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Table 1 Data extraction: Study design and details of intervention

From: Web-based interventions for prevention and treatment of perinatal mood disorders: a systematic review

First author

Year

Country

Study design

Participant number

Study population

Depressive status and treatment

Intervention

Comparator group

Intervention duration

Timing of intervention

Danaher [45]

2013

U.S. and Australia

FT with Quasi-experimental design

n = 53

(all received intervention)

Mean age of 31.9 years (SD 5.1), mean parity of 2 (SD 1.1), mean baby age of 5.5 months at pre-test (SD 2.9), 26 % graduate or higher level degrees.

All participants had EPDS of 12–20 or PHQ-9 of 10–19. 49 % (26/53) met DSM-IV criteria for MDD (SCID). No participants were undergoing current treatment for depression.

6 weekly online sessions, weekly phone calls from a personal coach plus automatic email reminders, private peer-based web forum, separate partner site

None

6–12 weeks

Post-natal

Kersting [40]

2013

Germany

RCT

n = 228

(TG 115, WLC 113)

228 participants, 92 % female, mean age of 34.18 years, mean of 9.93 months since losing a pregnancy at a mean gestation of 17.8 weeks.

Applicants with severely depressed mood/suicidal ideation (DSM-IV criteria) were excluded. No participants were currently receiving additional treatment.

10x 45-minute writing exercises assigned biweekly based on CBT. 3 treatment phases: self-confrontation, cognitive reappraisal, social sharing. Therapist contact with feedback and instruction twice per phase

WLC

5 weeks

Following loss of pregnancy

O’Mahen [43]

2013

UK

RCT

n = 910

(TG 462, TAU 448)

910 women, mean age of 32.3/32.2 (TG/TAU), with a child <12 months old. Varied socioeconomic status.

Inclusion criteria of EPDS >12. Participants were permitted to be currently receiving treatment (medical or psychological).

11x 40-minute online sessions completed weekly. Based on behavioural activation principles. Weekly email reminders with links to homework exercises. Optional weekly online ‘clinics’ with ‘real-time’ responses to questioning. Intervention-specific chat room.

TAU with access to Netmums general depression chat-room

15 weeks

Post-natal

O’Mahen [44]

2014

UK

RCT

n = 83

(TG 41, TAU 42)

83 women, > 18 years, vast majority Caucasian (Intervention = 92.6 % and TAU = 92.9 % Caucasian)

All women met DSM-IV criteria for MDD and had an EPDS of > 12.

12 online sessions with weekly telephone support sessions (20–30 mins) based on behavioural activation. The sessions involved interactive exercises and worked examples. Supplemented by other Netmums features; ‘meet a mum’ and moderated chat room.

TAU with access to Netmums general depression chat-room

12 weeks

Post-natal

  1. FT Feasibility Trial, DSM-IV Diagnostic and Statistical Manual of Mental Disorders – 4th edition, MDD Major Depressive Disorder, SCID Structured Clinical Interview for Disorders, RCT Randomized Controlled Trial, IG Intervention Group, WLC Waiting List Condition, CBT Cognitive Behavioural Therapy, TAU Treatment As Usual, EPDS Edinburgh Postnatal Depression Scale