Evidence map›Paper›PMID 40450703›Full record

Trial reportJournal of midwifery & women's health

A Randomized Controlled Trial of a Telehealth Group Intervention to Reduce Perinatal Depressive Symptoms: A Mixed Methods Analysis.

Eli Iacob, Ryoko Kausler, Marcia Williams, Uma Dorn, Sara Simonsen, Marcela Smid, Gwen Latendresse

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of midwifery & women's health. 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
–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

2 citing papers in PubMed.

  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

7 authors.

Eli IacobCollege of Nursing, University of Utah, Salt Lake City, Utah.
Ryoko KauslerSchool of Nursing, Boise State University, Boise, Idaho.
Marcia WilliamsSchool of Nursing, Cedarville University, Cedarville, Ohio.
Uma DornCollege of Nursing, University of Utah, Salt Lake City, Utah.
Sara SimonsenCollege of Nursing, University of Utah, Salt Lake City, Utah.
Marcela SmidDepartment of Obstetrics & Gynecology, University of Utah, Salt Lake City, Utah.
Gwen LatendresseCollege of Nursing, University of Utah, Salt Lake City, Utah.ORCID 0000-0001-8189-8235

Funding

Prevention of perinatal depression among at-risk individuals through integration of a multimedia, web-based intervention within the healthcare systemRF1NR020841 · NINR · UNIVERSITY OF UTAH · PI LATENDRESSE, GWEN A · 2022 to 2022
$1.9M
Randomized trial of telehealth group intervention to reduce perinatal depressive symptoms in diverse populationsR01NR017620 · NINR · UNIVERSITY OF UTAH · PI LATENDRESSE, GWEN A · 2019 to 2021
$1.5M
NIH HHSNINR NIH HHS 1R01NR017620-01A1NINR NIH HHS R01 NR017620NINR NIH HHS RF1 NR020841
6 · The paper itself

Abstract

introductionPerinatal depression affects approximately 20% of childbearing individuals and is associated with adverse perinatal outcomes. Nonpharmacological therapies are effective for mild to moderate depression, but multiple access barriers exist, including financial constraints and the inconvenience of in-person appointments. Remote access (ie, telehealth) to services is a promising option, but few studies have evaluated the effectiveness of this approach. The objective of this study was to use a mixed methods approach in a randomized controlled trial to evaluate the effectiveness of a group videoconference intervention to reduce symptoms of perinatal depression.

methodsParticipants were assigned to a videoconference intervention group (VCI; mindfulness-based cognitive behavioral therapy) or an attention control group (AC; childbirth preparation or early parenting education) via a videoconference system. Groups of 4 to 6 pregnant and postpartum individuals with mild to moderate symptoms of depression attended a one-hour session for 9 weeks using an electronic device from their own home. The Edinburgh Postnatal Depression Scale (EPDS) measured depression symptoms before and after intervention with follow-up to 8 months. Focus groups assessed participants' telehealth experiences and were analyzed for common themes.

resultsFrom May 2020 through May 2022, 81 participants were randomized, and 69 (85.2%) ultimately initiated study participation (36 in VCI, 33 in AC group). Participants in both groups had a significant decrease in EPDS score of 3.36 (95% CI, 4.55-2.17) that was maintained 8 months postintervention. There were no significant interactions between time and intervention group (all P >.249). In the focus group analysis, themes of connection, shared experience, empowerment, and community building were consistent between the 2 intervention groups. DISCUSSION: Both intervention groups had clinically meaningful improvement in EPDS scores up to 8 months postintervention. Anchored in the common themes in the qualitative analysis, our results suggest that participation in telehealth group sessions, regardless of session content, may be beneficial in reducing depression symptom burden.

Indexed as

Cognitive Behavioral TherapyDepressionDepression, PostpartumTelemedicineVideoconferencingAdultFemaleFocus GroupsHumansMindfulnessPerinatal CarePregnancyPsychotherapy, Groupmental healthqualitative researchquantitative research

Identifiers

PMID40450703
PMCPMC12172582

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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.