Problem-solving education to prevent depression among low-income mothers of preterm infants: a randomized controlled pilot trial
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Michael Silverstein , Emily Feinberg , Howard Cabral , Sara Sauder , Lucia Egbert, Elisabeth Schainker , Karen Kamholz, Mark Hegel &William B
- چاپ و سال / کشور: 2011
Description
We sought to assess the feasibility and document key study processes of a problem-solving intervention to prevent depression among low-income mothers of preterm infants. A randomized controlled pilot trial (n=50) of problem-solving education (PSE) was conducted. We assessed intervention provider training and fidelity; recruitment and retention of subjects; intervention acceptability; and investigators' ability to conduct monthly outcome assessments, from which we could obtain empirical estimates of depression symptoms, stress, and functioning over 6 months. Four of four bachelor-level providers were able to deliver PSE appropriately with standardized subjects within 4 weeks of training. Of 12 randomly audited PSE sessions with actual subjects, all met treatment fidelity criteria. Nineteen of 25 PSE subjects (76%) received full foursession courses; no subjects reported negative experiences with PSE. Eighty-eight percent of scheduled follow-up assessments were completed. Forty-four percent of control group mothers experienced an episode of moderately severe depression symptoms over the follow-up period, compared to 24% of PSE mothers. Control mothers experienced an average 1.19 symptomatic episodes over the 6 months of follow-up, compared to 0.52 among PSE mothers. PSE appears feasible and may be a promising strategy to prevent depression among mothers of preterm infants.
Arch Womens Ment Health (2011) 14:317–324 Received: 9 November 2010 / Accepted: 25 May 2011 / Published online: 12 June 2011 # Springer-Verlag 2011
