6/7 Meeting
- General Explanation: Compass Program offer effective treatment options including medication and talk therapy to people with depression that which is a common problem during and after pregnancy. This team closely tracks your symptoms and tailors your treatment plan if you are not feeling better using evidence-based approaches to mental health care.S
- Services: Our coordinated clinical care team includes a care coordinator, a perinatal psychiatrist, a maternal–fetal medicine physician, a licensed therapist and a clinical liaison to provide mental health care embedded within the prenatal care offices of the 14th floor of Galter. Specialized services include:
Treatment programs (individual therapy or medication management)
Collaboration with you and your physician to improve your mood
Pre-conception consultations
Treatment during pregnancy and up to a year postpartum
Symptom tracking is done electronically through self-reported surveys. If you continue to have depression symptoms, our team will discuss changes that can be made at our weekly multidisciplinary meetings to ensure you are receiving the best care possible (reflecting/ and very personalized to the patients only).
Coordination of care is provided between the obstetric and mental health teams.
- COMPASS Brochure:
1) Self – survey with 0-3 continuous scale but bit abstract. And under the survey in the brochure, there is the information about the next process if they survey themselves and the score is not good. There is contact information.
2) Matching information with specific experts
- Patients’ feedback
1) It is more of a comfort knowing that it was there… knowing that someone was checking in via these surveys and that my doctor was following up with me about it made me feel a bit better
2) Nice to know that there’s a program that can help us get what we need
3) Felt good knowing that somebody cares and they really listening to you and treat you like it’s just you.
è They like treating them personally and feel stable and safe to know that there is someone around them who can help directly. They like that feeling involved.
è But seems that it need more comments and feedbacks and I like how this comment emphasizes almost same notion.
- Page for the introduction of COMPASS program and enrollment
1) COMPASS is a collaborative care program. This means that your pregnancy care team and your mental health care team work together to give you the best care possible
2) Am I eligible to join the COMPASS program?
è Answer is simple and clear but I’m nor sure if the patients need more information to get touch with this team easily. I’m not sure accurate information and more specific criterion are needed for this part
- Our Publications
1) Collaborative Care Model for Perinatal Depression Support Services: Aligning with the Friends of Prentice mission of developing superior health care and funding initiatives to improve quality of health for women, COMPASS’s novel approach to perinatal mental health care delivery builds upon a growing body of work demonstrating improved maternal and infant outcomes associated with collaborative care models of perinatal mental health care
A. Increased Depression Screening and Treatment Recommendations After Implementation of a perinatal collaborative care program
- The study aimed to determine whether the implementation of the COMPASS perinatal collaborative care program improved depression screening and treatment recommendations among obstetric clinicians. Conducted between January 2015 and January 2019, the study involved 7,028 women receiving prenatal care in five obstetric clinics affiliated with a Chicago hospital. The COMPASS program, implemented in January 2017, led to significant improvements: antenatal depression screening(선별) rates increased from 33% to 81%, and the likelihood of receiving treatment recommendations following a positive screen rose from 44% to 61%. The program emphasized a combination of psychotherapy and pharmacotherapy, supported by a care team including a program director, clinical liaison, perinatal psychiatry fellows, and licensed clinical social workers. The study underscores that collaborative care models can significantly enhance the management and treatment of perinatal depression in obstetric settings, addressing both screening and follow-up care.
B. Finding a medical home for perinatal depression: How can we bridge the postpartum gap?
- Document: Preserving the momentum to extend postpartum Medicaid coverage
This commentary discusses the importance of extending Medicaid coverage for postpartum women beyond the current 60-day limit to address rising maternal mortality rates in the United States. It highlights that two-thirds of pregnancy-related deaths are preventable, with a significant portion occurring in the late postpartum period. Extending Medicaid coverage could mitigate maternal health disparities, particularly among Black, Hispanic, and low-income women, who are disproportionately affected by perinatal insurance churn. The commentary also explores the potential positive and negative implications of the COVID-19 pandemic on maternal health policy.
