Evidence map›Paper›PMID 36525167›Full record

ArticleMaternal and child health journal2023

Impact on Maternal Postpartum Depressive Symptoms of a Primary Care Intervention Promoting Early Language: A Pilot Study.

Gretchen J Domek, Lauren Heller Szafran, Andrea Jimenez-Zambrano, Lori Silveira

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Gretchen J DomekDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. gretchen.domek@childrenscolorado.org.ORCID http://orcid.org/0000-0002-3391-5114
Lauren Heller SzafranCenter for Global Health, Colorado School of Public Health, Mail Stop A090, 13199 E Montview Blvd, Suite 310, 80045, Aurora, CO, USA.
Andrea Jimenez-ZambranoCenter for Global Health, Colorado School of Public Health, Mail Stop A090, 13199 E Montview Blvd, Suite 310, 80045, Aurora, CO, USA.
Lori SilveiraDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Colorado School of Public Health · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Children's Hospital Colorado Research Institute Children's Hospital Colorado Research InstituteColorado Clinical and Translational Sciences Institute CMH-J-18-28Frankenburg-Camp Endowed Fund Frankenburg-Camp Endowed Fund
6 · The paper itself

Abstract

objectivesMaternal depressive symptoms are an important risk factor for adverse child outcomes, especially in the perinatal period. We studied whether introducing finger puppets in the primary care setting to promote infant language improves maternal postpartum depressive symptoms.

methodsAn intervention cohort was enrolled and given a finger puppet at the 2-month infant well visit. Two usual care cohorts were enrolled at either the 6- or 12-month well visit as part of a larger study. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), which was administered by clinic providers as part of routine screening done at both the 2- and 4-month well visits. EPDS scores were obtained retrospectively through the electronic medical record.

resultsIncluded mothers (n = 127) completed the EPDS at 2 and 4 months postpartum. Most children (83%) were on government-sponsored insurance. Mean EPDS scores and scores classified as possible depression (≥ 10) did not differ between cohorts. However, the change in scores between visits was significantly different for intervention (n = 46) compared to usual care (n = 81) participants (-1.1 vs. +0.4, p = 0.001). More intervention scores improved (n = 17, 37%) compared to usual care (n = 14, 17%), while more usual care scores worsened (n = 28, 35%) compared to intervention (n = 6, 13%) (p = 0.008).

conclusionFinger puppets introduced during infant primary care visits to support language-rich maternal-infant interactions may provide a simple, low-cost way to improve maternal postpartum depressive symptoms. Larger studies with more diverse populations are needed to determine if effects are replicable, generalizable, and translate into better clinical outcomes.

Indexed as

Depression, PostpartumChildDepressionFemaleHumansInfantLanguageMothersPilot ProjectsPostpartum PeriodPregnancyPrimary Health CareRetrospective StudiesInfantLanguage DevelopmentMaternal DepressionParentingPrimary Care

Identifiers

PMID36525167
OpenAlexW4311671008

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.