Momba: A smartphone application to promote the mental health of new mothers

Momba：促进新妈妈心理健康的智能手机应用程序

• 批准号: 8642211
• 负责人: LINDA Carol MAYES
• 金额: $ 24.98万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-15 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8642211
• 关键词: Adolescent; Affect; Anxiety Disorders; Caring; Communities; Community Health; Connecticut; Country; Depressed mood; Depressive disorder; Educational Curriculum; Family; Grant; Health; Health behavior change; Healthcare; High Risk Woman; Hospitals; Industry; Information Dissemination; Internet; Intervention; Learning; Low income; Major Depressive Disorder; Marital Status; Market Research; Mediating; Mental Depression; Mental Health; Mental health promotion; Minority; Minority Groups; Mood Disorders; Mothers; Motivation; Online Systems; Parenting behavior; Participant; Pilot Projects; Population; Postpartum Women; Poverty; Pregnancy; Pregnant Women; Randomized; Randomized Controlled Trials; Recruitment Activity; Research; Risk; Risk Factors; Sampling; Science; Scientist; Social Network; Social isolation; Social support; Technology; Telephone; Training; Urban Hospitals; Woman; child bearing; design; ethnic minority population; medical specialties; member; men; novel; outreach; public health relevance; social; virtual; web-based social networking; web-enabled; willingness

DESCRIPTION (provided by applicant): Depressive and anxiety disorders affect women twice as frequently as men. Women are at highest risk for a depressive disorder during their childbearing years. Known risk factors among women include low-income, single marital status, adolescent parenting, and social isolation. Although racial and ethnic minority status, per se, do not increase risk of major depressive disorder, poverty mediates risk of depression leading to high rates of mood disorders in ethnic minority women. Despite their elevated risk for depression, low-income, minority women are less likely to obtain mental health care in either the primary or specialty setting, and less likely to receive appropriate care when they do seek it. Social connections and social support are critical to the mental health of new mothers. However, few interventions have been developed to target social connectedness on a communitywide-level. We propose to promote community-wide maternal mental health through the creation of a web-based social networking application. A sample of mothers residing in New Haven, Connecticut and delivering a baby at Yale-New Haven Hospital will be provided with a web-enabled phone (or "smartphone"), internet connectivity, access to our web-based community, Momba, and training on how to use it. In years 2 through 3 of the grant period we will randomize women to receive the web-based intervention. A community health worker, termed "Community Mental Health Ambassador," will provide training for mothers on how to use the web-based application. To accomplish our aims we have assembled a team of scientists, industry-leaders, and community members to advance not only the science and research, but also the learning and dissemination of information derived from the web-based platform for new mothers. We will manualize and distribute our training curriculum for Community Mental Health Ambassadors for use by communities across the country and internationally. This curriculum will allow communities to train mothers and other outreach and professional staff on the use of technology for the promotion of mental health.

描述（由申请人提供）：抑郁症和焦虑症影响女性的频率是男性的两倍。妇女在生育年龄期间患抑郁症的风险最高。妇女中已知的风险因素包括低收入、单身婚姻状况、青少年育儿和社会孤立。虽然种族和少数民族的地位本身并不增加抑郁症的风险，但贫困介导了抑郁症的风险，导致少数民族妇女的情绪障碍率很高。尽管她们患抑郁症的风险较高，但低收入的少数民族妇女在初级或专业环境中获得心理健康护理的可能性较小，而且在寻求适当护理时获得适当护理的可能性也较小。然而，针对全社区一级的社会联系制定的干预措施很少。我们建议通过创建一个基于网络的社交网络应用程序，促进全社区的孕产妇心理健康。一个样本的母亲居住在纽黑文，康涅狄格州和提供一个婴儿在耶鲁-纽黑文医院将提供一个网络功能的电话（或“智能手机”），互联网连接，访问我们的基于网络的社区，Momba，并培训如何使用它。在第2年至第3年的赠款期，我们将随机妇女接受基于网络的干预。一名被称为“社区心理健康大使”的社区卫生工作者将为母亲提供如何使用网络应用程序的培训。 为了实现我们的目标，我们组建了一个由科学家、行业领导者和社区成员组成的团队，不仅要推进科学和研究，还要学习和传播来自新妈妈网络平台的信息。我们将编写和分发社区心理健康大使培训课程，供全国和国际社区使用。该课程将使社区能够培训母亲和其他外联和专业工作人员使用技术促进心理健康。