- Title
- Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: a randomised controlled trial
- Creator
- Jiao, Nana; Zhu, Lixia; Chong, Yap Seng; Chan, Wai-Chi Sally; Luo, Nan; Wang, Wenru; Hu, Rongfang; Chan, Yiong Huak; He, Hong-Gu
- Relation
- International Journal of Nursing Studies Vol. 99, no. 103385
- Publisher Link
- http://dx.doi.org/10.1016/j.ijnurstu.2019.07.002
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2019
- Description
- 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.
- Subject
- depression; postnatal care; postpartum; randomized controlled trial; self-efficacy; social support
- Identifier
- http://hdl.handle.net/1959.13/1416522
- Identifier
- uon:37065
- Identifier
- ISSN:0020-7489
- Rights
- © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
- Language
- eng
- Full Text
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