Trial reportBMC psychology2025
Preventing postpartum depression in pregnant women using an app-based health-promoting behaviors program (Pender's health promotion model): a randomized Controlled Trial.
Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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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.
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.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Digital Health Interventions for Perinatal Depression in Diverse Cultural Contexts: a Systematic Review.Current psychiatry reports · 2025Pooled it
- Effectiveness of psychological interventions for reducing depressive symptoms among women experiencing perinatal depression: a systematic review.AJOG global reports · 2026Review
- Sensor-Equipped Digital Technologies for Monitoring and Detecting Depressive Disorders: A Systematic Review.Health science reports · 2026Review
- Hyperthyroidism complicated with diabetes mellitus using the health promotion model: changes in thyroid hormones, glucose-lipid metabolism, and inflammatory markers.Journal of medical biochemistry · 2026Article
- Risk factors and predictive modeling of postpartum depression among postpartum women: empirical evidence from Chongqing, China.Frontiers in public health · 2026Article
- Bridging Knowledge Gaps: Prenatal Education Acquisition and Its Determinants Among Expectant Mothers in Northwestern China.International journal of women's health · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDepression is a prevalent mood disorder. Women face a heightened risk of depression during pregnancy and after childbirth, which can have negative consequences for both the mother and her family. It is essential to explore preventive strategies.
objectiveTo assess the impact of education focused on health-promoting behaviors in preventing postpartum depression (PPD) through social messaging among pregnant women.
methodsThis randomized controlled trial study involved 108 non-depressed eligible pregnant women with a gestational age of 28-30 weeks during 2022-2023. Participants were randomly assigned to intervention and control groups using a block randomization method. The intervention group received virtual education based on health-promoting behaviors weekly over six sessions. The Edinburgh Postnatal Depression Scale (EPDS), Patient Health Questionnaire-9 (PHQ-9), and Health Promoting Lifestyle Profile II (HPLP II) questionnaires were utilized to evaluate outcomes. Data analysis was performed using SPSS software version 23, with a significance level set at P < 0.05.
resultsThe mean differences between the scores of EPDS, PHQ-9 and HPLP II before and after the intervention in two groups were - 4.85 (CI95%= -3.22, -6.48), -6.22 (CI95%= -4.43, -8.00) and 28.22 (CI95%= 23.41, 33.03), respectively, which were statistically significant (P < 0.001). The findings regarding the dimensions of health-promoting behaviors also indicated that all dimensions increased significantly in the intervention group. The greatest and least amount of change was observed in the physical activity dimension at 5.50 (CI95%= 4.31, 6.68) and in interpersonal relations at 3.48 (CI95%= 2.24, 4.72), respectively. The number needed to treat (NNT) for depression, based on the Edinburgh questionnaire six weeks postpartum was approximately 2.571, indicating that nearly one in two mothers who received education benefited.
conclusionThe app-based health-promoting behaviors intervention-benefiting from not requiring in-person referrals and providing a common platform for communication-is effective in enhancing health-promoting behaviors, reducing depression scores and decreasing the frequency of PPD. In other words, this type of intervention led to the prevention of postpartum depression and the promotion of health-promoting behaviors among pregnant women. REGISTRATION: The study was retrospectively registered with the IRCT Registry on 31/05/2024 (registration number: IRCT20221109056451N2).
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