Nana Jiao1, Lixia Zhu2, Yap Seng Chong3, Wai-Chi Sally Chan4, Nan Luo5, Wenru Wang6, Rongfang Hu7, Yiong Huak Chan8, Hong-Gu He9. 1. Research Assistant, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore. Electronic address: nurjn@nus.edu.sg. 2. Research Fellow, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore. Electronic address: phczlix@nus.edu.sg. 3. Senior Consultant, Department of Obstetrics and Gynecology, National University Hospital; Professor, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore. Electronic address: obgcys@nus.edu.sg. 4. Professor, School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Australia. Electronic address: sally.chan@newcastle.edu.au. 5. Associate Professor, Saw Swee Hock School of Public Health, National University of Singapore, Singapore; National University Health System, Singapore. Electronic address: nan_luo@nuhs.edu.Sg. 6. Associate Professor, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore. Electronic address: nurww@nus.edu.sg. 7. Professor, School of Nursing, Fujian Medical University, Fuzhou, China. Electronic address: hulu2886@sina.com. 8. Senior Biostatistician, Biostatistics Unit, National University of Singapore, Singapore. Electronic address: medcyh@nus.edu.sg. 9. Associate Professor, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore. Electronic address: nurhhg@nus.edu.sg.
Abstract
BACKGROUND: Besides physical and mental changes from childbirth, first-time mothers are also confronted with challenges associated with the demands of adapting to their roles as new parents. While positive effects of home-based psychoeducation intervention for mothers have been demonstrated, limited studies have developed and examined more accessible and cost-effective web-based psychoeducational interventions for mothers. OBJECTIVE: To examine the effectiveness of web-based and home-based postnatal psychoeducational interventions for first-time mothers during the early postpartum period. METHODS: A randomized controlled three-group pre-test and post-tests experimental design was adopted. Data were collected over five months, from October 2016 to August 2017, in a public tertiary hospital in Singapore from 204 primiparas who were randomly allocated to the web-based psychoeducation group, the home-based psychoeducation group, or the control group. The measured outcomes included maternal parental self-efficacy, social support, psychological well-being, satisfaction with postnatal care, and cost-effectiveness evaluation. Data were collected at four time points: the baseline, and three post-tests at one month, three and six months post-delivery. RESULTS: When compared to the control group, the web-based intervention improved self-efficacy at post-test 1 (mean difference = 2.68, p = 0.028) and reduced postnatal depression at post-test 3 (mean difference = -1.82, p = 0.044), while the home-based intervention did not show significant effect on these two outcomes at all post-tests. Both web-based and home-based interventions helped mothers to get better social support at all post-tests than those in the control group. Mothers in both web-based and home-based intervention groups were more satisfied with the postnatal care than those in the control group at all post-test time points (except for web-based group at post-test 1). There were no differences in anxiety scores among the three groups. When compared to the home-based intervention, the web-based intervention showed noninferior effect on all outcomes at all post-tests. CONCLUSION: The web-based intervention had better effects on improving self-efficacy, social support, and postnatal depression, which should be introduced to first-time mothers for better postnatal care.
RCT Entities:
BACKGROUND: Besides physical and mental changes from childbirth, first-time mothers are also confronted with challenges associated with the demands of adapting to their roles as new parents. While positive effects of home-based psychoeducation intervention for mothers have been demonstrated, limited studies have developed and examined more accessible and cost-effective web-based psychoeducational interventions for mothers. OBJECTIVE: To examine the effectiveness of web-based and home-based postnatal psychoeducational interventions for first-time mothers during the early postpartum period. METHODS: A randomized controlled three-group pre-test and post-tests experimental design was adopted. Data were collected over five months, from October 2016 to August 2017, in a public tertiary hospital in Singapore from 204 primiparas who were randomly allocated to the web-based psychoeducation group, the home-based psychoeducation group, or the control group. The measured outcomes included maternal parental self-efficacy, social support, psychological well-being, satisfaction with postnatal care, and cost-effectiveness evaluation. Data were collected at four time points: the baseline, and three post-tests at one month, three and six months post-delivery. RESULTS: When compared to the control group, the web-based intervention improved self-efficacy at post-test 1 (mean difference = 2.68, p = 0.028) and reduced postnatal depression at post-test 3 (mean difference = -1.82, p = 0.044), while the home-based intervention did not show significant effect on these two outcomes at all post-tests. Both web-based and home-based interventions helped mothers to get better social support at all post-tests than those in the control group. Mothers in both web-based and home-based intervention groups were more satisfied with the postnatal care than those in the control group at all post-test time points (except for web-based group at post-test 1). There were no differences in anxiety scores among the three groups. When compared to the home-based intervention, the web-based intervention showed noninferior effect on all outcomes at all post-tests. CONCLUSION: The web-based intervention had better effects on improving self-efficacy, social support, and postnatal depression, which should be introduced to first-time mothers for better postnatal care.
Authors: Shailee Siddhpuria; Genevieve Breau; Madison E Lackie; Brynn M Lavery; Deirdre Ryan; Barbara Shulman; Andrea L Kennedy; Lori A Brotto Journal: JMIR Form Res Date: 2022-06-23
Authors: Cornelius O Okorie; Francisca N Ogba; Benjamin A Amujiri; Felix M Nwankwo; Theresa O Oforka; Ntasiobi C N Igu; Christopher C Arua; Basil N Nwamuo; Charles N Okolie; Esther O Ogbu; Kingsley N Okoro; Kingsley C Solomon; Bright E Nwamuo; Livinus O Akudolu; Victor O Ukaogo; Florence O Orabueze; Ikpechukwuka E Ibenekwu; Casimir K C Ani; Harrison O Iwuala Journal: Internet Interv Date: 2022-05-26