Social Media, Teen Moms, and PPD

社交媒体、青少年妈妈和 PPD

• 批准号: 8484549
• 负责人: M Cynthia LOGSDON
• 金额: $ 44.94万
• 依托单位: UNIVERSITY OF LOUISVILLE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-15 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8484549
• 关键词: Address; Adolescent; Adopted; Adult; Area; Attitude; Behavior; Child Development; Clinical; Clinical Nursing; Cognitive; Communications Media; Communities; Community Hospitals; Control Groups; County; Data; Depression screen; Development; Discipline of Nursing; Dose; Effectiveness; Emotional; Enrollment; Evaluation; Exposure to; Generations; Health; Health Care Seeking Behavior; Health Promotion; Health Resources; Health behavior change; Healthcare; Healthcare Systems; Individual; Infant; Intention; Internet; Intervention; Intervention Studies; Kentucky; Knowledge; Live Birth; Marketing; Measures; Mental Depression; Mental Health; Methods; Mothers; Outcome; Patient Education; Pattern; Perception; Planning Theory; Policies; Postpartum Depression; Public Health; Questionnaires; RQ2; Recruitment Activity; Research; Resources; Schools; Science; Services; Site; Social Change; Social Marketing; Societies; Symptoms; Teenagers; Testing; Text; Time; Underserved Population; United States; Vulnerable Populations; Work; base; behavior change; cost; cost effective; depressive symptoms; evidence base; experience; health disparity; improved; innovation; instrument; interest; intervention effect; literacy; new technology; programs; public health relevance; skills; social; teenage mother; urban area

DESCRIPTION (provided by applicant): Approximately 400,000 live births occur to adolescents in the United States annually. Of the 50% of adolescent mothers who experience depressive symptoms, less than 25% comply with referrals for depression evaluation and treatment due to lack of knowledge of depression symptoms (literacy), negative attitude towards mental health treatment, perception that individuals with depression are stigmatized (subjective norms), lack of understanding of health resources that are available to her and under her control (perceived control), and lack of time. Untreated depression creates a public health problem in this vulnerable group impacting the adolescent's relationships, functioning at work and school, health care seeking behaviors, mothering skills, and development as well as the development of her child. An innovative and evidence based approach is needed that overcomes each of these barriers, is feasible, is acceptable to adolescent mothers and leads to greater rates of depression treatment. Social media is a promising vehicle to reach and educate adolescent mothers since most adolescent mothers use social media for communication and to search for health information. Based upon the Theory of Planned Behavior, we will target 10 counties in Kentucky with a social media ad campaign that will result in adolescent mothers (n=140) from those counties enrolling in an internet based intervention related to postpartum depression. The previously tested intervention includes vignettes from other adolescent mothers, questions and answers, resources, and an option to enroll in text message service. Before the intervention, after the intervention, and two weeks later the adolescent mothers will complete established questionnaires to determine if the intervention improved attitude and subjective norms towards depression and depression treatment, perceived control and intention related to seeking depression treatment, and the number of adolescent mothers with symptoms of depression who receive depression treatment. Data will be compared to scores on the same instruments from adolescent mothers (n=140) from the control group (10 other counties in Kentucky) that have not been targeted with the social media ad campaign or participated in the intervention. Data from the adolescent mothers in the control group will be collected in partnership with community agencies. The overall purpose of this trial is to test a cost effective and feasible method for reducing the cognitive an emotional barriers to accessing depression treatment in adolescent mothers. The specific aims are to (1) measure the extent to which a social media ad campaign is effective as a recruitment strategy; (2) test the effectiveness of an internet based social marketing intervention on both intention to seek treatment and rates of depression treatment, and (3) examine the dose effect of the intervention. The innovative use of social media ads and an internet based social marketing intervention to increase rates of depression treatment in adolescent mothers has the potential to improve public health of two generations, adolescent mothers and their infants, and allows us to address a serious national health problem.

描述(由申请人提供)： 在美国，每年大约有40万名青少年出生。在50%有抑郁症状的青春期母亲中，由于缺乏抑郁症状知识(识字)、对心理健康治疗的消极态度、认为患有抑郁症的人被污名化(主观规范)、缺乏对她可用的和在她控制下的卫生资源的了解(感知控制)以及缺乏时间，只有不到25%的人遵守了抑郁症评估和治疗的转介。未经治疗的抑郁症在这一弱势群体中造成了公共卫生问题，影响了青少年的人际关系、工作和学校功能、寻求医疗保健的行为、育儿技能和发展以及她的孩子的发展。需要一种创新和以证据为基础的方法，克服这些障碍，是可行的，是青少年母亲可以接受的，并导致更高的抑郁症治疗率。社交媒体是接触和教育青少年母亲的一种很有前途的工具，因为大多数青少年母亲使用社交媒体进行交流和搜索健康信息。根据计划行为理论，我们将以肯塔基州的10个县为目标，通过社交媒体广告活动，导致这些县的青少年母亲(n=140)参加与产后抑郁症相关的互联网干预。之前测试的干预措施包括来自其他青少年母亲的小插曲、问题和答案、资源，以及注册短信服务的选项。在干预前、干预后和两周后，青少年母亲将完成既定的问卷，以确定干预是否改善了对抑郁和抑郁治疗的态度和主观规范，与寻求抑郁治疗相关的知觉控制和意图，以及有抑郁症状的青少年母亲接受抑郁治疗的人数。数据将与来自控制组(肯塔基州其他10个县)的青少年母亲(n=140)在相同工具上的分数进行比较，这些母亲没有成为社交媒体广告活动的目标，也没有参与干预。将与社区机构合作，收集控制组中少女母亲的数据。这项试验的总体目的是测试一种经济有效和可行的方法，以减少青春期母亲获得抑郁症治疗的认知和情感障碍。具体目的是(1)衡量社交媒体广告活动作为招募策略的有效程度；(2)测试基于互联网的社交营销干预在寻求治疗意向和抑郁症治疗率方面的有效性；以及(3)检查干预的剂量效应。创新地使用社交媒体广告和基于互联网的社交营销干预来提高青春期母亲抑郁症的治疗率，有可能改善两代人--青春期母亲及其婴儿--的公共健康，并使我们能够解决一个严重的国家健康问题。