care and inspirational material. The third group will receive the same four standardized messages each week, and in addition, two of these weekly messages will offer the option to respond with a request for a nurse to call them. Baseline data will be collected during the postpartum hospitalization, and follow-up will occur by email at 3 weeks, 3 months and 6 months postpartum.
Interventions
BEHAVIORALstandardized electronic messages
supportive and educational short messages
BEHAVIORALnurse phone call if requested
If participant responds yes to an offer for a phone call, a nurse calls them within a week of this response
BEHAVIORALStaff nurse phone follow-up
Usual care: hospital nurse or lactation consultant calls patient within 2-3 weeks prior to discharge. Message left if patient is not reached.
Sponsors
Catholic Medical Center
Saint Anselm College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Able to speak and read English 2. Access to a device which can receive text or email messages
Exclusion criteria
1. Non-English speaking, 2. No access to a device which can receive text or email messages 3. Age younger than 18 -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postpartum depression symptoms | 6 months postpartum | Measured by scores on the Edinburgh Postnatal Depression Scale (EPDS) at three time points |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| breastfeeding outcomes | 6 months postpartum | Duration and pattern of infant feeding |
| patient satisfaction/experience | 6 months postpartum | Participant response to the experience of receiving messages and having the option to talk to a nurse (group 3), as well as their sense of connection to the hospital where they gave birth |
| Parenting stress | 6 months postpartum | Scores on the Parenting Stress Index (PSI-4) |
Countries
United States
Outcome results
None listed