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Content and format preferences of a depression prevention program: A study in perinatal women
Open accessAbstract
Antecedentes: este trabajo explora las diferencias étnicas en preferencias de contenido y formato de un programa preventivo de depresión perinatal. Método: participaron 163 mujeres en etapa perinatal (66.9% embarazadas; 33.1% en el posparto) que se identificaron como latinas (45.4%) y no latinas (64.6%). Resultados: el formato preferido fue individual y en persona para todos los contenidos. Solo cuando el contenido tenía que ver con la comunicación de pareja, considerarían incluir a la pareja. No se encontraron diferencias significativas en función de la etnia en las preferencias de formato. En cuanto al contenido, las mujeres prefirieron “información sobre el proceso de embarazo, incluyendo cambios físicos y psicológicos”. Las mujeres no latinas mostraron una mayor preferencia por “realizar evaluaciones regulares sobre su estado emocional” en comparación a las latinas. Conclusiones: estos resultados deberían considerarse a la hora de diseñar futuros programas de prevención para la depresión perinatal y evidencian la necesidad de trabajar más en las intervenciones online si queremos que se valoren más favorablemente por las mujeres perinatales. Background: this study investigated ethnic differences in the preferred content and delivery method of a depression prevention program for perinatal women. Method: participants were 163 pregnant (66.9%) and postpartum (33.1%) women. Women identified themselves as Latinas (45.4%) or non-Latinas (54.6%). Results: overall, women preferred individual and onsite therapy across contents. Only when the content was related to improving communication, they were willing to incorporate the partner. There were no ethnic differences in the preferred format. Regarding content, women preferred to receive “information on the pregnancy process including physical and psychological changes.” Non-Latinas had a higher preference for “receiving regular check-ins on their emotional state” than Latinas. Conclusions: these results should be considered when developing future perinatal depression prevention programs and evidence that work needs to be done if we want online interventions to be viewed more favorably by perinatal women.
Overview
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Written from the paper’s full text.
TL;DR
This cross-sectional online survey examined content and delivery-format preferences for a perinatal depression prevention program among 163 pregnant and postpartum women, comparing Latinas and non-Latinas. Women preferred individual, onsite delivery across all content areas, favored information about pregnancy and baby care over depression-prevention content, and showed few ethnic differences in preferences.
Key findings
- The preferred format was individual and onsite regardless of content area: individual delivery was endorsed by 88.0–93.6% of the sample across the four content areas, and onsite by 56.4–70.7%; no ethnic differences in format preferences emerged (all comparisons non-significant).
- Content about preparing for motherhood was most preferred: "information about the pregnancy process, including physical and psychological changes" (73.6%) and "health and care of my baby" (68.1%), versus roughly 57% for the two depression-prevention contents (regular emotional check-ins and partner communication).
- Non-Latinas showed greater interest in "regular check-ins on their emotional state" than Latinas (χ²(1, 163) = 7.08, p = .008); no other content differences by ethnicity were found.
- Preference for receiving content alone versus with a partner was content-dependent (χ²(3, 383) = 11.79, p = .008): partner company was frequently chosen for communication tips but rare for emotional check-ins (adjusted standardized residuals 3.0 and −2.5).
- Postpartum women were more interested than pregnant women in regular emotional check-ins (χ²(1, 163) = 4.19, p = .041); no other content differences by perinatal period.
Methods
- Cross-sectional anonymous online survey (English/Spanish) recruiting perinatal women via Google AdWords between October 16, 2014 and March 30, 2015; eligibility was age ≥18, currently pregnant or within one year postpartum, and able to read English or Spanish.
- Of 1,805 eligible women, 509 consented; 81 did not indicate ethnicity and 265 lacked outcome data, leaving a final analyzed sample of 163 (mean age 28.36 years, SD = 6.20; 66.9% pregnant; 45.4% Latina, 54.6% non-Latina).
