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Strongest Families™ Managing Our Mood (MOM): a randomized controlled trial of a distance intervention for women with postpartum depression

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Abstract

The present study investigated whether a distance-delivered intervention could significantly decrease mild to moderate postpartum depression (PPD) in mothers as compared to usual care. Mothers with PPD (n = 62) were randomly assigned to the intervention or standard community care. Participants receiving the intervention followed a 12-session cognitive behavioural informed handbook supplemented with telephone-based coaching support. Diagnostic status and depressive symptoms were assessed at baseline and 3, 6 and 12 months postrandomization. Odds ratios indicated that intervention group participants were 1.5 times as likely to experience diagnostic remission at 3 months (mid-intervention) (p = 0.742), 1.54 times as likely at 6 months (p = 0.696) and 12.5 times as likely at 12 months (p = 0.009). Intervention ‘dosage’ significantly moderated this effect; for every additional coaching session completed, individuals had a 1.4 times greater chance of showing improvement at 3 and 6 months. Mothers reported high satisfaction with the intervention. Findings suggest positive outcomes at each time point and superior outcomes to the control condition at the long-term follow-up. Caution in interpreting these results is warranted due to small sample size and incomplete data; however, they support further investigation into the use of distance interventions as an accessible and effective solution for women with PPD.

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Acknowledgements

The authors would like to thank the following individuals for their significant contributions to the advisory committee: Cathy Thurston, Helen Gould, Kathy Inkpen, Lee Johnson, Jenny MacCormick, Marilyn Martin, Nancy Thurston, Karen Blanchard, Anne MacKenzie, Lisa MacRae, Darla MacPherson, Kim MacClellan, Michelle Pickles, Christine Saulnier, Kim Barro and Liz MacKay. We thank the study staff. We sincerely thank all referring health professionals from across Nova Scotia’s health regions and, most importantly, all mothers who volunteered their valued time to participate.

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Authors and Affiliations

  1. Centre for Research in Family Health, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada

    Lori Wozney, Patricia Lingley-Pottie, Patrick J. McGrath, Anna Huguet & Karen Turner

  2. IWK Health Centre, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada

    Lori Wozney, Patricia Lingley-Pottie, Patrick J. McGrath & Anna Huguet

  3. University of New Brunswick, PO Box 4400, Fredericton, NB, E3B 5A3, Canada

    Janine Olthuis

  4. Dalhousie University, 6299 South Street, Halifax, NS, B3H 3J5, Canada

    Patricia Lingley-Pottie, Patrick J. McGrath & Anna Huguet

  5. Strongest Families Institute, 267 Cobequid Road, Lower Sackville, NS, B4C 4E8, Canada

    Patricia Lingley-Pottie, Patrick J. McGrath & Jillian Kennedy

  6. Department of Psychology, St. John’s University, Jamaica, Queens, NY, 11439, USA

    William Chaplin & Brianna Cheney

  7. McGill University, 1130 Pine Avenue West, Montreal, QC, H3A1A3, Canada

    Frank Elgar

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  1. Lori Wozney
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  2. Janine Olthuis
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Contributions

PJ-M and P-LP conceived of the study and developed the background, methods and design. LM-W and J-O drafted the manuscript and critically revised it for important intellectual content. K-T provided overall trial management and staff supervision and provided substantial revision to the content of the manuscript. W-C and B-C conducted statistical analysis and drafted the main results. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Lori Wozney.

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Conflict of interest

Dr. McGrath is a volunteer Chair of the Board and Dr. Lingley-Pottie and Jillian Kennedy are paid employees of the Strongest Families Institute, a not-for-profit organization. Dr. Lingley-Pottie’s academic time on this study was in-kind.

Funding

The study was funded by the Women’s Health in Rural Communities (WHIRC) research program funded by the Canadian Institutes of Health Research (CIHR; Funding Reference Number 70789).

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Wozney, L., Olthuis, J., Lingley-Pottie, P. et al. Strongest Families™ Managing Our Mood (MOM): a randomized controlled trial of a distance intervention for women with postpartum depression. Arch Womens Ment Health 20, 525–537 (2017). https://doi.org/10.1007/s00737-017-0732-y

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