@文章{信息:doi/10.2196/13689，作者=“Sawyer, Alyssa和Kaim, Amy和Le, Huynh-Nhu和McDonald, Denise和Mittinty, Murthy和Lynch, John和Sawyer, Michael”，标题=“基于app的护士主持的抑郁症和育儿问题新妈妈项目(eMums Plus)的有效性:实用随机对照试验”，期刊=“J Med Internet Res”，年=“2019”，月=“6”，日=“04”，卷=“21”，号=“6”，页=“e13689”，关键词=“手机;婴儿;母子关系;产后抑郁症;背景:产后抑郁和照料困难对母亲、婴儿和儿童后期发育有不利影响。在许多国家，帮助母亲和婴儿的资源是有限的。以在线小组为基础的护士主导的干预措施有可能帮助解决这一问题，为大量母亲提供在产后获得专业和同伴支持的机会。目的:本研究测试了4个月在线组为基础的护士主导干预的有效性，当婴儿2至6个月时，与标准护理结果进行比较。方法:采用分组随机对照试验。这些母亲是在联系她们进行产后健康检查时被招募的，该检查向南澳大利亚的所有母亲提供。 Those who agreed to participate were randomly assigned to the intervention or standard care. The overall response rate was 63.3{\%} (133/210). Primary outcomes were the level of maternal depressive symptoms assessed with the Edinburgh Postnatal Depression Scale (EPDS) and quality of maternal caregiving assessed using the Parenting Stress Index (PSI; competence and attachment subscales), the Parenting Sense of Competence Scale (PSCS), and the Nursing Child Assessment Satellite Training Scale. Assessments were completed at baseline (mean child age 4.9 weeks [SD 1.4]) and again when infants were aged 8 and 12 months. Results: Outcomes were evaluated using linear generalized estimating equations adjusting for postrandomization group differences in demographic characteristics and the outcome score at baseline. There were no significant differences in the intervention and standard care groups in scores on the PSI competence subscale (P=.69) nor in the PSCS (P=.11). Although the group by time interaction suggested there were differences over time between the EPDS and PSI attachment subscale scores in the intervention and standard care groups (P=.001 and P=.04, respectively), these arose largely because the intervention group had stable scores over time whereas the standard care group showed some improvements between baseline and 12 months. Mothers engaged well with the intervention with at least 60{\%} (43/72) of mothers logging-in once per week during the first 11 weeks of the intervention. The majority of mothers also rated the intervention as helpful and user-friendly. Conclusions: Mothers reported that the intervention was helpful, and the app was described as easy to use. As such, it appears that support for mothers during the postnatal period, provided using mobile phone technology, has the potential to be an important addition to existing services. Possible explanations for the lack of differences in outcomes for the 2 groups in this study are the failure of many mothers to use key components of the intervention and residual differences between the intervention and standard care groups post randomization. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12616001732471; http://www.ANZCTR.org.au/ACTRN12616001732471.aspx (archived on WebCite as http://www.webcitation.org/77zo30GDw) ", issn="1438-8871", doi="10.2196/13689", url="//www.mybigtv.com/2019/6/e13689/", url="https://doi.org/10.2196/13689", url="http://www.ncbi.nlm.nih.gov/pubmed/31165715" }