è Are there test, survey or some supporting sources that can check if this patient get better before quit for this medication for an year?
- Document: Finding a medical home for perinatal depression: How can we bridge the postpartum gap?
This commentary addresses the challenges in ensuring continuity of care for women with perinatal depression after the postpartum visit. It notes that many women experience the onset of depression in the third trimester or postpartum, and a significant percentage continue to have symptoms for 1-2 years. The lack of continuous care can lead to severe consequences, including high rates of maternal suicide and ongoing mental health issues. The authors advocate for integrating mental health treatments into obstetric settings to improve access during pregnancy and ensuring continuous care postpartum, especially for women with low incomes who are at risk of losing Medicaid coverage.
- Document: Women’s Health Issues (editorial board and contents)
The Women's Health Issues journal, a peer-reviewed, bimonthly publication of the Jacobs Institute of Women's Health, focuses on research and review manuscripts related to women's health care and policy. It aims to inform health services researchers, healthcare professionals, policymakers, and others concerned with women's health. The November/December 2020 issue includes articles on extending postpartum Medicaid coverage, the impact of stress and anxiety on gestational weight gain, contraceptive use patterns, and mental health screening outcomes among U.S. Marines. The editorial board is composed of experts from various fields, dedicated to improving women's health and healthcare.
C. Implementation of perinatal collaborative care: a health services approach to perinatal depression care
This document outlines the implementation of perinatal collaborative care (CC) for managing depression in pregnant and postpartum women. Collaborative care integrates behavioral health into primary care, enhancing access and patient-centered outcomes through a structured, team-based approach. The paper details the preparation, launch, and sustainment stages of CC programs, emphasizing the need for a dedicated care manager and a multidisciplinary team. It highlights the efficacy of CC in improving depressive outcomes, citing studies that demonstrate its effectiveness and cost-efficiency. The document also provides practical guidance on tailoring CC programs to meet the specific needs of obstetric populations and addresses potential challenges in implementation.
2) Technology Enabled Services within COMPASS: This project will design a technology-enabled service (TES) aimed at supporting collaborative care services for postpartum depression
- This project will design a technology-enabled service (TES) aimed at supporting collaborative care services for postpartum depression. The TES will contain a care manager dashboard to organize workflow, facilitate communication, and promote patient engagement and patient tools to support psychological assessments and dissemination of feedback. The TES will be evaluated using optimization-efficacy-implementation hybrid trial methodology, yielding results that will directly influence implementation practices for perinatal collaborative care nationwide.
è Want to see how hybrid system works effectively on patients. Because this program should be patients focused programs and should lead patients’ active participation to cover the disadvantage of hybrid technology enabled services
3) Bridging gaps in healthcare services for new families due to COVID-19
- This project will design a technology-enabled service (TES) aimed at supporting collaborative care services for postpartum depression. The TES will contain a care manager dashboard to organize workflow, facilitate communication, and promote patient engagement and patient tools to support psychological assessments and dissemination of feedback. The TES will be evaluated using optimization-efficacy-implementation hybrid trial methodology, yielding results that will directly influence implementation practices for perinatal collaborative care nationwide.
- Resources
A. Baby Blues
- aby blues can feel like anxiety or worrying, sadness, irritability (having a shorter fuse), having trouble sleeping and feeling exhausted, changes in your appetite (eating too much or too little), and being overwhelmed and distracted.
- New parents often wonder - is “baby blues” the same as postpartum depression?
- Baby blues passes with time and typically lasts a few days to two weeks after the birth of your baby. Baby blues is more mild than postpartum depression. Postpartum depression typically requires treatment (therapy or medication).
- Whether your mood changes appear to be the “baby blues” or this is the beginning of postpartum depression, it is important to be gentle with yourself, and recognize that mood changes are not your fault. Postpartum depression can affect any parent, regardless of their age, culture, race, income or education. Postpartum depression is not caused by anything a parent has done or not done, and does not even have a single cause.
