RESUMEN
BACKGROUND: Postpartum depression is the most common complication of childbearing can affect the entire family unit. Health professionals must strive to identify and develop effective, feasible solutions for women during this critical period. AIMS: To determine whether postpartum maternal functioning (as measured by the Barkin Index of Maternal Functioning) and depression symptoms (as measured by the Patient Health Questionnaire-9) were improved after participation in the Visiting Moms program. METHOD: Paired data were collected from women at program intake and after completion of the Visiting Moms program. Visiting Moms provides services through eastern and central Massachusetts and was designed to support new mothers throughout the infant's first year of life. The study population was composed of adult women living in the Jewish Family and Children's Services geographic catchment area, who enrolled in Visiting Moms between January 1, 2013, and December 31, 2015. Descriptive statistics were calculated for all 402 women enrolled in this timeframe. Utilizing a pretest/posttest design, paired t tests were performed for the Barkin Index of Maternal Functioning (n = 149) and for the Patient Health Questionnaire-9 (n = 156), where women had complete scores at both intake and completion, to determine the program's potential impact on depressive symptoms and functional status. RESULTS: Functioning and depression scores were significantly improved after participation in the program. CONCLUSIONS: Visiting moms, and similar programs, aimed at delivery of enhanced social support, may be effective in promoting mental and emotional wellness among new mothers who are require additional support in the postpartum period.
Asunto(s)
Depresión Posparto/psicología , Estado Funcional , Madres , Periodo Posparto/psicología , Psicoterapia de Grupo , Apoyo Social , Adulto , Femenino , Humanos , Lactante , Massachusetts , Madres/psicología , Madres/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto JovenRESUMEN
PURPOSE: This study aims to evaluate the fitness of the Barkin Index of Maternal Functioning (BIMF) for postpartum functional assessment in a low-income obstetric population in medically underserved, Central Georgia (USA). DESIGN AND METHODS: Cognitive interviewing, a best practices approach to instrument development and validation, was performed on 24 new mothers. FINDINGS: The BIMF was comprehensible to this population of disadvantaged women. PRACTICE IMPLICATIONS: The BIMF has broad appeal due to its comprehensibility, patient-centered assessment style, and psychometric profile. Method of questionnaire administration and characteristics of the study and/or patient population should routinely be considered when implementing any type of self-reported health screening.
Asunto(s)
Entrevista Psicológica/normas , Conducta Materna/psicología , Área sin Atención Médica , Periodo Posparto/psicología , Psicometría/instrumentación , Adulto , Femenino , Georgia , Humanos , Semántica , Adulto JovenRESUMEN
Despite significant interest by pediatric transplant patients in meeting others who have undergone transplantation, geographic distances combined with their daily routines make this difficult. This mixed-method study describes the use of Zora, a Web-based virtual community designed to create a support system for these patients. The Zora software allows participants to create a graphical online virtual city with houses expressing their individuality and objects conveying their concerns and personal stories. Zora allows real-time chat between participants further facilitating communication. Twenty-two post-transplant patients used Zora over nine months. The median number of log ons per participant was 19.50 times (q1 = 5.25, q3 = 41.50), and each participant spent a median of 12.48 h (q1 = 2.13, q3 = 25.55) logged into the program. This represented a median of 18.27 min/wk (q1 = 6.88, q3 = 37.40) per participant. Users created a total of 3736 objects (median/participant = 12.5, q1 = 2.25, q3 = 30) and created 66 virtual houses (median/participant = 2.00, q1 = 1.00, q3 = 3.00). In addition, a total of 14,444 lines of chat were recorded (median/participant = 228.5, q1 = 30.00, q3 = 663.25), and a total 278 messages were sent between users (median/participant = 3.50, q1 = 0.25, q3 = 15.5). Qualitative data show the preliminary success of the project, as three major themes emerged: (i) increased sense of normalcy for the patients, (ii) enhanced sense of self and contribution to the community, and (iii) increased social network. There were no instances of harmful interactions in the virtual world. This study demonstrates the feasibility and safety of a virtual community as a potential psychosocial intervention for post-transplant adolescents.
Asunto(s)
Internet , Trasplante de Órganos/psicología , Apoyo Social , Adolescente , Niño , Estudios de Factibilidad , Femenino , Humanos , Relaciones Interpersonales , Masculino , Programas InformáticosRESUMEN
Virtual worlds are online graphical environments that are becoming an increasingly large part of the online experience of young people. Virtual worlds have the potential to become one additional environment, like school, home, and the playground, where youth can learn, play, and grow. The physical world is becoming interconnected with virtual worlds, and it is important for researchers to understand how this will affect children's development. Virtual worlds technologies provide a unique opportunity to allow youth to explore many types of content creation, including customizable avatars, media galleries, and virtual representations of personal spaces. This ability for youth to create content can be an important means by which to support and encourage adolescent identity development.