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Feasibility & Acceptability of App-based Cognitive Behavioral Therapy for Postpartum Depression Prevention

CompletedNA

Sponsor: Women and Infants Hospital of Rhode Island

Conditions: Postpartum Depression, Postpartum Anxiety, Stress

Interventions: M.Bapp, App-based parenting education

Countries: United States

Postpartum depression (PPD) affects up 10-15% of mothers overall, but the rate of PPD can be as high as 25% among mothers with personal or obstetric risk factors. The Mothers \& Babies Program (MB) is a cognitive behavioral therapy (CBT)-based program that has been shown to prevent PPD among high-risk mothers without a prior history of depression. MB has been so consistently effective that the United States Preventive Services Task Force recommends this program be given to high-risk pregnant patients. Originally designed to be given in-person and via groups, MB has been adapted to be given in person one-on-one in clinic or at home and via text message. However, MB has yet to be adapted to a smartphone application (app). Via evidence-based qualitative research and end-user centered design, MB has been adapted to a novel app, M.Bapp. This study aims to examine the feasibility and acceptability of M.Bapp as a study intervention for perinatal patients as well as provide preliminary estimates of effect for the intervention.

Eligibility overview

Sex: FEMALE

Age: 18 Years to 60 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* English- or Spanish-speaking
* maternal age \>18 years old
* smartphone ownership
* receiving prenatal care from a resident or nurse-practitioner/midwifery clinic at the Obstetric and Gynecologic Care Center at WIH
* plan to receive postpartum care at the OGCC,
* gestational age ≥32 weeks'.

Exclusion Criteria:

* Active diagnosis or history within five years of depression, anxiety, or other psychiatric condition, as documented in the electronic medical record
* Endorsing active suicidality on intake survey or screening positive on EPDS (≥10) or Patient Health Questionnaire (PHQ)-9 (≥10) or GAD-7 (≥8)
* prisoners
* inability to consent.

Locations (1)

Providence, Rhode Island, United States