The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic
<h3>Background</h3><p dir="ltr">The lethal potential of COVID-19 was often emphasized and repeatedly brought to the attention of pregnant women, leading to a higher level of anxiety, depression, and COVID-19-specific phobia among this population. Furthermore, legislation...
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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2022
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إضافة وسم
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| _version_ | 1864513545986637824 |
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| author | Sarah Naja (9954737) |
| author2 | Rowaida Elyamani (9639306) Mohamad Chehab (10938238) Mohamed Ali Siddig Ahmed (21623735) Ghidaa Babeker (21623738) Ghinwa Lawand (17075043) Rajvir Singh (315457) Nada Adli (15898914) Tagreed Mohamad (10938244) Iheb Bougmiza (8962583) |
| author2_role | author author author author author author author author author |
| author_facet | Sarah Naja (9954737) Rowaida Elyamani (9639306) Mohamad Chehab (10938238) Mohamed Ali Siddig Ahmed (21623735) Ghidaa Babeker (21623738) Ghinwa Lawand (17075043) Rajvir Singh (315457) Nada Adli (15898914) Tagreed Mohamad (10938244) Iheb Bougmiza (8962583) |
| author_role | author |
| dc.creator.none.fl_str_mv | Sarah Naja (9954737) Rowaida Elyamani (9639306) Mohamad Chehab (10938238) Mohamed Ali Siddig Ahmed (21623735) Ghidaa Babeker (21623738) Ghinwa Lawand (17075043) Rajvir Singh (315457) Nada Adli (15898914) Tagreed Mohamad (10938244) Iheb Bougmiza (8962583) |
| dc.date.none.fl_str_mv | 2022-12-28T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1080/21642850.2022.2155167 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_impact_of_telemental_health_interventions_on_maternal_mental_health_outcomes_a_pilot_randomized_controlled_trial_during_the_COVID-19_pandemic/29435942 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Health sciences Health services and systems Public health Maternal mental health EPDS COVID-19 telemental health intervention |
| dc.title.none.fl_str_mv | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">The lethal potential of COVID-19 was often emphasized and repeatedly brought to the attention of pregnant women, leading to a higher level of anxiety, depression, and COVID-19-specific phobia among this population. Furthermore, legislation forced social distancing and isolation to interrupt the infection cycle. Together these factors resulted in higher maternal mental health distress requiring intervention. Nevertheless, there is a lack of evidence regarding the impact of low-intensity psychosocial telemental interventions on maternal mental health outcomes. Therefore, the objective of this pilot study is to assess the efficacy of video low-intensity psychosocial telemental maternal intervention on COVID-19-specific phobia, antenatal depression, and anxiety among pregnant women. We hypothesized that the intervention arm would be superior to the control arm. A parallel design randomized interventional controlled trial with 1:1 randomization was conducted at the Women Wellness and Research Center. We enrolled fifty-eight pregnant women in their second trimester who spoke English or Arabic. We assessed antenatal anxiety, depression, and Covid-19-specific phobia at baseline (T<sub>0</sub>), and thirty-three pregnant women completed the follow-up after four weeks (T<sub>1</sub>). Pregnant women receiving psychotropic medications and follow up in mental health services were excluded.</p><h3>Results</h3><p dir="ltr">A low-intensity psychosocial telemental maternal session helps reduce antenatal anxiety. We found statistically significant differences in antenatal anxiety scores between the intervention (2.4 ± 2.2) and control (4.2 ± 1.6) groups (<i>p</i> = 0.013) with a large effect size of Hedges’ g value (0.96, 0.22–1.74). The absolute risk reduction was 27.27 percent. However, the intervention had no statistically significant effect on reducing antenatal depression or COVID-19-specific phobia.</p><h3>Conclusions</h3><p dir="ltr">Low-intensity psychosocial telemental maternal sessions effectively reduce antenatal anxiety. While our findings are promising, further RCTs are needed to replicate these findings.</p><h2>Other Information</h2><p dir="ltr">Published in: Health Psychology and Behavioral Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1080/21642850.2022.2155167" target="_blank">https://dx.doi.org/10.1080/21642850.2022.2155167</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_ed7af91f4f80ec289bd672317032731a |
| identifier_str_mv | 10.1080/21642850.2022.2155167 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29435942 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemicSarah Naja (9954737)Rowaida Elyamani (9639306)Mohamad Chehab (10938238)Mohamed Ali Siddig Ahmed (21623735)Ghidaa Babeker (21623738)Ghinwa Lawand (17075043)Rajvir Singh (315457)Nada Adli (15898914)Tagreed Mohamad (10938244)Iheb Bougmiza (8962583)Health sciencesHealth services and systemsPublic healthMaternal mental healthEPDSCOVID-19telementalhealth intervention<h3>Background</h3><p dir="ltr">The lethal potential of COVID-19 was often emphasized and repeatedly brought to the attention of pregnant women, leading to a higher level of anxiety, depression, and COVID-19-specific phobia among this population. Furthermore, legislation forced social distancing and isolation to interrupt the infection cycle. Together these factors resulted in higher maternal mental health distress requiring intervention. Nevertheless, there is a lack of evidence regarding the impact of low-intensity psychosocial telemental interventions on maternal mental health outcomes. Therefore, the objective of this pilot study is to assess the efficacy of video low-intensity psychosocial telemental maternal intervention on COVID-19-specific phobia, antenatal depression, and anxiety among pregnant women. We hypothesized that the intervention arm would be superior to the control arm. A parallel design randomized interventional controlled trial with 1:1 randomization was conducted at the Women Wellness and Research Center. We enrolled fifty-eight pregnant women in their second trimester who spoke English or Arabic. We assessed antenatal anxiety, depression, and Covid-19-specific phobia at baseline (T<sub>0</sub>), and thirty-three pregnant women completed the follow-up after four weeks (T<sub>1</sub>). Pregnant women receiving psychotropic medications and follow up in mental health services were excluded.</p><h3>Results</h3><p dir="ltr">A low-intensity psychosocial telemental maternal session helps reduce antenatal anxiety. We found statistically significant differences in antenatal anxiety scores between the intervention (2.4 ± 2.2) and control (4.2 ± 1.6) groups (<i>p</i> = 0.013) with a large effect size of Hedges’ g value (0.96, 0.22–1.74). The absolute risk reduction was 27.27 percent. However, the intervention had no statistically significant effect on reducing antenatal depression or COVID-19-specific phobia.</p><h3>Conclusions</h3><p dir="ltr">Low-intensity psychosocial telemental maternal sessions effectively reduce antenatal anxiety. While our findings are promising, further RCTs are needed to replicate these findings.</p><h2>Other Information</h2><p dir="ltr">Published in: Health Psychology and Behavioral Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1080/21642850.2022.2155167" target="_blank">https://dx.doi.org/10.1080/21642850.2022.2155167</a></p>2022-12-28T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1080/21642850.2022.2155167https://figshare.com/articles/journal_contribution/The_impact_of_telemental_health_interventions_on_maternal_mental_health_outcomes_a_pilot_randomized_controlled_trial_during_the_COVID-19_pandemic/29435942CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/294359422022-12-28T09:00:00Z |
| spellingShingle | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic Sarah Naja (9954737) Health sciences Health services and systems Public health Maternal mental health EPDS COVID-19 telemental health intervention |
| status_str | publishedVersion |
| title | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| title_full | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| title_fullStr | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| title_full_unstemmed | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| title_short | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| title_sort | The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic |
| topic | Health sciences Health services and systems Public health Maternal mental health EPDS COVID-19 telemental health intervention |