Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial
BackgroundMental illness is one of the top causes of preventable pregnancy-related deaths in the United States. There are many barriers that interfere with the ability of perinatal individuals to access traditional mental health care. Digital health interventions, including a...
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JMIR Publications
2025-01-01
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| Online Access: | https://www.researchprotocols.org/2025/1/e59461 |
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| author | Andrea B Temkin-Yu Aliza Ayaz Ella Blicker Michael X Liu Ace Oh Isabelle E Siegel Meredith J Seewald Alison D Hermann Soudebah Givrad Lara M Baez Lauren M Osborne Cori M Green Maddy M Schier Alexandra M Davis Shasha Zhu Avital Falk Shannon M Bennett |
| author_facet | Andrea B Temkin-Yu Aliza Ayaz Ella Blicker Michael X Liu Ace Oh Isabelle E Siegel Meredith J Seewald Alison D Hermann Soudebah Givrad Lara M Baez Lauren M Osborne Cori M Green Maddy M Schier Alexandra M Davis Shasha Zhu Avital Falk Shannon M Bennett |
| author_sort | Andrea B Temkin-Yu |
| collection | DOAJ |
| description |
BackgroundMental illness is one of the top causes of preventable pregnancy-related deaths in the United States. There are many barriers that interfere with the ability of perinatal individuals to access traditional mental health care. Digital health interventions, including app-based programs, have the potential to increase access to useful tools for these individuals. Although numerous mental health apps exist, there is little research on developing programs to address the unique needs of perinatal individuals. In an effort to fill this gap, a multidisciplinary team of experts in psychology, psychiatry, obstetrics, and pediatric primary care collaborated to develop the novel Perinatal Skills Program within Maya, a flexible and customizable cognitive-behavioral skills app. Maya-Perinatal Skills Program (M-PSP) uses evidence-based strategies to help individuals manage their mood and anxiety symptoms during pregnancy and post partum.
ObjectiveThis pilot study aims to assess the feasibility, acceptability, and usability of M-PSP and explore links between program use and symptoms of anxiety and low mood.
MethodsThis single-arm trial will recruit 50 pregnant or postpartum individuals with mild-to-moderate anxiety or mood symptoms. Participants will be recruited from a variety of public and private insurance-based psychiatry, obstetrics, and primary care clinics at a large academic medical center located in New York City. Participants will complete all sessions of M-PSP and provide feedback. Outcome measures will include qualitative and quantitative assessments of feasibility, acceptability, and usability, passively collected program usage data, and symptom measures assessing mood, anxiety, and trauma. Planned data analysis includes the use of the grounded theory approach to identify common themes in qualitative feedback, as well as an exploration of possible associations between quantitative data regarding program use and symptoms.
ResultsThe recruitment began on August 2023. As of October 2024, a total of 32 participants have been enrolled. The recruitment will continue until 50 participants have been enrolled.
ConclusionsDigital health interventions, like M-PSP, have the potential to create new pathways to reach individuals struggling with their mental health. The results of this study will be the groundwork for future iterations of M-PSP in the hopes of providing an accessible and helpful tool for pregnant and postpartum individuals.
