Lawrence, Claire, Breau, Genevieve Marie, Yang, Lily, Hellerstein, Orli, Hippman, Catriona, Kennedy, Andrea, Ryan, Deidre, Shulman, Barbara and Brotto, Lori (2024) Effectiveness of a web-enabled psychoeducational resource for postpartum depression and anxiety among women in British Columbia. Archives of Women's Mental Health. ISSN 1434-1816 (Print), 1435-1102 (Online) (doi:https://doi.org/10.1007/s00737-024-01468-8)

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Abstract

Purpose: Postpartum depression (PPD) and anxiety (PPA) affect nearly one-quarter (23%) of women in Canada. eHealth is a promising solution for increasing access to postpartum mental healthcare. However, a user-centered approach is not routinely taken in the development of web-enabled resources, leaving postpartum women out of critical decision-making processes. This study aimed to evaluate the effectiveness, usability, and user satisfaction of PostpartumCare.ca, a web-enabled psychoeducational resource for PPD and PPA, created in partnership with postpartum women in British Columbia.
Methods: Participants were randomized to either an intervention group (n = 52) receiving access to PostpartumCare.ca for four weeks, or to a waitlist control group (n = 51). Measures evaluating PPD (Edinburgh Postnatal Depression Scale) and PPA
symptoms (Perinatal Anxiety Screening Scale) were completed at baseline, after four weeks, and after a two-week follow-up. User ratings of website usability and satisfaction and website metrics were also collected.
Results: PPD and PPA symptoms were significantly reduced for the intervention group only after four weeks, with improvements maintained after a two-week follow-up, corresponding with small-to-medium effect sizes (PPD: partial η2 = .03; PPA: partial
η2 = .04). Intervention participants were also more likely than waitlist controls to recover from clinical levels of PPD symptoms (χ2(1, n = 63) = 4.58, p = .032) and PostpartumCare.ca’s usability and satisfaction were rated favourably overall.
Conclusion: Findings suggest that a web-enabled psychoeducational resource, created in collaboration with patient partners, can effectively reduce PPD and PPA symptoms, supporting its potential use as a low-barrier option for postpartum women.

Item Type:	Article
Uncontrolled Keywords:	postpartum depression; postpartum anxiety; eHealth; psychoeducation; digital health
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > H Social Sciences (General) L Education > L Education (General)
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Mental Health Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Last Modified:	17 May 2024 09:28
URI:	http://gala.gre.ac.uk/id/eprint/46915

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