Evidence map›Paper›PMID 36732464›Full record

ArticleMaternal and child health journal2023

The Power and Promise of Postpartum Self Care: Evaluation of a Web-Based Tool for Underserved Women.

Allison S Bryant, Julia Coleman, Xiaomei Shi, Mariela Rodriguez, Airia S Papadopoulos, Kristine Merz, Juli Leonard, Neela Samia, Lisa Marceau

Abstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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  5. Article
  6. Review
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

9 authors.

Allison S BryantMassachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Julia ColemanHealthCore, Inc., 55 Chapel Street, Newton, MA, 02458, USA.
Xiaomei ShiCollective Insight, 4 Pickard Ln, North Reading, MA, 01864-2451, USA.
Mariela RodriguezMathematica, 505 14th Street, Suite 800, Oakland, CA, 94612, USA.
Airia S PapadopoulosCollective Insight, 4 Pickard Ln, North Reading, MA, 01864-2451, USA.
Kristine MerzJoyuus, LLC, 15 Victory Highway, West Greenwich, RI, 02817, USA.
Juli LeonardOrange Square, 15 Victory Highway, West Greenwich, RI, 02817, USA.
Neela SamiaOrange Square, 15 Victory Highway, West Greenwich, RI, 02817, USA.
Lisa MarceauJoyuus, LLC, 15 Victory Highway, West Greenwich, RI, 02817, USA. lmarceau@joyuus.com.ORCID http://orcid.org/0000-0001-5002-1588

Funding

Fourth Trimester-A Web-based Tool For Postpartum Care To Address The needs Of Underserved WomenR43MD014923 · NIMHD · ORANGE SQUARE DESIGN, INC. · PI MARCEAU, LISA D, MERZ, KRISTINE · 2019 to 2020
$410k
NIMHD NIH HHS R43 MD014923NIMHD NIH HHS R43MD014923-01NIMHD NIH HHS R43MD014923-01S1
6 · The paper itself

Abstract

objectivesJoyuus is a culturally diverse, comprehensive online tool designed to address the self-care needs of underserved postpartum women. The tool provides actionable self-care information, knowledge, and skills to improve postpartum health and identifies red flags for when self-care shifts to seeking care.

methodsWe employed a mixed-methods multiphase design to evaluate the Joyuus prototype, including a pre-post evaluation (N = 87) to assess behavioral health outcomes before and after using the tool for a one-month period. 91% completed the post-test (N = 79). The analysis focused on estimation of treatment effect (via 95% confidence intervals) and fitness of instruments in this population.

resultsParticipants were between 6 months pregnant and one year postpartum, a mean age of 30 years, 100% female, 99% Black, with nearly equal distribution of married (55%) and not married (44%), and above (47%) and below (46%) annual income of $60 K. Key measures saw significant improvement from pre- (mean = 26.44, SD = 5.39) to post (mean = 28.29, SD = 5.26) on the Connor-Davidson Resilience Scale (p < 0.001) Trends toward improvement (not statistically significant) were noted for Depression (EPDS) (p = 0.624) and Anxiety (STAI) (p = 0.286), and no meaningful change on MOS Social Support or COVID-19 Mental Health Impacts Measures. CONCLUSIONS FOR PRACTICE: This pilot study demonstrates that a self-care mobile tool has the potential to address significant health outcomes related to maternal morbidity and mortality. By providing a continuously available companion addressing physical, mental, and real-life questions, it creates value during postpartum for mothers who can often feel overwhelmed or isolated.

Indexed as

COVID-19Depression, PostpartumAdultFemaleHumansInternetPilot ProjectsPostpartum PeriodPregnancySelf CareDigital interventionHealth educationmHealthMobile toolPostpartumUnderserved women

Identifiers

PMID36732464
PMCPMC9894665

What OpenQuestion holds

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Registered trials

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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.