Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal
Background: Postpartum depression (PPD) is a common experience among mothers worldwide. Family members, especially husbands, can play an integral role in supporting and helping mothers recover from PPD. However, husbands are typically not included in interventions to address postpartum depression am...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | SSM - Mental Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666560324000458 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850061651334660096 |
|---|---|
| author | Anvita Bhardwaj Sujen Man Maharjan Alka Jarga Magar Rajeev Shrestha Anjana Dongol Ashley Hagaman Alastair Van Heerden James Caracoglia Joseph J. Gallo Sarah M. Murray Brandon A. Kohrt |
| author_facet | Anvita Bhardwaj Sujen Man Maharjan Alka Jarga Magar Rajeev Shrestha Anjana Dongol Ashley Hagaman Alastair Van Heerden James Caracoglia Joseph J. Gallo Sarah M. Murray Brandon A. Kohrt |
| author_sort | Anvita Bhardwaj |
| collection | DOAJ |
| description | Background: Postpartum depression (PPD) is a common experience among mothers worldwide. Family members, especially husbands, can play an integral role in supporting and helping mothers recover from PPD. However, husbands are typically not included in interventions to address postpartum depression among women. This study explored husbands’ perspectives on engaging in a counseling intervention augmented with a digital health component for the treatment of PPD. Methods: A convergent mixed methods design was used to evaluate husbands’ attitudes and involvement in a counseling and digital intervention for mothers in a semi-urban region of Nepal.Thematic analysis of semi-structured interviews was used to derive emergent themes. A joint display examined differences in themes for husbands whose wives experienced a significant decline in PPD symptoms as measured by the Patient Health Questionnaire-9 pre and post intervention, as compared to husbands of women whose symptoms stayed the same or worsened. Results: Thirteen husbands were interviewed. Three primary themes emerged: the impact of gender norms and attitudes on engagement in the intervention, involvement and support in the intervention, and suggestions for future interventions for PPD. Among wives who experienced a reduction in depression symptoms, their husbands were more likely to endorse gender-equitable norms and attitudes and the husbands provided emotional support, as well as participating in household chores and childcare. Conclusion: When husbands are living in the same household, providing support and being involved in their wives’ PPD treatment can help them recover. Husbands describe time at home and work as barriers to being able to help their wives. PPD interventions that involve husbands might need to educate husbands about how they can provide emotional support to their partner. |
| format | Article |
| id | doaj-art-09138c206b97417d8051a6d2f430736a |
| institution | DOAJ |
| issn | 2666-5603 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM - Mental Health |
| spelling | doaj-art-09138c206b97417d8051a6d2f430736a2025-08-20T02:50:09ZengElsevierSSM - Mental Health2666-56032024-12-01610034010.1016/j.ssmmh.2024.100340Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in NepalAnvita Bhardwaj0Sujen Man Maharjan1Alka Jarga Magar2Rajeev Shrestha3Anjana Dongol4Ashley Hagaman5Alastair Van Heerden6James Caracoglia7Joseph J. Gallo8Sarah M. Murray9Brandon A. Kohrt10Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Corresponding author. 615 N Wolfe St, Baltimore, MD 21205, USA.Research and Development Division, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalResearch and Development Division, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalResearch and Development Division, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalResearch and Development Division, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USACenter for Community Based Research, Human Sciences Research Council, Pietermaritzburg, South Africa; SAMRC/WITS Developmental Pathways for Health Research Unit, Department of Paediatrics, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South AfricaCenter for Global Mental Health Equity, The George Washington University School of Medicine and Health Sciences, Washington, DC, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USACenter for Global Mental Health Equity, The George Washington University School of Medicine and Health Sciences, Washington, DC, USABackground: Postpartum depression (PPD) is a common experience among mothers worldwide. Family members, especially husbands, can play an integral role in supporting and helping mothers recover from PPD. However, husbands are typically not included in interventions to address postpartum depression among women. This study explored husbands’ perspectives on engaging in a counseling intervention augmented with a digital health component for the treatment of PPD. Methods: A convergent mixed methods design was used to evaluate husbands’ attitudes and involvement in a counseling and digital intervention for mothers in a semi-urban region of Nepal.Thematic analysis of semi-structured interviews was used to derive emergent themes. A joint display examined differences in themes for husbands whose wives experienced a significant decline in PPD symptoms as measured by the Patient Health Questionnaire-9 pre and post intervention, as compared to husbands of women whose symptoms stayed the same or worsened. Results: Thirteen husbands were interviewed. Three primary themes emerged: the impact of gender norms and attitudes on engagement in the intervention, involvement and support in the intervention, and suggestions for future interventions for PPD. Among wives who experienced a reduction in depression symptoms, their husbands were more likely to endorse gender-equitable norms and attitudes and the husbands provided emotional support, as well as participating in household chores and childcare. Conclusion: When husbands are living in the same household, providing support and being involved in their wives’ PPD treatment can help them recover. Husbands describe time at home and work as barriers to being able to help their wives. PPD interventions that involve husbands might need to educate husbands about how they can provide emotional support to their partner.http://www.sciencedirect.com/science/article/pii/S2666560324000458Male engagementPostpartum depressionmHealthNepal |
| spellingShingle | Anvita Bhardwaj Sujen Man Maharjan Alka Jarga Magar Rajeev Shrestha Anjana Dongol Ashley Hagaman Alastair Van Heerden James Caracoglia Joseph J. Gallo Sarah M. Murray Brandon A. Kohrt Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal SSM - Mental Health Male engagement Postpartum depression mHealth Nepal |
| title | Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal |
| title_full | Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal |
| title_fullStr | Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal |
| title_full_unstemmed | Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal |
| title_short | Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression: A mixed methods study in Nepal |
| title_sort | engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression a mixed methods study in nepal |
| topic | Male engagement Postpartum depression mHealth Nepal |
| url | http://www.sciencedirect.com/science/article/pii/S2666560324000458 |
| work_keys_str_mv | AT anvitabhardwaj engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT sujenmanmaharjan engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT alkajargamagar engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT rajeevshrestha engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT anjanadongol engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT ashleyhagaman engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT alastairvanheerden engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT jamescaracoglia engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT josephjgallo engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT sarahmmurray engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal AT brandonakohrt engaginghusbandsinadigitalmentalhealthinterventiontoprovidetailoredcounselingforwomenexperiencingpostpartumdepressionamixedmethodsstudyinnepal |