B. Perinatal Mental Health
- Experiencing depression before or after the birth of a baby is usual and you are not alone. It is natural to experience emotional ups and downs during pregnancy and mild mood changes are common.
- Anxiety during and after pregnancy is not unusual. It's normal to worry about your child's wellbeing and want to protect your baby while you are pregnant and after giving birth. But if you start to experience symptoms that affect your daily life and wellbeing, it is important to reach out for help.
- Upsetting or intrusive thoughts can be disturbing and frightening. It's important to remember that they are not your fault. Having an intrusive thought doesn't mean that you want to act on it, or that you will act on it.
è It is important to remember that they are not your fault and this happens commonly in many people. So make chance to take about their own experience with others as group discussion would be effective strategy to think their symptoms are common and can happen to everyone and that is not their fault
C. Therapy
- For example, many people work with therapists to schedule activities that they enjoy. We often think that we need to feel energized and ready before we do an activity, but doing things that we enjoy can make us feel better. Action then motivation! You can work with your therapist to match your activities to your goals and values
è I was impressed to find that this therapy is not just formatted set of therapy as we are all familiar with. Rather than, they include activities that patients enjoy to do and activities that can make them feel better
- Therapy is a place where you can feel safe and comfortable talking about your feelings, difficult thoughts, and behaviors that you may want to change. Therapy is about working together and “fit” is important - deciding if a therapist’s style is right for you. Ask questions about how your therapist does therapy. Also ask about how to schedule visits. If you decide that COMPASS therapy is not right for you, you can work with your care manager who can help find other services.
è I have more question about how after process how the care manager help find other services if the patients find it is not best fit therapy for them. Need to be more specific about the next plan
- The COMPASS therapy office is in the OB clinic. During the pandemic, COMPASS shifted to providing therapy over the phone, which many patients like. At your appointment time, your therapist calls you on the phone for your therapy session, which lasts 45-50 minutes. As the world continues to change, with safety in mind, COMPASS may switch back to in-person therapy - stay tuned!
è If the therapy held through on the phone which lasts about 45-50 min, the patients might not fully concentrated on the therapy session because of the baby. Also even if the therapy changes to in-person, there should be the discussion about how to care of their baby during mother’s therapy session
D. Postpartum Self-Care
E. Anxiety Before Appointments
F. Breastfeeding
G. Medications for Improving mood
H. Community Resources
è Also I found that there are many important information are separated in many different part of the website so it was little hard to see important information at a glance rather I could find important pieces of information while reading through whole the website. But if the patients need some urgent care it would be helpful to make QnA session and answer frequent questions on one page.
è I found that this therapy provided any patients who need helps regardless of their race, minority etc. But I want to see more information about the service provide to deaf patients
The Northwestern University COMPASS Program is all about giving moms the support they need for perinatal depression, offering both medication and talk therapy. Their team really personalizes their treatment and keeps a close eye on how their're doing with regular check-ins. According to the journal paper, I could see that their approach significantly improves depression screening and treatment, which was very impressive. The program also provides valuable resources on perinatal mental health and is developing technology-enabled services to enhance patient engagement. They also provide a ton of resources on therapy, self-care, and community support, making sure everyone gets the help they need, no matter their background.
SMART for perinatal group – first time using in app format
What extent of ㄴSMART PROTOCOL REFLECT ON THE PERIENATAL POPULATION
- To what extent has the SMART protocol been adapted into digital mental health modalities? If so, what does it look like and have these modalities been tested in high quality studies?
- To what extent has the behavioral activation treatment for depression protocol (from Neil Jacobson, Chrsitopher Martell, and Sona Dimidjian) been adapted into digital mental health modalities? If so, what does it look like and have these modalities been tested in high quality studies?
