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Cited by 124Maternal Mental Health During Pregnancy and PostpartumDigital Mental Health InterventionsMobile Health and mHealth Applications

MomMoodBooster Web-Based Intervention for Postpartum Depression: Feasibility Trial Results

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Danaher, Brian G, Milgrom, Jeannette, Seeley, John R, Stuart, Scott, Schembri, Charlene, Tyler, Milagra S, Ericksen, Jennifer, Lester, Whitney +3 more·2013·Journal of Medical Internet Research
DOI 10.2196/jmir.2876PMC PMC3841354
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Abstract

BACKGROUND: Postpartum depression (PPD)-the most common complication of childbirth-is a significant and prevalent public health problem that severely disrupts family interactions and can result in serious lasting consequences to the health of women and the healthy development of infants. These consequences increase in severity when left untreated; most women with PPD do not obtain help due to a range of logistical and attitudinal barriers. OBJECTIVE: This pilot study was designed to test the feasibility, acceptability, and potential efficacy of an innovative and interactive guided Web-based intervention for postpartum depression, MomMoodBooster (MMB). METHODS: A sample of 53 women who satisfied eligibility criteria (<9 months postpartum, ≥18 years of age, home Internet access and use of personal email, Edinburgh Postnatal Depression Survey score of 12-20 or Patient Health Questionnaire score from 10-19) were invited to use the MMB program. Assessments occurred at screening/pretest, posttest (3 months following enrollment), and at 6 months follow-up. RESULTS: All six sessions of the program were completed by 87% (46/53) of participants. Participants were engaged with the program: visit days (mean 15.2, SD 8.7), number of visits (mean 20.1, SD 12.2), total duration of visits in hours (mean 5.1, SD 1.3), and number of sessions viewed out of six (mean 5.6, SD 1.3) all support high usage. Posttest data were collected from 89% of participants (47/53) and 6-month follow-up data were collected from 87% of participants (46/53). At pretest, 55% (29/53) of participants met PHQ-9 criteria for minor or major depression. At posttest, 90% (26/29) no longer met criteria. CONCLUSIONS: These findings support the expanded use and additional testing of the MMB program, including its implementation in a range of clinical and public health settings.

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  • Most other web-based interventions for postpartum depression relied exclusively on classic cognitive behavioral therapy principles and neglected concepts emphasized by third wave cognitive behavioral therapy.

    “and they relied exclusively on classic cognitive behavioral therapy (CBT) principles [10,11], thus neglecting various concepts emphasized by third wave CBT”

    From The Efficacy of Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Examining Mechanisms of Change in a Randomized Controlled Trial (2023) · cites this paper as [10]

    The Introduction (page unavailable) says MomMoodBooster was based on a postpartum adaptation of the Coping With Depression course, and Methods > MMB Intervention describes sessions on mood, activities, and thoughts, supporting its use of classic CBT principles. But the Introduction says the underlying postpartum program also included interpersonal psychotherapy elements, while the intervention includes partner and relationship content. The paper does not establish that MomMoodBooster relied exclusively on classic CBT or assess whether it neglected third-wave CBT concepts. (LLM, conf=0.84)

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  • Most web-based interventions for PPD were not specifically designed or tested for preventive purposes and relied exclusively on classic CBT.

    “It bears recalling that most web-based interventions for PPD were not specifically designed or tested for preventive purposes and that they relied exclusively on classic CBT [7,10,11];”

    From The Efficacy of Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Examining Mechanisms of Change in a Randomized Controlled Trial (2023) · cites this paper as [10]

    The Introduction describes MomMoodBooster as a treatment for postpartum depression, and the Methods enrolled women with depressive symptoms, supporting the point that this intervention was not tested for prevention. The paper does not establish what *most* web-based PPD interventions used; its Introduction describes another web-based PPD intervention as behavioral activation rather than exclusively classic CBT. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 2

  1. [82]First MB Structured clinical interview for DSM-IV axis I disorders SCID-I: clinician version, administration booklet 1997 Washington, DC American Psychiatric Press
  2. [130]Milgrom J Ericksen J McCarthy R Gemmill AW Stressful impact of depression on early mother–infant relations Stress and Health 2006 10 22 4 229 238 10.1002/smi.1101 · DOI

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Authors
Danaher, B. G., Milgrom, J., Seeley, J. R., Stuart, S., Schembri, C., Tyler, M. S., Ericksen, J., Lester, W., Gemmill, A. W., Kosty, D. B., & Lewinsohn, P.
Affiliations
  • Oregon Research Institute (US)
  • The University of Melbourne (AU)
  • University of Oregon (US)
  • University of Iowa Hospitals and Clinics (US)
  • Heidelberg Repatriation Hospital (AU)
Corresponding author
Danaher, Brian G
ORCID
Venue
Journal of Medical Internet Research
Publisher
JMIR Publications Inc.
Published
2013-11-01
Volume
15
Issue
11
Pages
e242
ISSN
1438-8871 (ISSN-L)
DOI
10.2196/jmir.2876
PMC
PMC3841354
OpenAlex
W2152907726
Cited by
124
References
128
Citations by year
2026: 7 · 2025: 6 · 2024: 13 · 2023: 11 · 2022: 14 · 2021: 7 · 2020: 7 · 2019: 9 · 2018: 9 · 2017: 13 · 2016: 13 · 2015: 10 · 2014: 5
FWCI
9.54
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Medical Internet Research (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (5R01-MH084931, R01MH084931)
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
postpartum depression, online intervention, guided self-help, feasibility, acceptability, depression treatment, maternal mental health, program engagement, Edinburgh Postnatal Depression Scale, Patient Health Questionnaire
MeSH terms
Feasibility Studies, Female, Humans, Infant, Iowa, Male, Victoria, Depression, Postpartum, Self Efficacy, Internet

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