Development of health promotion service for women in perinatal period using mental health app
- Conditions
- Factors influencing health status and contact with health services
- Registration Number
- KCT0007166
- Lead Sponsor
- Bundang CHA General Hospital
- Brief Summary
A total of 143 potentially eligible perinatal women were recruited. Of those who met the eligibility criteria, 5% (7/143) did not complete the baseline assessment and 2% (3/143) did not meet the inclusion criteria. In this light, 133 participants were randomized, of which 66 were allocated to the intervention group and 67 to the wait-list control group. During the follow-up process for the 133 participants, 13% (17/133) did not complete post-intervention assessment and 17% (22/133) were not willing to continue the participation. Subsequently, A total of 94 participants were included in the analysis (Figure). The specific demographics is presented at Table 2. All 133 participants were pregnant and married at baseline. The mean (SD) age was 32.6 (4.297) years for the intervention group and 32.8 (4.441) years for the wait-list control group. There were no differences in pregnancy periods, occupation, education level, income, pregnant plan, medical diagnosis, and other characteristics. There were missing values for three participants' samples, but the statistical analysis was carried out using the last-observation-carried-forward method. Table 3 describes the intervention effect on perinatal depression, anxiety, and stress. A statistically significant improvement was found only for anxiety by measurement with the DASS-21. Participants in the intervention group had significant improvement in anxiety symptoms, on the other hand, those in the wait-list control group had increased anxiety symptoms (intervention: -1.26, WLC= +1.45, F= 4.351, P=.04). There were no significant changes in depression and stress symptoms. In addition, EPDS scores also had not statistically significant improvement. The intervention effect on mindfulness is presented at Table 4. There was a statistically significant improvement only for the awareness, which is one of the factors of CAMR-r. The score of awareness at both groups increased, while the score at the intervention group had a higher score (intervention: +1.31, WLC= +.06, F=5.045, P=.027). There were no significant improvements in other factors (attention and acceptance). Significant improvements on the total score of MHC-sf and its subscales were found, as shown in Table 5. The total MHC-SF score increased in the intervention group, while the score decreased in the wait-list control group (intervention: +3.74, WLC= -2.48, F=6.603, P=.012). Subsequently, the following three factors of the MHC-sf scale appeared in the same pattern; Emotional well-being (intervention: +0.98, WLC= -0.36, F=5.939, P=.017), Social well-being (intervention: +1.61, WLC= -0.54, F=4.969, P=.028) and Psychological well-being (intervention: +1.15, WLC= -1.58, F=4.949, P=.029). Table 6 summarizes statistically significant improvement of attachment between mother and fetus. There were no significant changes in the total score of MFAS, however, significant improvements were found in some factors of the MFAS scale. The score of “differentiation self from fetus” increased in the intervention group, while the score of the wait-list control group declined (intervention: +0.74, WLC= -0.12, F=5.844, P=.018). The “attributing characteristic to fetus” scores at both groups increased, while the score at the intervention group had a higher score (intervention: +1.35, WLC= +0.12, F=4.155, P=.044). Of the total 133 participants, 80 participants responded to the USE questionnaires. 88% (70/80) strongly agreed to acceptability of the app through the total scores on the scale. The mean score (SD) was 5.7 (0.62). 75% (60/80) agreed in the ease of use the app. The mean (SD) score of the usefulness was 5.4 (0.79). 98% (78/80) agreed that the app was easy to learn. The mean score (SD) of ease of learning was 6.4 (0.67). 91% (73/80) of participants agreed that the app was easy to use. The mean score (SD) was 5.9 (0.68). Additionally, 81% (65/80) agreed with the satisfaction of the app. The mean score (SD) was 5.6 (0.79).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Female
- Target Recruitment
- 133
Eligibility criteria included: (1) at least 18 years old, (2) between 1 and 32 weeks of gestation, (3) having smartphone, (4) being able to use smartphone and willing to use the mindfulness-based mobile app, (5) being able to read and understand Korean, (6) being willing to provide informed consent form
Exclusion criteria were: (1) over 32 weeks of gestation, (2) being expected to give childbirth within 4 weeks (during the intervention period), (3) being unable to use a smartphone or download the mobile app, (4) being unwilling to participate
Study & Design
- Study Type
- Interventional Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Depression, Anxiety and Stress Scale, 21-question version (DASS-21);Edinburgh Postnatal Depression Scale (EPDS);Cognitive and Affective Mindfulness Scale-revised (CAMS-r);Mental Health Continuum-short form (MHC-SF);Maternal-Fetal Attachment scale (MFAS)
- Secondary Outcome Measures
Name Time Method The Usefulness, Satisfaction, and Ease of Use Questionnaire