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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

Adaptation of an evidence-based postpartum depression intervention: feasibility and acceptability of mothers and babies 1-on-1

Authors: S. Darius Tandon, Julie A. Leis, Erin A. Ward, Hannah Snyder, Tamar Mendelson, Deborah F. Perry, Mya Carter, Jaime Hamil, Huynh-Nhu Le

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

Mothers and Babies (MB) is a cognitive-behavioral intervention with demonstrated efficacy in reducing depressive symptoms and preventing depressive episodes among perinatal women when delivered in a group format by mental health professionals. Study aims were to describe the adaptation of MB into a 1-on-1 modality (MB 1-on-1) and provide data on the adapted intervention’s acceptability and feasibility.

Methods

Seventy-five home visitors trained on MB 1-on-1 delivered the 15-session intervention to 1–2 clients. Client acceptability data assessed intervention enjoyment, comprehension, and usefulness. Home visitor feasibility and acceptability data measured amount of intervention material delivered, client comprehension, and client engagement.

Results

Home visitors were all female with 8.8 years of experience on average. 117 clients completed acceptability surveys. Average client age was 21.9 years and 41% were pregnant. Home visitors completely covered 87.9% of sessions and reported clients totally understood MB material 82.5% of the time across sessions, although variability was found in comprehension across modules. 82.0% of clients found MB 1-on-1 enjoyable and 91.6% said they totally understood sessions, when averaged across sessions. Clients enjoyed content on noticing one’s mood and pleasant activities. Implementation challenges were client engagement, facilitating completion of personal projects, and difficulty shifting between didactic and interactive activities.

Conclusions

Clients found MB 1-on-1 to be enjoyable, easily understood, and useful. Home visitors reported excellent implementation fidelity and felt clients understood MB material. A refined 12-session version of MB 1-on-1 should be examined for its effectiveness in reducing depressive symptoms, given encouraging feasibility and acceptability data.
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Metadata
Title
Adaptation of an evidence-based postpartum depression intervention: feasibility and acceptability of mothers and babies 1-on-1
Authors
S. Darius Tandon
Julie A. Leis
Erin A. Ward
Hannah Snyder
Tamar Mendelson
Deborah F. Perry
Mya Carter
Jaime Hamil
Huynh-Nhu Le
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1726-0

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