- PHQ-9 depression scale
- Increased Depression screening and treatment recommendations after implementation of a perinatal collavorative caere program/ The design and implementation of a multi-center pragmatic individual-level randomized controlled trial to evaluate baby2 home an mHelath intervention to support new parents – for Friday – paper FIG 2 under// how much this gonna used – look ate more about smart and behavioral activation
6/14 Meeting
1. Diet and exercise interventions for individuals at risk for type 2 diabetes: a scoping review protocol
è This document provides a detailed explanation of the scoping review methodology, including its purpose, methods, and significance. Here are the relevant excerpts and citations:
a. Purpose and Definition: Scoping reviews are considered valid for answering broad research questions and providing overviews of complex topics
b. Identification of Relevant Studies: Authors will search electronic databased such as Medline, clinahl, psycinfo, Embase, and sportdiscus. (broad datas)
c. Data extraction and Reporting: Data extraction will be guided by the TIDieR checklist to ensure comprehensive summary and consistency in reporting (should do scoping review using consistent terms and comprehensive summary). The extracted data will be collated and summarized to provide a narrative review of the interventions and their implementation
d. Significance: The resulting scoping review will highlight the replicability of diet and exercise-focused diabetes risk reduction programs and allow future researchers to test the effectiveness of commonly used intervention components. It aims to provide detailed information on intervention components and implementation strategies, which are necessary for creating and implementing effective interventions to decrease the prevalence of T2D sustainably (highlight the replicability while doing scoping review and should test the effectiveness of commonly used interventions)
2. Steps for Conducting a Scoping Review
Definition and Purpose:
A scoping review is a type of knowledge synthesis that uses a systematic and iterative approach to identify and synthesize an existing or emerging body of literature on a given topic. The main reasons for conducting a scoping review are to map the extent, range, and nature of the literature, as well as to determine possible gaps in the literature on a topic.
(purpose of scoping review is to synthesize the ideas and information to connect information in many different field and make wide range of the research field)
Steps for Conducting a Scoping Review:
Step 1: Identifying the Research Question:
Creating a well-defined research question is crucial to ensure the feasibility and breadth of the review. A preliminary search of the literature helps determine the scope of the question and whether a scoping review is appropriate.
(As I already did and have to do now is to do preliminary search of the literature to determine the topic of scoping review and setting well-defined research question for scoping review is important not to make this scoping review disordered and confused)
Step 2: Identifying Relevant Studies:
Early consultation with a librarian is essential for building and refining the search strategy. The inclusion and exclusion criteria should be defined in collaboration with the research team to ensure alignment with the research question.
(What is the inclusion and exclusion criteria in this research question?)
Step 3: Selecting Studies to Be Included in the Review:
Tools like Covidence and Rayyan can help organize papers and streamline the screening process. Calibration exercises are recommended to ensure high agreement among reviewers regarding the inclusion criteria.
Step 4: Charting the Data:
The data extraction form should be developed collaboratively by the research team and pilot tested for further refinement. Common extraction categories include author, year, geographical location, study population, main results, study limitations, and future directions.
Step 5: Collating, Summarizing, and Reporting the Results:
Once data extraction is complete, numerical and thematic analyses are conducted. The findings are presented in tables or charts, and thematic analysis is used to identify patterns and themes in the data.
Step 6: Consulting Stakeholders (Optional):
Stakeholder consultation can provide input on the research question, sources of information, and insights on the review findings. This step can be integrated throughout the review process.
Significance:
Scoping reviews are useful for mapping the literature on evolving or emerging topics and identifying gaps. They may serve as a preliminary step before undertaking further research or conducting another type of review, such as a systematic review.
3. About SMART App
- The Stress Management and Resiliency Training-Relaxation Response Resiliency Program (SMART 3RP) is an eight-week mind-body program that treats stress-related health conditions.
- Content integrates building stress awareness, eliciting the relaxation response, and promoting adaptive lifestyle strategies.
