MOMS Link: Sustainable Telephone-Based Support for Mothers with Postpartum Depression
Project Summary
This study emerges from an ongoing program of research on PPD support needs and interventions for women and families affected by PPD, and a CIHR funded meeting of key stakeholders on screening and intervention for Postpartum depression (PPD) in the Maritimes. A collaboration between the CHILD Studies Program, New Brunswick Department of Health, and Sykes Telecare, the study aims to develop and test an integrated, telephone-based, peer support program for mothers with (PPD).
PPD is the most frequently occurring morbidity following childbirth. PPD is characterized by the presence, at least two weeks in duration, of depressed mood, loss of interest in usually pleasurable activities, and any four of the following: loss of energy, agitation or activity retardation, changes in appetite, diminished concentration or indecisiveness, or frequent thoughts of suicide or death. Often exacerbating these symptoms are low self-esteem, inability to cope, feelings of incompetence and loneliness. Tha overall prevalence of major PPD is 13% among diverse mothers. PPD has well-documented negative effects on marital satisfaction, maternal-infant interactions, infant behavior and child social and cognitive development.
Goals and Objectives
Phase 1. Develop an innovative, accessible and acceptable telephone-based peer-support intervention for mothers affected by PPD that builds upon existing Telecare technology and research on telephone based peer-support.
Phase 2. (A) Test the effectiveness and acceptability of telephone-based peer-support intervention for mothers with PPD via quasi-experimental methods, and (B) Adapt the program to ensure sustainable and effective telephone-based support is available to mothers with PPD in NB.
Methods and Measures
Community-based participatory and integrated knowledge transfer approaches will be utilized throughout the course of this mulit-phase project. Phase 1involves individual (n=15-20) and group (n=1; 10-12 individuals) interviews with key stakeholders (e.g. Telecare resource personnel, government officials, service providers, national experts, and mothers affected by PPD) to develop an innovative peer-support program for mothers affected by PPD that can be accessed via Telecare. Phase 2 will implement this peer-support program using a quasi-experimental design to evaluate the program's effectiveness.
Eligible, participating mothers will self-select for one of three groups:1. Traditional support (i.e. referrals to physician and mental health), 2. Traditional plus peer support, or 3. Peer support. Approximately 200 mothers will be enrolled throughout the course of the study. Administrative data will enable the collection of basic demographic information on Telecare clients who agree to participate in the study. Self-report data will also be collected at enrollment, midpoint (6 weeks after enrollment) and post-test (12 weeks after enrollment) on (1) measures of effectiveness including depressive symptoms, parenting, family functioning, child development and (2) clients' program satisfaction and recommendations for change. The program will be adapted based on measures of effectiveness and on clients' program satisfaction ratings and recommendations.
Analysis
Individual and group interviews will be audio-taped, transcribed, and subjected to thematic content analysis using a key category system of themes. Trained research assistants will code the data using inductive analysis, meet pre-specified criteria, use explicit coding rules, and maintain inter-rater agreement at 80%. Quantitative data will be analyzed with descriptive statistics and ANOVA for assessment of effective intervention on depressive symptoms, parenting, family functioning, and child development and health.
Team Members
Principle Investigator: | Nicole Letourneau University of Calgary |
Academic Research Team : | Cindy-Lee Dennis University of Toronto |
Linda Duffett-Leger University of New Brunswick |
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Anita Kozyrskyj University of Alberta |
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Patrick McGrath IWK, NS Health |
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Loretta Secco University of New Brunswick |
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Miriam Stewart University of Alberta |
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J. Doug Willms |
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Decision-Maker Partners: | Alan Bechervaise Program Manager, Primary Health Care Unit New Brunswick Department of Health |
Claudette Landry Office of the Chief Medical Officer of Health New Brunswick Department of Health |
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Murielle Wade Public Health Manager New Brunswick Department of Health |
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Ken Ross
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Community Advisory Committee: | Anne Lebans Province of New Brunswick |
Barbara Whitenect MSW Addiction and Mental Health Services |
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Betty Audain Sykes Telehealth |
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Bronwyn Davies New Brunswick Department of Health |
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Cheryl Hiscock RN |
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Dr. Gail Storr RN New Brunswick Baby Friendly Advisory Committee |
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Giselle Maillet Patient Advocate |
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Isabelle Melancon RD Public Health Practice & Population Health |
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Jeff denOtter MSW Early Childhood Services |
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Jim Murphy Sykes Telehealth |
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Leslie Costello |
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Monique LeBlanc Sykes Telehealth |
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Wendy McLeod-MacKnight MA Deputy Minister of Education and Early Childhood Development |
Progress to Date
Phase 1 and Phase 2 are now complete. Findings offer promise that telephone-based peer support is effective for both early postpartum depression and maternal depression up to two years after delivery. The non-judgmental support of peers appears to help overcome the barrier of stigma of mental illness.
If you, or someone you know, is experiencing symptoms of postpartum depression contact Tele-Care (811) to see if you are elegible to receive free, confidential and convenient support from another mother. If you have recovered from symptoms of postpartum depression, contact the Project Director, Jennifer Colpitts, at 1-877-214-8390 or Jennifer.Colpitts@unb.ca to see how you can provide support to another mother. You can also check out our website at www.momsnb.ca.