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.

journal_name

J Behav Med

authors

Tandon SD,Ward EA,Hamil JL,Jimenez C,Carter M

doi

10.1007/s10865-018-9934-7

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

641-652

issue

5

eissn

0160-7715

issn

1573-3521

pii

10.1007/s10865-018-9934-7

journal_volume

41

pub_type

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