@文章{信息:doi/10.2196/32226，作者=“Pezley, Lacey和tus- humphreys, Lisa和Koenig, Mary Dawn和Maki, Pauline和Odoms-Young, Angela和Freels, Sally和DiPiazza, Brittany和Cann, Felicity和Cares, Kate和Depa, Courtney和Klejka, Gintare和Lima Oliveira, Manoela和Prough, Jilian和Roe, Taylor和Buscemi, Joanna和Duffecy, Jennifer”，标题=“预防围产期抑郁症和促进母乳喂养的网络干预的可行性:随机试验”，期刊=“JMIR Form Res”，年份=“2022”，月份=“5”，日期=“3”，卷=“6”，数=“5”，页数=“e32226”，关键词=“母乳喂养;chestfeeding;围产期;抑郁症;背景:黑人或非洲裔美国人的母亲在怀孕后期和产后早期更有可能报告抑郁情绪，并且与美国所有其他种族群体相比，母乳喂养率最低。互联网干预提供了扩大预防性和支持性服务的潜力，因为它们解决了主要障碍，特别是对那些处于复杂和脆弱的产后早期的人。然而，关于这种干预措施在预防围产期心理健康障碍和改善黑人母亲母乳喂养结果方面的可行性的证据有限。目的:这项试点研究旨在评估基于网络的认知行为疗法的可行性和初步结果——基于网络干预，有和没有母乳喂养教育和支持，以预防围产期抑郁，促进黑人母亲的母乳喂养。方法:参与者是怀孕20至28周、有母乳喂养意愿、有轻度至中度抑郁症状的黑人个体(患者健康问卷评分5-14分)。 Participants were randomized to either Sunnyside, a 6-week cognitive behavioral therapy--based web-based intervention, or Sunnyside Plus, which included additional education and support to promote human milk feeding. Assessments occurred at baseline, third trimester (end of antenatal treatment), 6 weeks postpartum (end of postpartum treatment), and 12 weeks postpartum. The primary focus of this randomized pilot trial was the feasibility and preliminary outcomes of mental health and human milk feeding. Results: A total of 22 tertiary-educated participants were randomized. The mean number of log-ins was 7.3 (SD 5.3) for Sunnyside and 13.8 (SD 10.5) for Sunnyside Plus. Scores of depression and anxiety measures remained below the clinical threshold for referral to treatment in both groups. All the participants initiated human milk feeding (18/18, 100{\%}). Most participants reported at least some human milk feeding at both 6 and 12 weeks postpartum (6/7, 86{\%}; 11/11, 100{\%}, or 10/10, 100{\%}, for Sunnyside and Sunnyside Plus, respectively). Conclusions: The results suggest that tertiary-educated Black mothers at risk for perinatal depression and who intended to human milk feed were receptive to and satisfied with a web-based cognitive behavioral therapy--based internet intervention, with and without human milk feeding education and support. Preliminary findings indicate that both Sunnyside and Sunnyside Plus interventions have the potential to affect symptoms of depression, anxiety, and human milk feeding outcomes. Trial Registration: ClinicalTrials.gov NCT04128202; https://www.clinicaltrials.gov/ct2/show/NCT04128202 ", issn="2561-326X", doi="10.2196/32226", url="https://formative.www.mybigtv.com/2022/5/e32226", url="https://doi.org/10.2196/32226", url="http://www.ncbi.nlm.nih.gov/pubmed/35503244" }