Accepted for/Published in: JMIR Formative Research
Date Submitted: Aug 5, 2022
Date Accepted: Sep 19, 2022
A Video-Delivered Family Therapeutic Intervention for Perinatal Women with Clinically Significant Depressive Symptoms and Family Conflict: Indicators of Feasibility and Acceptability
ABSTRACT
Background:
Variation in family therapeutic intervention fidelity influences impacts on outcomes. Use of video conferencing technology can strengthen therapist fidelity to family therapeutic interventions
Objective:
This article summarizes early findings on the implementation of a video-delivered family therapeutic intervention for treatment of moderate to severe depressive symptoms in perinatal women with family conflict. This article has three aims to describe 1) technology factors that relate to implementation of the intervention, 2) therapist adherence to the intervention, and 3) initial findings on participant responsiveness to the intervention.
Methods:
The data included in this article are from an ongoing randomized trial of the video-delivered family therapeutic intervention. Participant recruitment and data collection are still underway for this clinical trial. The baseline characteristics for 106 study participants are summarized. Training procedures for use of video conferencing technology and delivery of the intervention are summarized. Knowledge of the video conferencing technology features was assessed in study therapists and 54 study participants assigned to the family therapeutic intervention. The number of attempts required to use the video conferencing technology features are summarized for therapists and study participants. Therapist fidelity to the family therapeutic intervention was assessed in 67 audio recorded sessions. Participant responsiveness to the intervention was assessed by the percentage of attended sessions and percentage of completed homework assignments.
Results:
Both therapists used all video conferencing technology features (audio, video, screen share, and audio record) on their first attempt. Participants required one to three attempts to use one or more of the video conferencing technology features. About 59% of participants immediately accessed the audio and video features on the first attempt. To date, no sessions have been cancelled or rescheduled due to problems with the video conferencing technology. To date, therapists demonstrate high fidelity to the family therapeutic intervention. Perinatal women attended all sessions and their family members attended 80% of sessions. To date, participants have completed 80% of the homework assignments.
Conclusions:
The findings provide early evidence on the feasibility and acceptability of the video-delivered family therapeutic intervention for use with this high priority population. Upon completion of recruitment and data collection, subsequent articles will include a mixed methods process evaluation on the feasibility and acceptability of the video-delivered family therapeutic intervention and its impact on outcomes. Clinical Trial: NCT04741776
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.