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J Behav Med. 2018 Oct;41(5):641-652. doi: 10.1007/s10865-018-9934-7. Epub 2018 May 15.

Perinatal depression prevention through home visitation: a cluster randomized trial of mothers and babies 1-on-1.

Author information

1
Department of Medical Social Sciences and Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, 750 N. Lake Shore Drive, 6th Floor, Chicago, IL, 60611, USA. dtandon@northwestern.edu.
2
Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA.

Abstract

Postpartum depression is highly prevalent in low-income women and has significant health effects on mother and child. This pilot study tested the effectiveness of the newly adapted Mothers and Babies (MB) 1-on-1 intervention. A cluster randomized trial was conducted with 8 programs using trained home visitors to deliver MB 1-on-1 and 6 delivering usual home visiting. One hundred twenty pregnant women not experiencing major depression were enrolled. Outcomes were assessed at baseline and 3- and 6-months postpartum. The rate of change in depressive and anxiety symptoms between groups was significant at 6 months, but not 3 months. No statistically significant differences between groups were found on secondary outcomes except perceptions of social support at 6 months. There was variability in use of MB skills, with fewer women using cognitive restructuring techniques. Although larger studies should be conducted, MB 1-on-1 appears promising in using home visitors to deliver a cognitive behavioral intervention to women at risk for postpartum depression.

KEYWORDS:

Home visiting; Intervention; Perinatal depression

PMID:
29766470
DOI:
10.1007/s10865-018-9934-7
[Indexed for MEDLINE]

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