- Objective: To adapt content from the SMART 3RP program into a digital format usable in the Baby2Home pp
My finding – about deaf prinatal depression patients
New grant award Screening Deaf Women for Perinatal Depression (umassmed.edu)
Melissa Anderson, Kelly Wolf Craig, and Kate Biebel were recently awarded a grant to help Deaf women by creating an American Sign Language (ASL) version of the Edinburgh Postnatal Depression Scale (EPDS). This project will involve screening 50 Deaf perinatal women across the nation to see how well the new tool works. Deaf women often face significant challenges in healthcare, which puts them at a higher risk for mental health issues, so having a reliable way to screen for perinatal depression is a crucial step towards better support and care for them.
<Creating the capacity to screen Deaf women for perinatal depression: A pilot study> - 2021
Creating the Capacity to Screen Deaf Women for Perinatal Depression: A Pilot Study (rochester.edu)
This pilot study aimed to address the significant gap in maternal healthcare for Deaf women by developing an American Sign Language (ASL) version of the Edinburgh Postnatal Depression Scale (EPDS). Deaf women face unique challenges in accessing healthcare, often receiving suboptimal care due to communication barriers and low health literacy (even though this paper is not about the therapy using application for deaf patients and just talking about conducting interview/survey for the screening – so need more study) The study's primary goal was to create a validated ASL translation of the EPDS, conduct videophone screening interviews with Deaf perinatal women, and analyze the pilot data to evaluate the tool's effectiveness.
Study Design and Participants:
The research team, including Deaf community members, conducted a one-year, community-engaged pilot study. They enrolled 36 Deaf perinatal women from various regions of the United States, ensuring a diverse sample. The participants included women between 5 weeks of gestation and one year postpartum. The study involved translating the EPDS into ASL, training Deaf community advisors to conduct the screenings, and performing preliminary statistical analyses.
Translation Process:
The translation of the EPDS into ASL followed a rigorous three-stage process:
A Certified Deaf Interpreter (CDI) with expertise in behavioral health conducted the initial translation from English to ASL.
A second CDI independently back-translated the ASL version into written English to ensure accuracy.
The research team, including Deaf co-investigators, compared the original English EPDS with the back-translation to resolve any discrepancies.
Data Collection:
Deaf community advisors conducted videophone interviews, administering the ASL EPDS and collecting sociodemographic data. The interviews were videotaped for fidelity monitoring, and the data were entered into the REDCap system for analysis. Participants were compensated with a $25 gift card for their participation.
Findings:
The ASL EPDS demonstrated acceptable internal consistency (Cronbach’s alpha = 0.788), comparable to translations in other languages. However, the anxiety and depression subscales (EPDS-3 and EPDS-7) did not meet the internal consistency threshold. Participants reported a mean total score of 5.6 out of 30 points, with 31% indicating mild depression and 6% moderate depression; none reported severe depression.
Challenges and Limitations:
The study faced several limitations:
Small sample size restricted the range of depression scores and prevented more comprehensive statistical analyses.
The non-normal distribution of scores affected the reliability of the findings.
Some participants struggled with the abstract language of certain EPDS items, suggesting the need for further refinement of the ASL translation.
The live interview format may have influenced participants’ willingness to disclose depressive symptoms fully.
Future Directions:
Based on the study's findings, the researchers plan to develop a Computer-Assisted Self-Interviewing (CASI) version of the ASL EPDS. This tool would automate scoring and be more accessible for hearing, non-signing healthcare providers. Future efforts will focus on refining the translation, conducting larger-scale psychometric studies, and ensuring the tool's practical implementation in real-world healthcare settings to better support Deaf women's mental health during the perinatal period.
6/18 Meeting
Read: SMART modules_2022_8 sessions_6_18_22
à I was out of town in New York City over the weekend for a friend's wedding, so I couldn't look into much additional material. However, I did read the document you sent about the SMART module, which details the specific sessions and activities.
è eight-session program focused on stress management and resiliency training. Each session covers various aspects, such as setting goals, understanding the relaxation response, and developing mindfulness and positive thinking strategies. The program emphasizes practical exercises, like belly breathing, body scans, and gentle yoga, to help participants manage stress. Additionally, it includes methods for recognizing stress signals, building social support, and using humor and empathy to stay resilient. Overall, it provides a comprehensive approach to improving mental and physical well-being through scientifically-backed techniques.
