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

Journal of Behavioral Medicine
S Darius TandonMya Carter

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.

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Citations

Aug 23, 2019·Prevention Science : the Official Journal of the Society for Prevention Research·Sarah DauberGina Hernandez
Nov 16, 2019·Journal of Reproductive and Infant Psychology·Huynh-Nhu LeRosa Marcos-Nájera
Nov 17, 2020·BJPsych International·Crystal Edler SchillerMichael W O'Hara
Jun 11, 2021·International Journal of Nursing Studies·Jiying LingCheng-Ching Liu
Jul 22, 2021·The Cochrane Database of Systematic Reviews·Naohiro YonemotoRintaro Mori
Aug 3, 2021·Frontiers in Psychology·S Darius TandonCraig F Garfield
Sep 8, 2021·Archives of Women's Mental Health·Ricardo F MuñozBlanca S Pineda
Dec 26, 2021·Infant Mental Health Journal·Dorian TraubeLei Duan

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