A Tailored Postpartum eHealth Physical Activity Intervention for Individuals at High Risk of Postpartum Depression-the POstpartum Wellness Study (POW)
Overview
This study focuses on postpartum depression (PPD), which can significantly affect both parents and their children. Traditional PPD prevention methods require a lot of healthcare resources. We need effective solutions that don’t add to this burden. Research shows that physical activity (PA) can help reduce depressive symptoms, and technology can make it easier for individuals to stay active.
Study Goals
The aim of this study is to evaluate the effectiveness of an eHealth PA intervention designed for postpartum individuals at high risk of PPD. We want to see if this intervention can increase physical activity levels and lower depressive symptoms.
Methods
This was a remote randomized controlled trial involving postpartum individuals with a history of depression or current moderate depressive symptoms, who were not meeting the PPD diagnostic criteria and had low physical activity levels. Participants were divided into two groups: one received the eHealth PA intervention, while the other received usual care.
The intervention group had access to online workout videos that included activities they could do with their infants. We measured physical activity at the start and at 3 and 6 months using questionnaires and wrist-worn accelerometers. We also assessed depressive symptoms using the Patient Health Questionnaire-8 (PHQ-8), and gathered data on sleep, stress, anxiety, bonding with their infants, and infant development.
Results
The study started in January 2020, and data collection ended in April 2023. A total of 99 participants were included, with an average of 4 months postpartum and moderate depressive symptoms. Both the intervention and usual care groups had similar backgrounds.
Retention rates for follow-up assessments were good, with over 66% for questionnaires and about 48% for accelerometer use. During the 3-month follow-up, 74% of participants completed questionnaires, and 54% wore the accelerometer. At 6 months, 67% completed questionnaires, and 43% wore the accelerometer.
Conclusions
The POW trial is assessing the effectiveness of an eHealth PA intervention in improving depressive symptoms and increasing physical activity among high-risk postpartum individuals. The findings will inform future behavioral interventions for vulnerable patients.
Practical Solutions and Value
This study highlights the importance of using technology to promote physical activity in postpartum individuals, which can ultimately lead to better mental health outcomes. By addressing barriers to physical activity, we can enhance the well-being of both parents and their children.
Further Information
For more details, visit ClinicalTrials.gov.
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