- Template TIDieR – start understand how present the information smart mba put together in apps
- Collaborative care apps
Assignment: read the Tidier article, read the B2H protocol paper. Then create a table, place the items of the Tidier criteria into that table. Then look at the Talk and put that into the Tidier table.
1) The design and implementation of a multi-center, pragmatic individual-level randomized controlled trial to evaluate Baby2Home, an mHealth intervention to support new parents
2) Digital Adaptation of the Stress Management and Resiliency Training- Relaxation Response Resiliency (SMART-3RP) Primer for New Parents Using the Baby2Home (B2H) App
3) Better reporting of interventions on JSTOR
7) B2H protocol paper_2024.pdf
8) Overview: Smart Modules (8 sessions)
9) MONA 2023 SMART3RP talk draft
6/21/2024
Discussion for the Meeting:
The TIDieR checklist for the Baby2Home (B2H) intervention outlines a comprehensive digital support program for new parents, especially those from marginalized communities. Grounded in Bandura’s theory of self-efficacy and the Collaborative Care Model, B2H integrates elements from NICU2Home and COMPASS programs to improve parenting skills and mental health. The intervention provides tailored educational content, supportive messaging, and preventive healthcare information through a mobile app over a 12-month period. Key features include multimedia content on infant care, lactation support, and secure communication with care managers. Recruitment takes place at Prentice Women’s Hospital and Women and Infants Hospital, with adjustments made to improve user engagement. Adherence and fidelity are monitored via app usage and care manager logs, with regular team meetings to ensure protocol adherence.
Questions for Professor:
How can we enhance participant recruitment and engagement in the B2H intervention?
After read this paper, I felt that I want to find more information the strategies which can improve the fidelity of intervention delivery and specific modifications which needed to address barriers more effectively and more methods that can handle discrepancies in engagement levels among participants
What additional strategies can improve the fidelity of intervention delivery?
Are there specific modifications needed to address barriers more effectively?
How should we handle discrepancies in engagement levels among participants?
B2H Protocol Paper
The B2H protocol paper outlines a comprehensive intervention aimed at easing the transition of babies from hospital to home. It includes detailed procedures for family training, the use of home monitoring technologies, and structured follow-up schedules to ensure the health and well-being of the babies. The protocol emphasizes the importance of consistent communication between healthcare providers and families, and the integration of multidisciplinary care teams to address various aspects of post-discharge care.
Questions for Professor:
How should we handle any deviations from the outlined follow-up schedules in the protocol?
Are there specific metrics we should prioritize when assessing the effectiveness of the home monitoring technologies?
TIDieR Format Guideline
The TIDieR checklist and guide emphasize the necessity of detailed and precise descriptions of interventions in clinical research to enhance replicability and implementation. It provides a structured framework consisting of 12 items, including the name, rationale, materials, procedures, provider qualifications, delivery methods, locations, frequency, tailoring, modifications, and fidelity assessments. This guideline aims to improve the quality of intervention reporting across various study designs, making research findings more reliable and actionable.
Questions for Professor:
How can we ensure that all elements of the TIDieR checklist are thoroughly addressed in our documentation?
What strategies can we use to maintain high fidelity in intervention delivery as per the TIDieR guidelines?
è Before the next meeting, read more and fill out the tidier checklist and for next meeting we are dealing with literature review
6/28 Meeting
I wanted to briefly discuss how the 3RP article can complement our Baby2Home (B2H) activities. The 3RP (Relaxation Response Resiliency Program) is an 8-session program developed to manage chronic stress, integrating stress management techniques, (CBT)
3RP focuses on teaching individuals how to elicit the relaxation response, which can significantly reduce stress. We can integrate these relaxation techniques into the B2H app to help new parents manage their stress and anxiety more effectively.
Additionally, 3RP promotes social support through group settings, which we could incorporate into B2H by creating online communities where users can connect and support each other.
