Postpartum depression (PPD) is associated with significant health consequences for mothers and children, and the current COVID-19 pandemic has had a major impact on the mental health of particularly vulnerable populations including pregnant Black and Latina women. There is an urgent need for evidence-based, accessible, and scalable mental health care options for these high-risk, vulnerable women. This study aims to: (a) compare the effectiveness of two digitally-delivered self-paced stress reduction programs in pregnant Black and Latina women at increased risk of PPD; and (b) examine barriers and facilitators to implementation within a large healthcare system.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
600
Participants will use stress reduction program 'A' app 10-20 min per day for 6 weeks.
Participants will use stress reduction program 'B' app 10-20 min per day for 6 weeks.
Kaiser Permanente Northern California
Oakland, California, United States
Patient Health Questionnaire-9
Depression scale; total score range of 0-27; higher scores indicate higher depression.
Time frame: Baseline
Patient Health Questionnaire-9
Depression scale; total score range of 0-27; higher scores indicate higher depression.
Time frame: 6-week follow-up
Patient Health Questionnaire-9
Depression scale; total score range of 0-27; higher scores indicate higher depression.
Time frame: 7 weeks postpartum
Perceived Stress Scale
10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress
Time frame: Baseline
Perceived Stress Scale
10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress
Time frame: 6-week follow-up
Perceived Stress Scale
10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress
Time frame: 7 weeks postpartum
Generalized Anxiety Disorder 7-item scale
Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety.
Time frame: Baseline
Generalized Anxiety Disorder 7-item scale
Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety.
Time frame: 6-week follow-up
Generalized Anxiety Disorder 7-item scale
Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety.
Time frame: 7 weeks postpartum
Promis Sleep Disturbance - Short Form 6a
Scale is composed of 6 items developed to assess the domain of sleep disturbances in the past 7 days. Scores range 6-30 with higher scores indicating greater sleep disturbance.
Time frame: Baseline
Promis Sleep Disturbance - Short Form 6a
Scale is composed of 6 items developed to assess the domain of sleep disturbances in the past 7 days. Scores range 6-30 with higher scores indicating greater sleep disturbance.
Time frame: 6-week follow-up
Promis Sleep Disturbance - Short Form 6a
Scale is composed of 6 items developed to assess the domain of sleep disturbances in the past 7 days. Scores range 6-30 with higher scores indicating greater sleep disturbance.
Time frame: 7 weeks postpartum
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