Social Media-Based Parenting Program for Women with Postpartum Depressive Symptoms

项目摘要/摘要 产后抑郁(PPD)症状在产后妇女中很常见， 对母亲照顾孩子的能力产生不利影响。因此，患有产后抑郁症状的母亲的婴儿 可能会经历反应较慢的育儿方式，使他们面临更大的发育延迟风险。证据- 已经开发了基于父母的育儿计划来指导母亲照顾她们的婴儿，但可能没有 解决抑郁对育儿的影响，是密集和昂贵的管理，能力有限 规模扩大，或不能以便于有抑郁症状的妇女参与的形式提供。 因此，这些女性可能无法利用育儿计划的好处。我们的长- 学期目标是制定有效的育儿策略，以促进母亲的最佳子女发展 患有产后抑郁症状。我们这项申请的总体目标是研究该计划是否 与在线抑郁症治疗相结合，可以提高父母的反应能力(目标)，并改善信号 儿童语言、社会情绪和认知发展(结果)与抑郁症治疗的比较 独自一人。具体目标是1)确定基于社交媒体的育儿计划是否可以改善 在有产后抑郁症状的母亲中进行响应性育儿(目标)，2)确定社交媒体- 基于父母的教育计划可以改善响应性的父母教育(目标)，并标志着孩子更大的发展 (结果)在有PPD症状的母亲中，以及3)探索以下因素的影响： 关于响应式育儿的育儿计划。拟议的研究将在3-4个初级保健诊所进行 附属于一家大型城市儿童医院，包括两个阶段：初步试点RCT测试项目 关于响应性育儿的育儿计划(R61)和随后的RCT进一步测试参与度 该方案和探索儿童发展和调节因子的治疗效果(R33)。在 第一阶段，75名种族和种族不同的妇女筛查PPD症状呈阳性并有婴儿 &lt；6个月大的婴儿将随机接受育儿计划和在线抑郁症治疗，或者 在线抑郁治疗单独评估目标敬业度。在第二阶段，额外的75名符合条件的 女性将随机接受育儿计划加上在线抑郁症治疗或抑郁症 单独治疗。在后一阶段，我们将进一步确定育儿方案是否有效 参与建议的目标，响应性养育，并标志着比 在线抑郁症治疗计划。此外，我们还将探索治疗的调解人和主持人 对响应性父母教养的影响。这项申请的结果可望为新的 了解并告知未来关于育儿策略的试验，以更好地帮助患有产后抑郁症状和 改善儿童发展成果。

Project Summary/Abstract Postpartum depressive (PPD) symptoms are common among women following the birth of a child and can adversely impact a mother's ability to care for her child. As a result, infants of mothers with PPD symptoms may experience less responsive parenting, placing them at greater risk for delays in development. Evidence- based parenting programs have been developed to guide mothers with caring for their infants but may not address the impact of depression on parenting, are intensive and expensive to administer with limited ability for scale up, or are not available in a format that facilitates participation by women with depressive symptoms. Therefore, these women may not be able to take advantage of the benefits of parenting programs. Our long- term goal is to develop effective parenting strategies to facilitate optimal child development for mothers suffering with PPD symptoms. Our overall objective for this application is to study whether this program combined with online depression treatment leads to more responsive parenting (target) and signals improved child language, socioemotional and cognitive development (outcomes) compared to depression treatment alone. The specific aims are 1) to determine whether a social media-based parenting program can improve responsive parenting (target) among mothers with PPD symptoms, 2) to determine whether a social media- based parenting program can improve responsive parenting (target) and signal greater child development (outcome) among mothers with PPD symptoms, and 3) to explore mediators and moderators of the effects of the parenting program on responsive parenting. The proposed study will occur at 3-4 primary care practices affiliated with a large urban children's hospital and consist of 2 phases: an initial pilot RCT testing engagement of the parenting program on responsive parenting (R61) and a subsequent RCT further testing engagement of the program and exploring child development and mediators and moderators of treatment effect (R33). In the first phase, 75 ethnically and racially diverse women who screen positive for PPD symptoms and have infants <6 months of age will be randomized to receive the parenting program plus online depression treatment or online depression treatment alone to assess target engagement. In the second phase, an additional 75 eligible women will be randomized to receive the parenting program plus online depression treatment or depression treatment alone. In this latter phase, we will further determine whether the parenting program effectively engages the proposed target, responsive parenting, and signals greater child developmental status than the online depression treatment program. In addition, we will explore mediators and moderators of treatment effects on responsive parenting. The results of this application would be expected to contribute important new knowledge and inform a future trial on parenting strategies to better assist mothers with PPD symptoms and improve child developmental outcomes.