Feasibility and Perception of Using Text Messages as an Adjunct Therapy for Low-Income, Minority Mothers With Postpartum Depression.
Feasibility and Perception of Using Text Messages as an Adjunct Therapy for Low-Income, Minority Mothers With Postpartum Depression.
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DOI：
10.2196/mental.4074
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发表时间：
2015-01
影响因子：
5.2
通讯作者：
Halloran DR
中科院分区：
文献类型：
--
作者：
Broom MA;Ladley AS;Rhyne EA;Halloran DR
产后抑郁症（PPD）是新妈妈中最常见的医学问题，可能对婴儿健康产生负面影响。低收入母亲往往难以完成传统治疗，特别是考虑到家庭面临的众多障碍。在患有产后抑郁症的低收入，主要是种族和少数民族母亲中，我们的目的是评估（1）发送支持性短信的可行性，以及（2）接受私人支持性短信治疗产后抑郁症的看法。被发现有产后抑郁症风险的母亲每周收到四次支持性短信，持续6个月，除了接受学术儿科办公室的传统咨询服务外。可行性进行了评估沿着与蜂窝和文本消息的使用，访问，和感知的消息协议。在研究完成时，通过Likert量表问卷和开放式定性调查评估对消息协议的感知。总共有4158/4790（86.81%）的短信在6个月内以低成本（777.60美元）成功地发送给了54位母亲。在96条脚本消息中，37条唯一消息（38.54%）允许响应。在所有允许回复的发送信息中，7.30%（118/1616）得到了回复，其中66.1%的回复要求回电; 46%（25/54）的母亲至少回复了一次短信。母亲们认为信息容易接收和阅读（25/28，89%），与她们个人有关（23/28，82%）。大多数人与他人分享文本（21/28，75%）。短信是可行的，被广泛接受的，并且可以作为一种简单，廉价的辅助治疗，非常适合跨越社会经济界限，为患有产后抑郁症的高危母亲提供私人支持。
Postpartum depression (PPD) is the most common medical problem among new mothers that can have a negative impact on infant health. Traditional treatments are often difficult for low-income mothers to complete, particularly given the numerous barriers families face. Among low-income, primarily racial, and ethnic minority mothers with postpartum depression, our aim was to evaluate (1) the feasibility of sending supportive text messages, and (2) the perception of receiving private, supportive text messages for postpartum depression. Mothers found to be at risk for postpartum depression received supportive text messages four times weekly for 6 months in addition to receiving access to traditional counseling services based within an academic pediatric office. Feasibility was evaluated along with cellular and text messaging use, access, and perception of the message protocol. Perception of the message protocol was evaluated at study completion via a Likert scale questionnaire and open-ended qualitative survey. In total, 4158/4790 (86.81%) text messages were successfully delivered to 54 mothers over a 6-month period at a low cost (US $777.60). Among the 96 scripted messages, 37 unique messages (38.54%) allowed for a response. Of all sent messages that allowed for responses, 7.30% (118/1616) were responded to, and 66.1% of those responses requested a call back; 46% (25/54) of mothers responded at least once to a text message. Mothers felt that messages were easily received and read (25/28, 89%) and relevant to them personally (23/28, 82%). Most shared texts with others (21/28, 75%). Text messaging is feasible, well-accepted, and may serve as a simple, inexpensive adjunct therapy well-suited to cross socioeconomic boundaries and provide private support for at-risk mothers suffering from postpartum depression.