Perinatal depression prevention through home visitation: a cluster randomized trial of mothers and babies 1-on-1

S. Darius Tandon*, Erin A. Ward, Jaime L. Hamil, Cindy Jimenez, Mya Carter

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Postpartum depression is highly prevalent in low-income women and has significant health effects on mother and child. This pilot study tested the effectiveness of the newly adapted Mothers and Babies (MB) 1-on-1 intervention. A cluster randomized trial was conducted with 8 programs using trained home visitors to deliver MB 1-on-1 and 6 delivering usual home visiting. One hundred twenty pregnant women not experiencing major depression were enrolled. Outcomes were assessed at baseline and 3- and 6-months postpartum. The rate of change in depressive and anxiety symptoms between groups was significant at 6 months, but not 3 months. No statistically significant differences between groups were found on secondary outcomes except perceptions of social support at 6 months. There was variability in use of MB skills, with fewer women using cognitive restructuring techniques. Although larger studies should be conducted, MB 1-on-1 appears promising in using home visitors to deliver a cognitive behavioral intervention to women at risk for postpartum depression.

Original languageEnglish (US)
Pages (from-to)641-652
Number of pages12
JournalJournal of Behavioral Medicine
Volume41
Issue number5
DOIs
StatePublished - Oct 1 2018

Keywords

  • Home visiting
  • Intervention
  • Perinatal depression

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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