Lastly, 3RP’s personalized approach to stress management can inspire us to further tailor our B2H interventions. By analyzing user data and feedback, we can enhance the app’s ability to provide customized support that meets the specific needs of each family.
about how the resources from the Postpartum Support International (PSI) website can complement our Baby2Home (B2H) activities. The PSI website is a fantastic resource for addressing perinatal mental health, offering a range of educational materials, webinars, support groups, and a helpline.
One way PSI can complement B2H is through its extensive educational content. PSI provides brochures and workshops on topics like stress management and coping strategies, which we can incorporate into the B2H app. I think it could help us enrich the educational resources available to new parents, making sure they have access to a wider range of information and support.
Additionally, PSI’s support groups and helpline offer a level of personal interaction that can be beneficial. While the B2H app provides digital support and automatic reminders, integrating options for live support through PSI’s network can add a valuable human touch.
Furthermore, PSI’s approach to personalized support aligns well with B2H’s goals. PSI’s tailored interventions based on participant needs can inspire us to further customize the B2H experience. By analyzing user data and feedback, we can continually improve the app’s responsiveness, ensuring it meets the specific needs of each family.
7/19 Meeting
I focused on comparing various online intervention programs designed for mothers with postpartum depression, several common factors and limitations emerge. Most programs, such as iCBT, Mamma Mia, eMBI, and others, utilize cognitive-behavioral therapy (CBT) principles to address depressive symptoms and enhance maternal mental health. Most of Recruitment methods often involve online platforms, social media advertisements, and flyers, ensuring broad reach and accessibility. These interventions typically include self-paced modules, interactive content, and support components like peer interactions or counseling,
The duration of these programs varies, with most lasting between 4-6 months, while the longest extends from 18-24 months until the baby is six months old.But, the longest programs often experience the highest dropout rates, highlighting challenges in maintaining participant engagement over extended periods. Additionally, these programs sometimes struggle to fit the needs of single mothers or those with unique family dynamics, lower income family limiting their applicability.
A significant limitation is the inability to distinguish between normal-risk and high-risk pregnancies, which may influence the outcomes. High attrition rates are frequently observed, potentially due to the lengthy nature of some interventions. The reliance on self-reported data introduces bias, and the homogeneous nature of study samples, often limited to well-educated, higher-income participants, restricts the generalizability of the findings. Additionally, many studies lack long-term follow-up, making it difficult to assess the sustained impact of the interventions. Despite these challenges, online programs offer promising, accessible options for addressing postpartum depression, though further research is needed to optimize engagement and evaluate long-term effectiveness.
- Difficulty
- Question/table – satisfaction to collect
- Access and engagement rate
- Feedback about this program
- Health impact
Article and what tanle they use to quantify and how many sessions they finish
table for the dimension
3min - what wwe want to know about the treatment – treatment and intervention used
Mother and baby – result variable – how many people did BA – HOW MANY PEOPLE DID FIRST SESSION ON BA
How many people did more than 3 sessions
- Reference: table 2 in mother baby burrera 2002
- Ba and smart collum
7/23/2024 Meeting
Summary for the last week: I wanted to let you know that over the weekend, I created a new table based on Table 1 and Table 2 from the paper titled "Mothers and Babies Online Course: Participant Characteristics and Behaviors in a Web-Based Prevention of Postpartum Depression Intervention." I tried to include all the necessary categories/elements,
Additionally, I have been researching effective methods for online interventions. Although I have not yet found specific articles detailing the most effective methods, I have discovered a general consensus that online interventions utilizing CBT and group therapy appear to be effective.
Idea for creating Posture: program, highlighting strengths and weaknesses. Specifically, I’ll provide an overview of each program, a comparative analysis using metrics like engagement levels and success rates, and then outline our program’s strengths and areas for improvement. Finally, I’ll offer recommendations for enhancements and ways to maintain our strengths. I’d love to get your feedback on this approach and any suggestions you might have for presenting the data effectively.