- An ad hoc survey assessed four content areas and eight format options categorized into three dichotomies (online vs. onsite, individual vs. group, alone vs. with partner); analyses used t-tests, Chi-square tests, and post hoc standardized residuals in SPSS v22.
Limitations
- Stated by the paper: the sample is limited to women who are active Internet users with a certain comfort level using technology; many women declined or discontinued participation after registering, so generalization should be viewed with caution; and the closed answer-option system was used to reduce burden, with the authors noting a qualitative study would provide richer information.
- Evident from the text: the study is described by the authors as cross-sectional and preliminary, and the explanation offered for postpartum women's greater interest in emotional check-ins is explicitly labeled hypothetical ("further conclusions cannot be drawn from the present study results").
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- Findingown data
Group delivery format was rarely listed as preferred by perinatal women.
“An interesting finding in the present study was that group delivery format was rarely listed as preferred by perinatal women.”
Quote in the paperSubstantial claim - Findingown data
The hypothesis that preparing-for-motherhood content would be preferred over depression prevention content was confirmed.
“Our hypothesis, which was confirmed, was that the latter would be preferred, arguably due to the existence of maladaptive beliefs and misconceptions about depression and because of the negative stigma associated with perinatal depression (Byatt et al., 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Byatt et al., 2012
- Findingown data
Women frequently reported that they would prefer to participate in the treatment components without the company of their partner.
“Additionally, women frequently reported that they would prefer to participate in the treatment components without the company of their partner.”
Quote in the paperSubstantial claim - Findingown data
There were no significant ethnic differences in format preferences (individual vs. group, online vs. onsite, alone vs. with partner) across the four content areas.
“No se encontraron diferencias significativas en función de la etnia en las preferencias de formato.”
- Also stated in: § Format preferences across ethnic groups and content areas · plain
“there were no ethnic differences in the format preferences (individual vs. group, online vs. onsite, alone vs. with the partner) across the four content areas.”
Quote in the paperSubstantial claim - Also stated in: § Format preferences across ethnic groups and content areas · plain
- Findingown data
Women most preferred the content 'information about the pregnancy process, including physical and psychological changes'.
“las mujeres prefirieron “información sobre el proceso de embarazo, incluyendo cambios físicos y psicológicos”.”
Quote in the paperSubstantial claim
- Findingown data
The least preferred content was 'tips on how to communicate with your partner'.
“While depression prevention content was considered less important than information on baby care, the least preferred content was that of “tips on how to communicate with your partner”.”
Quote in the paperSubstantial claim - Findingown data
The individual format was preferred irrespective of the treatment content area (χ2 (3, 383) = 2.54, p=.468).
“Our results indicated that the individual format (χ² (3, 383) =2.54, p=.468) and onsite delivery (χ² (3, 382) =4.76, p=.190) were clearly preferred irrespective of the treatment content area.”
Quote in the paperSubstantial claim - Findingown data
The preferred delivery format was individual and onsite for all four content areas among perinatal women.
“el formato preferido fue individual y en persona para todos los contenidos.”
- Also stated in: § Format preferences across ethnic groups and content areas · boosted
“Our results indicated that the individual format (χ² (3, 383) =2.54, p=.468) and onsite delivery (χ² (3, 382) =4.76, p=.190) were clearly preferred irrespective of the treatment content area.”
Quote in the paperSubstantial claim - Also stated in: § Format preferences across ethnic groups and content areas · boosted
- Findingown data
Onsite delivery was preferred irrespective of the treatment content area (χ2 (3, 382) = 4.76, p=.190).
“Our results indicated that the individual format (χ² (3, 383) =2.54, p=.468) and onsite delivery (χ² (3, 382) =4.76, p=.190) were clearly preferred irrespective of the treatment content area.”
Quote in the paperSubstantial claim - Findingown data
Latina participants perceived their socioeconomic status as lower than non-Latina participants (χ2 (1,163) = 4.60, p=.032).
“and perceived their socioeconomic status as lower (χ² (1,163) =4.60, p=.032).”
