Investigating perspectives on e-health interventions to enhance maternal mental well-being: results of a stakeholder interview
Open accessAbstract
Peripartum mental disorders are highly prevalent conditions and associated with adverse outcomes for the mother, the infant and the whole family. Despite the high burden, help-seeking is low. E-mental health interventions could overcome help-seeking barriers and thus improve perinatal mental health. However, usage and adherence are rather low. This study aims to assess attitudes and needs of different stakeholder groups and to identify relevant topics to develop an intervention meeting the needs of pregnant and postpartum women and thus, increasing utilization and adherence. Therefore, semi-structured interviews and focus groups with pregnant women (n = 3), mothers (n = 4), women who have suffered from a postpartum mood disorder in the past (n = 5), gynaecologists (n = 5), and midwives (n = 5) were conducted. All interviews were audio-recorded, transcribed verbatim, and analyzed using a thematic analysis. Almost half of the stakeholders reported previous experiences with e-mental health services. Anonymity, flexibility, promoting help-seeking, or bridging waiting-time for treatment as usual were regarded as the main benefits. Concerns regarding the usefulness of e-mental health interventions, absence of face-to-face contact or lack of integration into routine care were considered as barriers. With regard to the desired program content, six main topics were identified: pregnancy and puerperium, peripartum mood swings and disorders, support options, self-care, partnership, and fatherhood. Regarding preferred characteristics of e-mental health programs, stakeholders mentioned customizability, individual guidance, evaluation of user-feedback and continuous adoption, as well as a responsive and user-friendly design. Overall, online interventions for perinatal mental health were mainly considered as beneficial. Stakeholders underlined the high need for education regarding the use and effectiveness of e-mental health, to overcome concerns and obstacles and improve acceptability. Furthermore, developing customizable and individually-guided interventions were considered as promising to increase utilization of and adherence to e-mental health interventions.
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Stakeholders noted the importance of professional guidance, responsive design for device flexibility, and interactive content.
“Regarding preferences for program features, stakeholders noted, for example, the importance of professional guidance, responsive design for device flexibility, and interactive content (Schmidt-Hantke and Jacobi, 2023).”
From PandaMom – Feasibility and acceptability of an internet- and mobile-based intervention to enhance peripartum mental well-being and to prevent postpartum depression (2024) · cites this paper as Schmidt-Hantke and Jacobi, 2023
The Results (Preferred characteristics of e-mental health services; page unavailable) report stakeholders’ preferences for professional support, interactive self-help, and access through both an app and a website. The Discussion (Principal findings; page unavailable) also mentions interactive components and the flexibility of an app. The paper does not specify responsive design that adapts to different devices; it discusses offering separate app and browser formats instead. (LLM, conf=0.88)
Experimental — accuracy not yet measuredStakeholders identified various topics to be included in the intervention, such as pregnancy and puerperium, peripartum mood swings and disorders, self-care, and partnership.
“Stakeholders identified various topics to be included in the intervention, such as pregnancy and puerperium, peripartum mood swings and disorders, self-care, and partnership.”
From PandaMom – Feasibility and acceptability of an internet- and mobile-based intervention to enhance peripartum mental well-being and to prevent postpartum depression (2024) · cites this paper as Schmidt-Hantke and Jacobi, 2023
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References 60 · Cited by 4
Research works printed but not linked: 1
- [55]Krueger RA, Casey MA. Focus groups: a practical guide for applied research. 5th edition. Thousand Oaks, California: SAGE; 2015. 252 p.
- Authors
- Schmidt-Hantke, J., & Jacobi, C.
- Affiliations
- Technische Universität Dresden (DE)
- Corresponding author
- Schmidt-Hantke, Juliane
- Venue
- PLOS Digital Health
- Publisher
- Public Library of Science (PLoS)
- Published
- 2023-08-23
- Volume
- 2
- Issue
- 8
- Pages
- e0000326
- ISSN
- 2767-3170 (ISSN-L)
- PMC
- PMC10446204
- OpenAlex
- W4386090848
- Cited by
- 4
- References
- 60
- Citations by year
- 2026: 2 · 2024: 2
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLOS Digital Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Technische Universität Dresden (MK201803)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- digital mental health interventions, perinatal mental health, postpartum mood disorders, help-seeking barriers, stakeholder perspectives, pregnant women, postpartum women, midwives, gynecologists, intervention adherence, user acceptance
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