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Tech parenting program cut postpartum distress

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A Singapore RCT found a technology-based supportive educational parenting program improved bonding and satisfaction while reducing postnatal depression and anxiety.

Source

Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes (Part 1): Randomized Controlled Trial

Shorey S, Ng YPM, Ng ED, et al. · Journal of medical Internet research · 2019

doi.org/10.2196/10816Read the full paper ↗60 citationscc by

Study at a glance

Design
RCT — Technology-based SEPP vs standard care through 3 months postpartum
N
N=236 · 118 couples; 59 couples per arm
Population
Couples (mothers and fathers) enrolled in a supportive educational parenting program
Outcome
Parental bonding, PND, PNA, and parenting satisfaction at 3 months

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Tech parenting program cut postpartum distress

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236 parents (118 couples) were randomized, 59 couples per arm.

A total of 236 (118 couples) participants were recruited and randomized into the SEPP intervention group (n=59) and control group (n=59).

At 3 months, bonding, PND, PNA, and satisfaction differed significantly.

At 3 months postpartum, the mean difference of the scores was only significant for parental bonding ( d =−1.33; 95% CI −1.92 to −0.74; P <.001), PND ( d =−0.84; 95% CI −1.24 to −0.44; P <.001), PNA ( d =−0.55; 95% CI −0.93 to −0.17; P =.01), and parenting satisfaction ( d =1.31; 95% CI 0.72 to 1.90; P <.001).
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What they did

Researchers randomized 118 couples (236 parents) to a technology-based SEPP versus standard care and measured parental self-efficacy, bonding, support, satisfaction, PND, and PNA through 3 months postpartum.

What they found

At 3 months, intervention parents had better bonding and parenting satisfaction and lower PND and PNA scores than controls; benefits emerged by 1–3 months rather than immediate postpartum.

The limits

What it doesn't show

Effects beyond 3 months, generalizability outside largely educated Singaporean couples, or which app/education components drove gains.

Key terms

SEPP
Supportive Educational Parenting Program delivered with technology support.
PND
Postnatal depression measured with the Edinburgh Postnatal Depression Scale.
PNA
Postnatal anxiety assessed with the State Trait Anxiety Inventory.
Parental bonding
Parent-to-infant emotional connection scored on a bonding questionnaire.
PSE
Parenting self-efficacy—confidence in parenting tasks.
Single-blinded RCT
Trial where the data collector was blinded to assignment.

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Sample size was:

Common questions

How large was the sample?

236 participants (118 couples), 59 couples per arm.

What improved at 3 months?

Bonding, parenting satisfaction, and lower PND/PNA.

When did benefits appear?

Significant gains at 1 and 3 months, not immediately postpartum.

How was PND measured?

10-item EPDS (score range 0–30).

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