Development and pilot evaluation of an Internet-facilitated cognitive-behavioral intervention for maternal depression.
Open accessAbstract
OBJECTIVE: Develop and pilot an Internet-facilitated cognitive-behavioral treatment intervention for depression, tailored to economically disadvantaged mothers of young children. METHOD: Mothers (N = 70) of children enrolled in Head Start, who reported elevated levels of depressive symptoms, were randomized to either the 8-session, Internet-facilitated intervention (Mom-Net) or delayed intervention/facilitated treatment-as-usual (DI/TAU). Outcomes were measured using the Beck Depression Inventory (BDI-II; Beck, Steer, & Brown, 1996); the Patient Health Questionnaire 9 (PHQ-9; Spitzer et al., 1999), Behavioral Observations of Parent-Child Interactions using the Living in Family Environments coding system (LIFE; Hops, Davis, & Longoria, 1995); the Dyadic Parent-Child Interaction Coding Systems (DPICS; Eyberg, Nelson, Duke, & Boggs, 2005); the Parent Behavior Inventory (PBI; Lovejoy, Weis, O'Hare, & Rubin, 1999); and the Parenting Sense of Competence scale (PSOC; Gibaud-Wallston & Wandersman, 1978). RESULTS: Mom-Net demonstrated high levels of feasibility as indicated by low attrition and high program usage and satisfaction ratings. Participants in the Mom-Net condition demonstrated significantly greater reduction in depression, the primary outcome, at the level of both symptoms and estimates of criteria-based diagnoses over the course of the intervention. They also demonstrated significantly greater improvement on a questionnaire measure of parent satisfaction and efficacy as well as on both questionnaire and observational indices of harsh parenting behavior. CONCLUSIONS: Initial results suggest that the Mom-Net intervention is feasible and efficacious as a remotely delivered intervention for economically disadvantaged mothers.
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The other studies (n = 38) did not report anything about implementation barriers.
“the other studies (n = 38 [20, 35–37, 39–42, 44, 45, 47, 48, 50–57, 59, 61–77]) did not report anything about this aspect.”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [41]
The claim says this study reported nothing about implementation barriers, but the Method (Mom-Net Intervention; page unavailable) says coaches addressed barriers to participants’ engagement. The Discussion (page unavailable) also identifies provision of computer equipment as a likely aid to enrollment and retention. This paper cannot establish whether the other 37 studies reported barriers. (LLM, conf=0.78)
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Experimental — accuracy not yet measuredDifferences between pre- and post-treatment effects were not considered as evidence for the success of the telemedicine intervention because several studies showed that participants in control groups also improved over time.
“Differences between pre- and post-treatment effects were not considered as evidence for the success of the telemedicine intervention because several studies showed that the participants in control groups also improved over time [20, 35–41], especially with regard to postnatal depression.”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [41]
The feasibility of the intervention was deemed good by 16 articles.
“The feasibility of the intervention was deemed good by n = 16 articles [37, 39, 41, 42, 46, 49, 52, 54, 55, 59, 61, 63, 65, 68, 70, 71].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [41]
Participants were mostly positive in terms of their acceptance of or satisfaction with the intervention (n = 23).
“The participants were mostly positive in terms of their acceptance of or satisfaction with the intervention (n = 23 [20, 38, 39, 41–43, 45, 46, 48, 51, 52, 54, 55, 58, 59, 61, 62, 64, 65, 68, 70–72])”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [41]
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- Authors
- Sheeber, L. B., Seeley, J. R., Feil, E. G., Davis, B., Sorensen, E., Kosty, D. B., & Lewinsohn, P. M.
- Affiliations
- Oregon Research Institute (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2012-10
- Volume
- 80
- Issue
- 5
- Pages
- 739-749
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC3435487
- OpenAlex
- W2032653181
- Cited by
- 81
- References
- 60
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 11 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 8 · 2016: 8 · 2015: 5 · 2014: 8 · 2013: 2
- FWCI
- 6.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH070426)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- maternal depression, online intervention, cognitive behavioral therapy, Head Start, young children, harsh parenting, parental self-efficacy, feasibility, remote therapy
- MeSH terms
- Adult, Depressive Disorder, Female, Humans, Mother-Child Relations, Mothers, Pilot Projects, Psychiatric Status Rating Scales, Surveys and Questionnaires, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Parenting, Treatment Outcome, Patient Satisfaction, Internet
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