Accepted for/Published in: JMIR Pediatrics and Parenting
Date Submitted: Jan 10, 2023
Date Accepted: Feb 7, 2023
A Family-Based Collaborative Care Model for Treatment of Depressive and Anxiety Symptoms in Perinatal Women: Results from a Pilot Study
ABSTRACT
Background:
Untreated perinatal depression and anxiety can have detrimental consequences on family function. Logistical barriers prevent many perinatal women from accessing treatment, and these barriers are compounded for those in rural areas. This article describes a Family-Based Collaborative Care Model (FBCCM) that is designed to bypass barriers to increase access to care for depressed and anxious perinatal women in rural regions of the United States. The FBCCM includes two components: 1) a 10 session video-delivered family therapy treatment for perinatal depression and anxiety; and 2) video-delivered infant care provider training on addressing the parenting needs of depressed and anxious mothers.
Objective:
This article describes the feasibility of implementing the FBCCM with families and infant care providers. Findings are presented on the preliminary effectiveness of the video-delivered family therapy treatment in reducing maternal depressive and anxiety symptoms, and family conflict.
Methods:
The study was carried out using an implementation-effectiveness hybrid trial design, without a comparison group. Changes in maternal depressive symptoms, maternal anxiety symptoms, and family conflict were measured at post-treatment, three-months and six-months later.
Results:
Nearly all mothers (96%; 23 out of 24) attended all of the video-delivered family therapy sessions. On average, mothers’ family members (n=24) attended 90% of the sessions. A total of 31 infant care providers attended the training on addressing the parenting needs of depressed and anxious mothers. Mothers reported a significant reduction in depressive symptoms (P < .001) and anxiety symptoms (P < .001) from baseline to the six month follow-up. Mothers reported a significant reduction in conflict (P < .001), and their family members reported a significant reduction in conflict (P = .007) from baseline to the six month follow-up.
Conclusions:
The findings from the current study provide support for the feasibility and preliminary effectiveness of the FBCCM. The findings will be used to inform a larger-scale study of the FBCCM.
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