mHealth Mindfulness Intervention for Women with Moderate-to-Moderately-Severe Antenatal Depressive Symptoms: a Pilot Study Within an Integrated Health Care System.
mHealth Mindfulness Intervention for Women with Moderate-to-Moderately-Severe Antenatal Depressive Symptoms: a Pilot Study Within an Integrated Health Care System.
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mHealth正念干预中度至中度重度抑郁症状的女性：综合医疗保健系统内的试点研究。
DOI：
10.1007/s12671-021-01606-8
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发表时间：
2021
期刊：
影响因子：
3.6
通讯作者：
Avalos LA
中科院分区：
文献类型：
--
作者：
Kubo A;Aghaee S;Kurtovich EM;Nkemere L;Quesenberry CP Jr;McGinnis MK;Avalos LA
传统的基于正念的干预措施已被证明可以减少孕妇的抑郁症状，尽管面对面的课程可能会造成重大的可及性障碍，特别是在COVID-19大流行期间。移动的技术提供了更大的便利，但很少有人知道关于自定进度，移动交付（mHealth）正念干预在这一人群中的疗效。本研究旨在探讨对中重度抑郁症孕妇进行干预的可行性和可接受性。我们在Kaiser Permanente北方加州（KPNC）进行了一项单组试验。参与者通过KPNC的普遍围产期抑郁症筛查计划确定。合格的参与者包括讲英语的孕妇（<28周妊娠），患有中度至中度重度抑郁症状，没有定期（<3次/周）的正念/冥想练习。参与者被要求使用移动的应用程序Headspace™，每天10-20分钟，进行为期6周的自定进度正念冥想计划。结果指标包括可行性、可接受性和患者报告的结果（例如，抑郁症状）。在入组的27名女性中，20名（74%）完成了研究。超过一半（55%）的参与者在6周干预期间使用该应用程序的天数≥50%。对半结构化访谈的答复表明，妇女赞赏干预措施的便利性和参与的能力，而不必上课或安排儿童保育。我们观察到干预前后抑郁症状、感知压力、睡眠障碍和正念评分的显著改善。我们的研究证明了mHealth正念干预对中度至中度重度产前抑郁症状的女性的可行性和可接受性。初步数据进一步表明，有必要进行疗效试验。
Traditional mindfulness-based interventions have been shown to reduce depression symptoms in pregnant women, although in-person classes may pose significant accessibility barriers, particularly during the COVID-19 pandemic. Mobile technology offers greater convenience, but little is known regarding the efficacy of self-paced, mobile-delivered (mHealth) mindfulness interventions in this population. This study tested the feasibility and acceptability of offering such an intervention for pregnant women with moderate-to-moderately-severe depression symptoms. We conducted a single-arm trial within Kaiser Permanente Northern California (KPNC). Participants were identified through KPNC’s universal perinatal depression screening program. Eligible participants included English-speaking pregnant women (<28 weeks of gestation) with moderate-to-moderately-severe depressive symptoms without a regular (<3 times/week) mindfulness/meditation practice. Participants were asked to follow a self-paced, 6-week mindfulness meditation program using a mobile app, Headspace™, 10–20 min/day. Outcome measures included feasibility, acceptability, and patient-reported outcomes (e.g., depression symptoms). Of the 27 women enrolled, 20 (74%) completed the study. Over half (55%) of participants used the app ≥50% of the days during the 6-week intervention. Responses to the semi-structured interviews indicated that women appreciated the convenience of the intervention and the ability to engage without having to attend classes or arrange childcare. We observed significant improvements in pre-postintervention scores for depression symptoms, perceived stress, sleep disturbance, and mindfulness. Our study demonstrates the feasibility and acceptability of an mHealth mindfulness intervention for women with moderate-to-moderately-severe antenatal depression symptoms. The preliminary data further suggest that an efficacy trial is warranted.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.3389/fgwh.2020.00001
发表时间：
2020
期刊：
Frontiers in global women's health
影响因子：
--
作者：
Davenport MH;Meyer S;Meah VL;Strynadka MC;Khurana R
通讯作者：
Khurana R
影响因子：
5.9
作者：
Dimidjian, Sona;Goodman, Sherryl H.;Beck, Arne
通讯作者：
Beck, Arne
影响因子：
7.4
作者：
Bruggeman-Everts, Fieke Z.;Wolvers, Marije D. J.;Van der Lee, Marije L.
通讯作者：
Van der Lee, Marije L.
影响因子：
3.6
作者：
Economides M;Martman J;Bell MJ;Sanderson B
通讯作者：
Sanderson B