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Perinatal depression prevention through home visitation: a cluster randomized trial of mothers and babies 1-on-1

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Abstract

Postpartum depression is highly prevalent in low-income women and has significant health effects on mother and child. This pilot study tested the effectiveness of the newly adapted Mothers and Babies (MB) 1-on-1 intervention. A cluster randomized trial was conducted with 8 programs using trained home visitors to deliver MB 1-on-1 and 6 delivering usual home visiting. One hundred twenty pregnant women not experiencing major depression were enrolled. Outcomes were assessed at baseline and 3- and 6-months postpartum. The rate of change in depressive and anxiety symptoms between groups was significant at 6 months, but not 3 months. No statistically significant differences between groups were found on secondary outcomes except perceptions of social support at 6 months. There was variability in use of MB skills, with fewer women using cognitive restructuring techniques. Although larger studies should be conducted, MB 1-on-1 appears promising in using home visitors to deliver a cognitive behavioral intervention to women at risk for postpartum depression.

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Funding

This study was funded by the Friends of Prentice Foundation. The Illinois Governor’s Office of Early Child Development funded home visiting program training and supervision. We are grateful to the Illinois Home Visiting Programs and clients who participated in this study, as well as Linda Delimata, Teresa Kelly, and Lesley Schwartz.

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Authors and Affiliations

  1. Department of Medical Social Sciences and Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, 750 N. Lake Shore Drive, 6th Floor, Chicago, IL, 60611, USA

    S. Darius Tandon

  2. Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA

    Erin A. Ward, Jaime L. Hamil, Cindy Jimenez & Mya Carter

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  1. S. Darius Tandon
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Correspondence to S. Darius Tandon.

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S. Darius Tandon, Erin A. Ward, Jaime L. Hamil, Cindy Jimenez, and Mya Carter declare that they have no conflict of interest.

Human and animal rights and Informed Consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all patients for being included in the study.

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Tandon, S.D., Ward, E.A., Hamil, J.L. et al. Perinatal depression prevention through home visitation: a cluster randomized trial of mothers and babies 1-on-1. J Behav Med 41, 641–652 (2018). https://doi.org/10.1007/s10865-018-9934-7

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  • DOI: https://doi.org/10.1007/s10865-018-9934-7

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