Trial RegistrationClinicalTrials.gov NCT05897619; https://classic.clinicaltrials.gov/ct2/show/NCT05897619
International Registered Report Identifier (IRRID)PRR1-10.2196/59461 |
| format | Article |
| id | doaj-art-e460d39139904952aecc2859ac7e7e57 |
| institution | Kabale University |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-01-01 |
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| series | JMIR Research Protocols |
| spelling | doaj-art-e460d39139904952aecc2859ac7e7e572025-01-28T18:00:50ZengJMIR PublicationsJMIR Research Protocols1929-07482025-01-0114e5946110.2196/59461Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot TrialAndrea B Temkin-Yuhttps://orcid.org/0000-0001-8263-6990Aliza Ayazhttps://orcid.org/0000-0002-9561-3795Ella Blickerhttps://orcid.org/0009-0006-0950-6827Michael X Liuhttps://orcid.org/0009-0000-9833-2393Ace Ohhttps://orcid.org/0009-0008-8846-2889Isabelle E Siegelhttps://orcid.org/0000-0002-9580-0902Meredith J Seewaldhttps://orcid.org/0009-0005-0714-4204Alison D Hermannhttps://orcid.org/0000-0002-7008-7602Soudebah Givradhttps://orcid.org/0000-0003-3842-1188Lara M Baezhttps://orcid.org/0000-0003-3342-2325Lauren M Osbornehttps://orcid.org/0000-0003-0979-7901Cori M Greenhttps://orcid.org/0000-0001-6544-1366Maddy M Schierhttps://orcid.org/0009-0006-3744-6171Alexandra M Davishttps://orcid.org/0009-0003-4917-3842Shasha Zhuhttps://orcid.org/0009-0004-8419-4099Avital Falkhttps://orcid.org/0000-0003-2502-5549Shannon M Bennetthttps://orcid.org/0000-0002-5008-6637 BackgroundMental illness is one of the top causes of preventable pregnancy-related deaths in the United States. There are many barriers that interfere with the ability of perinatal individuals to access traditional mental health care. Digital health interventions, including app-based programs, have the potential to increase access to useful tools for these individuals. Although numerous mental health apps exist, there is little research on developing programs to address the unique needs of perinatal individuals. In an effort to fill this gap, a multidisciplinary team of experts in psychology, psychiatry, obstetrics, and pediatric primary care collaborated to develop the novel Perinatal Skills Program within Maya, a flexible and customizable cognitive-behavioral skills app. Maya-Perinatal Skills Program (M-PSP) uses evidence-based strategies to help individuals manage their mood and anxiety symptoms during pregnancy and post partum. ObjectiveThis pilot study aims to assess the feasibility, acceptability, and usability of M-PSP and explore links between program use and symptoms of anxiety and low mood. MethodsThis single-arm trial will recruit 50 pregnant or postpartum individuals with mild-to-moderate anxiety or mood symptoms. Participants will be recruited from a variety of public and private insurance-based psychiatry, obstetrics, and primary care clinics at a large academic medical center located in New York City. Participants will complete all sessions of M-PSP and provide feedback. Outcome measures will include qualitative and quantitative assessments of feasibility, acceptability, and usability, passively collected program usage data, and symptom measures assessing mood, anxiety, and trauma. Planned data analysis includes the use of the grounded theory approach to identify common themes in qualitative feedback, as well as an exploration of possible associations between quantitative data regarding program use and symptoms. ResultsThe recruitment began on August 2023. As of October 2024, a total of 32 participants have been enrolled. The recruitment will continue until 50 participants have been enrolled. ConclusionsDigital health interventions, like M-PSP, have the potential to create new pathways to reach individuals struggling with their mental health. The results of this study will be the groundwork for future iterations of M-PSP in the hopes of providing an accessible and helpful tool for pregnant and postpartum individuals. Trial RegistrationClinicalTrials.gov NCT05897619; https://classic.clinicaltrials.gov/ct2/show/NCT05897619 International Registered Report Identifier (IRRID)PRR1-10.2196/59461https://www.researchprotocols.org/2025/1/e59461 |
| spellingShingle | Andrea B Temkin-Yu Aliza Ayaz Ella Blicker Michael X Liu Ace Oh Isabelle E Siegel Meredith J Seewald Alison D Hermann Soudebah Givrad Lara M Baez Lauren M Osborne Cori M Green Maddy M Schier Alexandra M Davis Shasha Zhu Avital Falk Shannon M Bennett Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial JMIR Research Protocols |
| title | Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial |
| title_full | Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial |
| title_fullStr | Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial |
| title_full_unstemmed | Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial |
| title_short | Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial |
| title_sort | feasibility of a mobile app based cognitive behavioral perinatal skills program protocol for nonrandomized pilot trial |
| url | https://www.researchprotocols.org/2025/1/e59461 |
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