Pilot RCT of a social media parenting intervention for postpartum mothers with depression symptoms

J Reprod Infant Psychol. 2019 Jul;37(3):290-301. doi: 10.1080/02646838.2018.1556788. Epub 2018 Dec 17.

Abstract

Objective: This pilot study describes the adaptation of a parenting group intervention for social media, and examines the feasibility, acceptability and initial outcomes of the adapted intervention for mothers with postpartum depression symptoms. Background: Postpartum depression can negatively affect parenting and the parent-infant relationship. Mothers with postpartum depression symptoms experience barriers to access in-person parenting interventions. Methods: A small, randomised controlled trial was conducted with an adapted parenting intervention delivered via social media (Facebook) or in-person for mothers who screened positive for depression in paediatric clinics. Parenting sense of competence, depression symptoms and intervention attendance and satisfaction were assessed. Twenty-four mothers (mean age 26 years; predominantly African American with limited economic resources) participated in the study. Results: Linear regressions showed that the social media group had significantly improved parenting competence and decreased depression severity when compared to the in-person group. Attendance in the social media group was high (83%), but extremely poor in the in-person group (3%). The mothers rated the intervention positively and the majority of the mothers participated by posting comments on the group page on social media. Conclusion: The findings suggest the feasibility and benefit of delivering a parenting intervention through social media for postpartum mothers with high levels of depression symptoms.

Keywords: Postnatal depression; intervention; parenting; technology.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depression, Postpartum / psychology*
  • Depression, Postpartum / therapy
  • Female
  • Humans
  • Linear Models
  • Mothers / psychology*
  • Parenting / psychology*
  • Patient Satisfaction
  • Pilot Projects
  • Postpartum Period
  • Psychiatric Status Rating Scales
  • Self Efficacy
  • Severity of Illness Index
  • Social Media*