PMID- 31469080
OWN - NLM
STAT- MEDLINE
DCOM- 20200505
LR  - 20200505
IS  - 1438-8871 (Electronic)
IS  - 1439-4456 (Print)
IS  - 1438-8871 (Linking)
VI  - 21
IP  - 8
DP  - 2019 Aug 29
TI  - Evaluation of a Technology-Based Peer-Support Intervention Program for Preventing 
      Postnatal Depression (Part 2): Qualitative Study.
PG  - e12915
LID - 10.2196/12915 [doi]
LID - e12915
AB  - BACKGROUND: Social support is known to reduce risks of postnatal depression (PND) 
      and improve maternal emotional well-being. However, the Asian cultural context is 
      often neglected when appraising maternal needs and mothers' preferences for 
      social support. While many preventive efforts have experimented with technology, 
      professionals, and paraprofessionals in providing social support to mothers in 
      need, most studies determined the effectiveness of their interventions through 
      quantitative measurements of maternal outcomes. Experiences and feedback from 
      both participants and administrators are rarely discussed, especially in an Asian 
      setting. OBJECTIVE: The goal of the research was to evaluate the postnatal 
      experiences of Asian mothers at risk of PND and the perceptions of peer 
      volunteers regarding a technology-based peer-support intervention program (PIP). 
      METHODS: A qualitative semistructured interview was conducted with 20 Asian 
      mothers at risk of depression (10 from the control group and 10 from the 
      intervention group) and 19 peer volunteers from a randomized controlled trial. 
      The PIP included weekly correspondence between peer volunteers and mothers 
      through any telecommunication means over 4 weeks. All interviews were 
      approximately 30 to 60 minutes long, audiotaped, transcribed verbatim, and 
      analyzed using thematic analysis. Study findings were reported according to the 
      Consolidated Standards of Reporting Trials checklist. RESULTS: Two overarching 
      themes comprising five subthemes were generated: postnatal experience (a bouncy 
      ride, a way forward) and evaluation of the PIP (valuable, flexible, and 
      supportive program; building blocks of a good relationship; and lessons learned 
      and the road ahead). Mothers from both the control and interventions groups were 
      generally satisfied with hospital care and the support received from family. They 
      also shared similar breastfeeding challenges and needs for more informed 
      decisions and follow-up support from the hospital. However, mothers who received 
      the PIP tended to have more positive outlooks of their birth experiences. 
      Overall, peer volunteers and mothers involved in the PIP found the PIP useful and 
      expressed satisfaction with the program's flexibility. They also shared their 
      personal takeaways, the qualities of their friendships, and the need for extended 
      correspondence time and recommended outreach to non-at-risk mothers. CONCLUSIONS: 
      The positive endorsement of the PIP by peer volunteers and mothers suggests the 
      success of the PIP in maintaining positive maternal emotional well-being during 
      the postpartum period. With the help of technology, hospitals can easily provide 
      additional peer support to at-risk mothers in addition to existing standard care 
      offered to these mothers. TRIAL REGISTRATION: ISRCTN Registry ISRCTN14864807; 
      http://www.isrctn.com/ISRCTN14864807. INTERNATIONAL REGISTERED REPORT IDENTIFIER 
      (IRRID): RR2-10.2196/resprot.9416.
CI  - (c)Shefaly Shorey, Esperanza Debby Ng. Originally published in the Journal of 
      Medical Internet Research (http://www.jmir.org), 29.08.2019.
FAU - Shorey, Shefaly
AU  - Shorey S
AUID- ORCID: 0000-0001-5583-2814
AD  - Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National 
      University of Singapore, Singapore, Singapore.
FAU - Ng, Esperanza Debby
AU  - Ng ED
AUID- ORCID: 0000-0003-3142-1804
AD  - Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National 
      University of Singapore, Singapore, Singapore.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190829
PL  - Canada
TA  - J Med Internet Res
JT  - Journal of medical Internet research
JID - 100959882
SB  - IM
MH  - Adult
MH  - Depression, Postpartum/*prevention & control
MH  - Female
MH  - Humans
MH  - Mothers/*psychology
MH  - *Peer Group
MH  - Qualitative Research
MH  - *Social Support
MH  - Young Adult
PMC - PMC6740164
OTO - NOTNLM
OT  - depression
OT  - digital health
OT  - internet
OT  - mothers
OT  - online support groups
OT  - peer support
OT  - peer-to-peer support
OT  - postpartum
OT  - qualitative
OT  - social support
OT  - telecommunication
COIS- Conflicts of Interest: None declared.
EDAT- 2019/08/31 06:00
MHDA- 2020/05/06 06:00
PMCR- 2019/08/29
CRDT- 2019/08/31 06:00
PHST- 2018/11/27 00:00 [received]
PHST- 2019/04/29 00:00 [accepted]
PHST- 2019/04/16 00:00 [revised]
PHST- 2019/08/31 06:00 [entrez]
PHST- 2019/08/31 06:00 [pubmed]
PHST- 2020/05/06 06:00 [medline]
PHST- 2019/08/29 00:00 [pmc-release]
AID - v21i8e12915 [pii]
AID - 10.2196/12915 [doi]
PST - epublish
SO  - J Med Internet Res. 2019 Aug 29;21(8):e12915. doi: 10.2196/12915.