The Efficacy of an Intervention for the Management of Postpartum Fatigue
Open accessAbstract
Objective To assess the efficacy of a psychoeducational intervention, Wide Awake Parenting (WAP), to decrease symptoms of postnatal fatigue.Design A randomized controlled trial.Setting Local government areas within the Australian state of Victoria.Participants Two hundred and two mothers were randomly allocated to either the professionally-led telephone support intervention (n = 63), self-directed written intervention (n = 67), or waitlist control (n = 72).Methods The professionally-led group received a workbook, home visit, and three telephone support calls. The self-directed written group received the workbook only, and the control group received usual health care services. Primary outcomes were symptoms of fatigue, depression, anxiety and stress, and health care beliefs and behaviors. Mothers were followed up at 2- and 6-weeks postintervention.Results Mothers in the professionally-led group reported fewer symptoms of fatigue than mothers in the control condition at 6 weeks postintervention. Mothers in either intervention had more positive attitudes toward their health- and self-care behaviors at postintervention and follow-up. Mothers in the professionally-led intervention reported fewer symptoms of depression, anxiety, and stress than mothers in the other conditions at postintervention.Conclusion Wide Awake Parenting is effective in promoting mothers' self-efficacy to prioritize, plan for, and engage in health and self-care behaviors to promote mental health and manage fatigue. Implications and future opportunities for WAP are discussed.
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Interventions designed to reduce parental PPF have commonly been universal and anticipatory, attempting to reduce post-partum depression and self-reported fatigue.
“Commonly, interventions designed to reduce parental (usually maternal) PPF have been universal (delivered to all childbearing women) and anticipatory (delivered before PPF symptoms are diagnosed), attempting to reduce post-partum depression and self-reported fatigue [15,16].”
From Development and evaluation of ‘Sleep, Baby & You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [16]
Behavioural interventions are developmentally inappropriate for young infants.
“developmentally inappropriate for young infants [29]”
From Development and evaluation of ‘Sleep, Baby & You’—An approach to supporting parental well-being and responsive infant caregiving (2020) · cites this paper as [29]
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- Authors
- Giallo, R., Cooklin, A., Dunning, M., & Seymour, M.
- Affiliations
- Royal Children's Hospital (AU)
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 43
- Issue
- 5
- Pages
- 598-613
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W1857453158
- Cited by
- 53
- References
- 46
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 1
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- RMIT Research Repository (RMIT University Library) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Figshare (submittedVersion)
- Funders
- State Government of Victoria
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- postpartum fatigue, psychoeducational intervention, maternal mental health, depression, anxiety, stress, self-care behavior, health beliefs, telephone support, home visits, mothers
- MeSH terms
- Adult, Fatigue, Female, Humans, Pamphlets, Patient Compliance, Patient Education as Topic, Pregnancy, Telephone, Victoria, Treatment Outcome, Disease Management, Postpartum Period, Young Adult, Watchful Waiting
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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