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タイトル: | Effectiveness of mHealth consultation services for preventing postpartum depressive symptoms: a randomized clinical trial |
著者: | Arakawa, Yuki Haseda, Maho https://orcid.org/0000-0001-5212-2403 (unconfirmed) Inoue, Kosuke Nishioka, Daisuke Kino, Shiho Nishi, Daisuke Hashimoto, Hideki Kondo, Naoki https://orcid.org/0000-0002-6425-6844 (unconfirmed) |
著者名の別形: | 荒川, 裕貴 長谷田, 真帆 井上, 浩輔 西岡, 大輔 木野, 志保 西, 大輔 橋本, 英樹 近藤, 尚己 |
キーワード: | Postpartum depression mHealth Prevention Randomized controlled trial Health consultation services eHealth Mental health |
発行日: | 26-Jun-2023 |
出版者: | Springer Nature BMC |
誌名: | BMC Medicine |
巻: | 21 |
論文番号: | 221 |
抄録: | [Background] Although many conventional healthcare services to prevent postpartum depression are provided face-to-face, physical and psychosocial barriers remain. These barriers may be overcome by using mobile health services (mHealth). To examine the effectiveness of mHealth professional consultation services in preventing postpartum depressive symptoms in real-world settings, we conducted this randomized controlled trial in Japan, where universal free face-to-face perinatal care is available. [Methods] This study included 734 pregnant women living in Yokohama city who could communicate in Japanese, recruited at public offices and childcare support facilities. The participants were randomized to the mHealth group (intervention, n = 365), where they could use a free app-based mHealth consultation service with gynecologists/obstetricians, pediatricians, and midwives whenever and as many times as they wanted between 6 p.m. and 10 p.m. on weekdays throughout their pregnancy and postpartum periods (funded by the City of Yokohama government) or the usual care group (control, n = 369). The primary outcome was the risk of elevated postpartum depressive symptoms, defined as Edinburgh Postnatal Depression Scale score ≥ 9. Secondary outcomes were self-efficacy, loneliness, perceived barriers to healthcare access, number of clinic visits, and ambulance usage. All outcomes were collected three months post-delivery. We also conducted subgroup analyses assessing the differences in the treatment effect by sociodemographic status. [Results] Most women completed all questionnaires (n = 639 of 734, response rate: 87%). The mean baseline age was 32.9 ± 4.2 years, and 62% were primipara. Three months post-delivery, women in the mHealth group had a lower risk of elevated postpartum depressive symptoms (47/310 [15.2%]) compared to the usual care group (75/329 [22.8%], risk ratio: 0.67 [95% confidence interval: 0.48–0.93]). Compared with the usual care group, women in the mHealth group had higher self-efficacy, less loneliness, and fewer perceived barriers to healthcare access. No differences were observed in the frequency of clinic visits or ambulance usage. Furthermore, in the subgroup analyses, we did not find differences in the treatment effect by sociodemographic status. [Conclusions] Local government-funded mHealth consultation services have a preventive effect on postpartum depressive symptoms, removing physical and psychological barriers to healthcare access in real-world settings. |
記述: | 妊娠中・産後にオンライン健康医療相談が利用できることで産後うつリスクが3分の2に低下. 京都大学プレスリリース. 2023-08-03. |
著作権等: | © The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
URI: | http://hdl.handle.net/2433/284597 |
DOI(出版社版): | 10.1186/s12916-023-02918-3 |
PubMed ID: | 37365535 |
関連リンク: | https://www.kyoto-u.ac.jp/ja/research-news/2023-08-03-1 |
出現コレクション: | 学術雑誌掲載論文等 |
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