Quote in the paperNot a substantial claim - Findingown data
The preference for receiving content alone or with the partner was content-dependent (χ2 (3, 383) = 11.79, p=.008).
“By contrast, the preference for receiving contents alone or with their partner was contentdependent (χ² (3, 383) =11.79, p=.008).”
Quote in the paperSubstantial claim - Findingown data
Postpartum women were more interested than pregnant participants in receiving regular check-ins on their emotional state (χ2 (1, 163) = 4.19, p=.041).
“postpartum women were more interested than pregnant participants in receiving “Regular check-ins on their emotional state” (χ² (1, 163) =4.19, p=.041).”
Quote in the paperNot a substantial claim - Findingown data
Perinatal women would consider including their partner only when the content concerned communication with the partner.
“Solo cuando el contenido tenía que ver con la comunicación de pareja, considerarían incluir a la pareja.”
- Also stated in: § Format preferences across ethnic groups and content areas · hedged
“the company of the partner would be frequently selected when “receiving information and tips about how to communicate with the partner”, but rare when “receiving regular check-ins on the emotional state” (adjusted, standardized residuals were 3.0 and -2.5, respectively).”
Quote in the paperSubstantial claim - Also stated in: § Format preferences across ethnic groups and content areas · hedged
- Findingown data
Non-Latina women showed a greater preference for 'conducting regular check-ins on their emotional state' than Latina women.
“Las mujeres no latinas mostraron una mayor preferencia por “realizar evaluaciones regulares sobre su estado emocional” en comparación a las latinas.”
- Also stated in: § Intervention content preferences · plain
“The data revealed a higher interest in regular check-ins on emotional state during the perinatal period among non-Latinas (χ² (1, 163) = 7.08, p=.008).”
Quote in the paperSubstantial claim - Also stated in: § Intervention content preferences · plain
- Findingown data
Perinatal women showed a preference for the onsite delivery format.
“As hypothesized, perinatal women showed a preference for onsite delivery format.”
Quote in the paperSubstantial claim - Findingown data
Content a (regular check-ins on emotional state) and content d (communication with partner) were selected by approximately 57% of the sample.
“By contrast, the two remaining content areas, a and d (regular check-ins on their emotional state and communication with partner), were only selected by approximately 57% of the sample.”
Quote in the paperNot a substantial claim - Findingown data
There were no differences in interest towards the remaining content areas as a function of the perinatal period (all p > .05).
“We did not find differences in the interest towards the remaining contents as a function of the perinatal period (all p > .05).”
Quote in the paperNot a substantial claim - Study design and conductnone given
The sample is limited to women who are active Internet users with a certain level of comfort using technology and accessing information electronically.
“First, the sample is limited to women who are active Internet users and who already have a certain level of comfort using technology and accessing information electronically.”
Quote in the paperSubstantial claim - Interpretationown data
The group format could function as an initial barrier to participation, adherence, and maintenance of pregnant and postpartum women in a depression prevention program.
“However, in light of our results, this format could function as an initial barrier to participation, adherence, and maintenance of pregnant and postpartum women in a depression prevention program, and should be explored and discussed whenever an intervention is proposed.”
Quote in the paperSubstantial claim - Interpretationown data
There is still a gap to bridge if online interventions are to be viewed more favorably by perinatal women.
“our study evidenced that there is still a gap we need to bridge if we want online interventions to be viewed more favorably by perinatal women.”
Quote in the paperSubstantial claim - Premisecitation
Perinatal women appear to be open to receiving depression prevention content using online and mobile technologies.
“While, perinatal women appear to be open to receiving depression prevention content using online and mobile technologies, our study evidenced that there is still a gap we need to bridge if we want online interventions to be viewed more favorably by perinatal women.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Osma, Barrera, & Ramphos, 2016
- Interpretationown data
Women experience different needs across the perinatal period.
“These results are interesting as they indicate that women experience different needs across the perinatal period.”
