Archives of Women's Mental Health

, Volume 20, Issue 4, pp 525–537 | Cite as

Strongest Families™ Managing Our Mood (MOM): a randomized controlled trial of a distance intervention for women with postpartum depression

  • Lori Wozney
  • Janine Olthuis
  • Patricia Lingley-Pottie
  • Patrick J. McGrath
  • William Chaplin
  • Frank Elgar
  • Brianna Cheney
  • Anna Huguet
  • Karen Turner
  • Jillian Kennedy
Original Article

Abstract

The present study investigated whether a distance-delivered intervention could significantly decrease mild to moderate postpartum depression (PPD) in mothers as compared to usual care. Mothers with PPD (n = 62) were randomly assigned to the intervention or standard community care. Participants receiving the intervention followed a 12-session cognitive behavioural informed handbook supplemented with telephone-based coaching support. Diagnostic status and depressive symptoms were assessed at baseline and 3, 6 and 12 months postrandomization. Odds ratios indicated that intervention group participants were 1.5 times as likely to experience diagnostic remission at 3 months (mid-intervention) (p = 0.742), 1.54 times as likely at 6 months (p = 0.696) and 12.5 times as likely at 12 months (p = 0.009). Intervention ‘dosage’ significantly moderated this effect; for every additional coaching session completed, individuals had a 1.4 times greater chance of showing improvement at 3 and 6 months. Mothers reported high satisfaction with the intervention. Findings suggest positive outcomes at each time point and superior outcomes to the control condition at the long-term follow-up. Caution in interpreting these results is warranted due to small sample size and incomplete data; however, they support further investigation into the use of distance interventions as an accessible and effective solution for women with PPD.

Keywords

Postpartum depression Randomized controlled trial Telehealth Cognitive behavioural intervention Health care access 

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Copyright information

© Springer-Verlag Wien 2017

Authors and Affiliations

  • Lori Wozney
    • 1
    • 2
  • Janine Olthuis
    • 3
  • Patricia Lingley-Pottie
    • 1
    • 2
    • 4
    • 5
  • Patrick J. McGrath
    • 1
    • 2
    • 4
    • 5
  • William Chaplin
    • 6
  • Frank Elgar
    • 7
  • Brianna Cheney
    • 6
  • Anna Huguet
    • 1
    • 2
    • 4
  • Karen Turner
    • 1
  • Jillian Kennedy
    • 5
  1. 1.Centre for Research in Family HealthHalifaxCanada
  2. 2.IWK Health CentreHalifaxCanada
  3. 3.University of New BrunswickFrederictonCanada
  4. 4.Dalhousie UniversityHalifaxCanada
  5. 5.Strongest Families InstituteLower SackvilleCanada
  6. 6.Department of PsychologySt. John’s UniversityQueensUSA
  7. 7.McGill UniversityMontrealCanada

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