Evidence map›Paper›PMID 36930182›Full record

ArticleJMIR mental health2023

The Efficacy of Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Examining Mechanisms of Change in a Randomized Controlled Trial.

Carlos Carona, Marco Pereira, Anabela Araújo-Pedrosa, Maria Cristina Canavarro, Ana Fonseca

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in JMIR mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT03024645 naunknown statusnot on this map

Be a Mom: A Randomized Controlled Trial of the Effectiveness of a Web-based Preventive Intervention for Postpartum Depression.

TypeinterventionalSponsorUniversity of CoimbraRan2017 to 2021Enrolled1,000ConditionsPostPartum DepressionArmsBe A Mom, Treatment as usually (TAU)
NCT07659977 active not recruitingnot on this map

MATTER Project: Implementation and Evaluation of a Cross-Sector Digital Screening and Early Intervention Program for Perinatal Mental Health in Primary Care and Community Settings

TypeobservationalSponsorUniversidade Nova de LisboaRan2023 to 2026Enrolled1,500ConditionsPerinatal Depression
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Carlos CaronaCenter for Research in Neuropsychology and Cognitive-Behavioral Intervention, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-3605-3513
Marco PereiraCenter for Research in Neuropsychology and Cognitive-Behavioral Intervention, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-6086-2329
Anabela Araújo-PedrosaCenter for Research in Neuropsychology and Cognitive-Behavioral Intervention, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-1141-6015
Maria Cristina CanavarroCenter for Research in Neuropsychology and Cognitive-Behavioral Intervention, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-5083-7322
Ana FonsecaCenter for Research in Neuropsychology and Cognitive-Behavioral Intervention, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0003-1395-1406
University of Coimbra · PTHospitais da Universidade de Coimbra · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum depression (PPD) is treatable and preventable, but most women do not seek professional help for their perinatal depressive symptoms. One increasingly popular approach of improving access to care is the use of web-based intervention programs.

objectiveThe objective of this study was 2-fold: first, to assess the efficacy of Be a Mom, a brief web-based selective or indicated preventive intervention, in reducing depressive and anxiety symptoms of women at high risk for PPD; and second, to examine mechanisms of change linking modifiable self-regulatory skills (ie, emotion regulation, self-compassion, and psychological flexibility) to improved perinatal mental health outcomes.

methodsThis 2-arm, open-label randomized controlled trial involved a sample of 1053 perinatal women presenting high risk for PPD who were allocated to the Be a Mom intervention group or a waitlist control group and completed self-report measures at baseline and postintervention assessments. Univariate latent change score models were computed to determine changes over time in adjustment processes and outcomes, with a multigroup-model approach to detect differences between the intervention and control groups and a 2-wave latent change score model to examine whether changes in processes were related to changes in outcomes.

resultsBe a Mom was found to be effective in reducing depressive (intervention group: µΔ=-3.35; P<.001 vs control group: µΔ=-1.48; P<.001) and anxiety symptoms (intervention group: µΔ=-2.24; P<.001 vs control group: µΔ=-0.43; P=.04) in comparison with the control group, where such changes were inexistent or much smaller. All 3 psychological processes under study improved statistically significantly in posttreatment assessments: emotion regulation ability (Δχ

conclusionsThese results suggest that Be a Mom, a low-intensity cognitive behavioral therapy program, is a promising first-line intervention for helping perinatal women, particularly those with early-onset PPD symptoms.

trial registrationClinicalTrials.gov NCT03024645; https://clinicaltrials.gov/ct2/show/NCT03024645.

Indexed as

Be a Momcognitive behavioral therapymobile phonepostpartum depressionpreventionrandomized controlled trialweb-based interventions

Identifiers

PMID36930182
PMCPMC10139682
OpenAlexW4313464309

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.