Quote in the paperSubstantial claim - Interpretationown data
Latina and non-Latina perinatal women tend to agree about content and format preferences of prevention programs for perinatal depression.
“What our results suggest is that Latina and non-Latina perinatal women tend to agree about content and format preferences of prevention programs for perinatal depression.”
Quote in the paperSubstantial claim
- It may state two separate claims as one. 8
- Probably not a substantial claim. 7
It may state two separate claims as one.
Findingown dataContent b (information about pregnancy) and content c (health care of the baby) were the most frequently preferred by all participants, at 73.6% and 68.1% respectively.
“Content b and c (information about pregnancy and health care of the baby) were the most frequently preferred by all participants (73.6% and 68.1%, respectively).”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingown dataA majority of the sample were pregnant (66.9%) and almost equally identified as Latina (45.4%) or non-Latina (54.6%).
“A majority were pregnant (66.9%) and almost equally identified as Latina (45.4%) or non-Latinas (54.6%).”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Findingown dataThere were no group differences between Latinas and non-Latinas in education level, marital status, or number of children.
“There were no group differences in education level (χ² (1,163) =0.93, p=.418), marital status (χ² (1,163) =2.51, p=.113), or number of children (t=1.29,p=.200).”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
FindingreasoningAll content options were acceptable to the perinatal women, with a noticeably reduced preference for content related to depression prevention relative to content on preparing for motherhood.
“All content options were acceptable by the perinatal women with a noticeable reduced preference for content related to depression prevention relative to content on preparing for motherhood.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataLatina participants were younger than non-Latina participants (t = 2.13, p = .035, 95% CI = 0.15, 3.97).
“Latinas were younger than non-Latinas (t = 2.13, p = .035,95% CI = 0.15, 3.97)”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Findingown dataThe final analyzed sample comprised 163 perinatal women with a mean age of 28.36 years (SD = 6.20).
“The final sample analyzed in this report was comprised of 163 perinatal women with a mean age= 28.36 years (SD = 6.20).”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Findingown dataLatina participants were more likely to be pregnant than non-Latina participants (χ2 (1,163) = 12.35, p < .001).
“more likely to be pregnant (χ² (1,163) =12.35, p< .001)”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Interpretationown dataAll perinatal women preferred to receive a depression prevention program individually, onsite, and principally alone, regardless of ethnic identity.
“Specifically, all perinatal women preferred to receive a depression prevention program individually, onsite, and principally alone, regardless of ethnic identity.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Study design and conductnone givenThe Institutional Review Board at the sponsoring university approved all study procedures.
“The Institutional Review Board at the sponsoring university approved all study procedures.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Study design and conductnone givenThe survey was created ad hoc for this study.
“The survey was created ad hoc for this study and have included the following sections:”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.
Premisenone givenNo previous investigation had specifically examined technology-based preferences among perinatal women or the intersection between preferred type of content and method of delivery.
“To the best of our knowledge, no other investigation has specifically examined technology-based preferences among perinatal women or the intersection between preferred type of content and method of delivery.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Study design and conductown dataA significant number of women declined to participate or discontinued participation just after registering, so generalization of results should be viewed with caution.
“Second, there was significant number of women who declined to participate or who discontinued participation just after registering, so the generalization of results should be viewed with caution.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Women's stated preferences in a hypothetical online survey predict their actual participation in and uptake of depression prevention programs.
“What previous investigations suggest is that treatment preferences should not be ignored in the context of perinatal depression, as they might have important implications for help-seeking behaviors and related barriers, utilization of psychological resources, and access to care (Mallou, Boubeta, & Cueto, 2003;Supplee, Parekh, & Johnson, 2018).”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Most patients still advocate individual, face-to-face treatments.
“most patients still advocate individual, face-to-face treatments [67]”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Non-Latina share differs between abstract and methods
MinorThe abstract reports 64.6% non-Latina participants, while the methods report 54.6% for the same sample. The latter also agrees with the Table 1 count of 89 out of 163.
