Cited by 67Maternal Mental Health During Pregnancy and PostpartumDigital Mental Health InterventionsMobile Health and mHealth Applications

Web-based Intervention for Postpartum Depression: Formative Research and Design of the MomMoodBooster Program

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Danaher, Brian G, Milgrom, Jeannette, Seeley, John R, Stuart, Scott, Schembri, Charlene, Tyler, Milagra S, Ericksen, Jennifer, Lester, Whitney +2 more·2012·JMIR Research Protocols

Abstract

BACKGROUND: Postpartum depression is a significant public health problem affecting approximately 13% of women. There is strong evidence supporting Cognitive Behavioral Therapy (CBT) for successful psychosocial treatment. This treatment model combines cognitive and behavioral strategies to address pessimism, attributions for failure, low self-esteem, low engagement in pleasant activities, social withdrawal, anxiety, and low social support. Encouraging results have been reported for using Web-based CBT interventions for mental health domains, including the treatment of panic disorder, post-traumatic stress disorder, and complicated grief and depression. To date, however, Web-based interventions have not been used and evaluated specifically for the treatment of postpartum depression. OBJECTIVE: We describe the formative work that contributed to the development of our Web-based intervention for helping to ameliorate symptoms of postpartum depression, and the design and key components of the program. METHODS: A total of 17 focus group participants and 22 usability testers, who shared key characteristics with the participants of our planned feasibility study, took part. The proposed structure and ingredients of the program and mock-ups of selected webpages were presented to focus group participants. At various points, participants were asked a series of thought questions designed to elicit opinions and set the occasion for group discussion. At the end of the session, participants were asked to describe their overall reaction to the proposed features of the program emphasizing candid opinions about what they did not like and features they thought were missing and should be added. Usability testers were asked to interact with a series of seven different Web-based interactions planned for the program while receiving minimal direction. Each tester was asked to describe her thoughts using a think-aloud technique. They were then asked to consider all that they had learned about the program and complete the System Usability Scale that we adapted slightly to be appropriate for evaluating the proposed website. Transcripts from the focus groups and usability tests were reviewed by research team members for overarching themes with particular emphasis on suggested changes. A list emerged, and iterative and incremental adjustments were made as a result. RESULTS: The qualitative and quantitative data gathered in the focus groups and usability sessions reported here suggest that the new mothers involved had largely positive reactions to the major features of the program and that those program features performed well in terms of usability. CONCLUSIONS: An overview of the eventual design, architecture, and key program ingredients of the MomMoodBooster program is provided including innovative features supplementing 6 core CBT sessions, which include a partner's website, a library, and individual feedback by a personal coach.

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Crossref · 10.2196/resprot.2329

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  • Two studies found support for the feasibility and usability of Web-based interventions targeting postpartum depression.

    “More recently, two studies found support for the feasibility and usability of Web-based interventions targeting PPD [26,27]”

    From Mamma mia: A feasibility study of a web-based intervention to reduce the risk of postpartum depression and enhance subjective well-being (2013) · cites this paper as [26]

    The Results > Usability Testing section reports that 90.9% of testers reacted positively to MomMoodBooster’s usability. But the Discussion describes these as preliminary tests of selected interactions and says a study of the completed program’s feasibility was still anticipated. This source supports usability, not a finding that the intervention was feasible. (LLM, conf=0.89)

    Experimental — accuracy not yet measured
  • Perinatal women have not been frequently included in computer-based treatment research.

    “perinatal women have not been frequently included.35–37”

    From Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments (2017) · cites this paper as [35]

    The Discussion describes MomMoodBooster as a web-based intervention for postpartum depression, and the Methods describe recruiting postpartum women for focus groups. Neither section says how frequently perinatal women have been included in computer-based treatment research. Searches for prior studies and the frequency of their inclusion did not locate a passage addressing that claim. (LLM, conf=0.70)

    Experimental — accuracy not yet measured

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2 of the 89 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. [25]Milgrom J Ericksen J Leigh B Romeo Y Loughlin E McCarthy R Saunders B Towards parenthood 2009 Camberwell, Australia ACER Press
  2. [30]PIRI Journal 2010 2012-08-29 Community HUGS therapeutic playgroups http://www.piri.org.au/files/jan-jun_2010_nslttr.pdf
  3. [52]Fogg BJ Persuasive technology: Using computers to change what we think and do 2003 San Francisco Morgan Kaufmann

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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., & 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
Venue
JMIR Research Protocols
Published
2012-11-22
Volume
1
Issue
2
Pages
e18
ISSN
1929-0748 (ISSN-L)
OpenAlex
W2137781327
Cited by
67
References
89
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 6 · 2020: 8 · 2019: 6 · 2018: 8 · 2017: 3 · 2016: 8 · 2015: 6 · 2014: 3 · 2013: 2
FWCI
3.40
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JMIR Research Protocols (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)
  • Journal of Medical Internet Research (cc-by)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (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, cognitive behavioral therapy, formative research, usability testing, focus groups, System Usability Scale, think-aloud, postpartum women, partner involvement, online coaching, program design

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