“que se identificaron como latinas (45.4%) y no latinas (64.6%).”
“A majority were pregnant (66.9%) and almost equally identified as Latina (45.4%) or non-Latinas (54.6%).”
Education-level p-value differs between methods and Table 1
MinorThe same education-level comparison is reported with p=.418 in the methods and p=.334 in Table 1.
“There were no group differences in education level (χ² (1,163) =0.93, p=.418)”
“| Educational level b | | | 0.93 | .334 |”
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Self-citationde Matos, P. J. D. S., de Lima, L. B. A., Rossi, R. C., & Amor, A. L. M. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-14
ENSINO REMOTO DURANTE A PANDEMIA: REFLEXÕES E REPERCUSSÕES NA FORMAÇÃO EM ENFERMAGEM
Agra, A. W. F. M. A., Silva, J. P. X., & Sampaio, A. G. P. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-4
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de Figueiredo, B. Q., Alfonso, A. R., Cardoso, A. L. B., & Cardoso, I. B. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-27
Teles, W. D. S., Santos, I. A., Alcântara, I. S., da Silva, M. C., Barros, Â. M. M. S., Torres, R. C., Azevedo, M. V. C., & Santos, P. C. C. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-42
Costa, J. P., Correia, A. S. L., Baldoino, A. C. D. S., Oliveira, A. M. D. C., Camêlo, E. S., Oliveira, E. T. D. A., & da Silva, F. M. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-31
MECANISMOS FISIOPATOLÓGICOS DAS SÍNDROMES HIPERTENSIVAS GESTACIONAIS
Cruz, B. A., de Figueiredo, B. Q., Fontenele, B. A., & Nagata, L. M. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-25
AÇÕES EDUCATIVAS SOBRE PEDICULOSE EM ESCOLARES DA EDUCAÇÃO INFANTIL
da Silva, E. F., & Julião, F. D. S. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-30
LESÕES CARACTERÍSTICAS DE MAUSTRATOS INFANTIS NA REGIÃO DE CABEÇA E PESCOÇO
de Araújo, L. N. C., Soares, A. M. L., Soares, D. M., Melo, R. D. S., & de Melo, J. G. A. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.pae1986-36
Martín-Sánchez, M. B., Martínez‐Borba, V., Catalá, P., Osma, J., Peñacoba, C., & Suso‐Ribera, C. (2022) · Figshare · doi:10.6084/m9.figshare.20445427
Self-citation
Metadata
- Authors
- Osma, J., Suso-Ribera, C., Martínez-Borba, V., & Barrera, A. Z.
- Affiliations
- Universidad de Zaragoza (ES)
- Palo Alto University (US)
- Venue
- Anales de Psicología
- Published
- 2019-12-01
- Volume
- 36
- Issue
- 1
- Pages
- 56-63
- ISSN
- 0212-9728 (ISSN-L)
- 1695-2294
- OpenAlex
- W4211048568
- Semantic Scholar
- 4590c96341084f82a832d1e71913ff2b130b631f
- Cited by
- 21
- References
- 27
- Citations by year
- 2023: 1 · 2022: 14 · 2021: 2 · 2020: 2 · 2019: 2
- FWCI
- 4.63
- Type
- journal article
- Language
- es
- Open access
- diamond
- doi.org
- Licence
- Locations
- Anales de Psicología (publishedVersion, cc-by-sa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-nc-nd)
- Zaguan (University of Zaragoza Repository) (submittedVersion, cc-by-nc-nd)
- Hispana (submittedVersion, cc-by-nc-nd)
- Funders
- Spanish National Plan for Scientific and Technical Research and Innovation
- 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 › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- perinatal depression, Hispanic women, ethnic differences, individual psychotherapy, partner involvement, couple communication, online intervention, pregnancy, postpartum period
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.
A language model drew the claims from the paper on 2026-10-09, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-09 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
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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