Understanding the impact of an AI-enabled conversational agent mobile app on users’ mental health and wellbeing with a self-reported maternal event: a mixed method real-world data mHealth study

Frontiers in Global Women s Health, Journal Year: 2023, Volume and Issue: 4

Published: June 2, 2023

Maternal mental health care is variable and with limited accessibility. Artificial intelligence (AI) conversational agents (CAs) could potentially play an important role in supporting maternal wellbeing. Our study examined data from real-world users who self-reported a event while engaging digital wellbeing AI-enabled CA app (Wysa) for emotional support. The evaluated effectiveness by comparing changes depressive symptoms between higher engaged group of lower derived qualitative insights into the behaviors exhibited among based on their conversations AI CA.Real-world anonymised reported going through during conversation was analyzed. For first objective, completed two PHQ-9 assessments (n = 51) were grouped as either 28) or 23) number active session-days screenings. A non-parametric Mann-Whitney test (M-W) Common Language effect size used to evaluate differences symptoms. second Braun Clarke thematic analysis identify engagement behavior top quartile 10 51). Feedback demographic information also explored.Results revealed significant reduction user compared (M-W p .004) high (CL 0.736). Furthermore, themes that emerged expressed concerns, hopes, need support, reframing thoughts expressing victories gratitude.These findings provide preliminary evidence comfort using this AI-based emotionally intelligent mobile support across range events experiences.

Language: Английский

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Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action

EClinicalMedicine, Journal Year: 2023, Volume and Issue: 67, P. 102264 - 102264

Published: Dec. 6, 2023

Maternal outcomes throughout pregnancy, childbirth, and the postnatal period are influenced by interlinked interdependent vulnerabilities. A comprehensive understanding of how various threats barriers affect maternal perinatal health is critical to plan, evaluate improve programmes. This paper builds on introductory Series determinants assessing vulnerabilities during period. We synthesise present concept vulnerability in pregnancy map attributes their dynamic influence early late childbirth period, with a particular focus low-income middle-income countries (LMICs). summarise existing literature evidence effects reparative strategies outcomes. Lastly, we discuss implications identified for efforts policymakers, healthcare professionals, researchers working towards improving women birthing people LMICs.

Language: Английский

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Health Equity and Perinatal Mental Health

Current Psychiatry Reports, Journal Year: 2024, Volume and Issue: 26(9), P. 460 - 469

Published: July 15, 2024

Language: Английский

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Factors associated with antenatal depression among women attending antenatal care at Mubende Regional Referral Hospital: a cross-sectional study

BMC Women s Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 25, 2024

Abstract Introduction This study aimed to investigate the prevalence, severity, and factors associated with antenatal depression among women receiving care at Mubende Regional Referral Hospital (MRRH) in Uganda. Antenatal is a critical concern for maternal child well-being, as it adverse outcomes such preterm birth, abortion, low birth weight, impaired maternal-infant bonding. Despite several international guidelines recommending routine screening depression, local Ugandan often overlook this essential aspect of care. Methods A cross-sectional involving 353 pregnant utilized Patient Health Questionnaire 9 (PHQ-9) assess depression. Participants were categorized having if their total PHQ-9 score was ≥ 5 met Diagnostic Statistical Manual Mental Disorders, Fourth Edition (DSM-IV) criteria either major or minor Psychosocial demographic obstetric characteristics recorded. Logistic regression analysis identified linked Results The burden notably high, affecting 37.68% participants. Among those majority exhibited mild symptoms 94 (70.68%). significant revealed by multivariate analysis, included younger age (≤ 20 years), older (≥ 35 history domestic violence, alcohol use, gestational age, preeclampsia, unplanned pregnancies. Conclusion significantly high prevalence emphasizing its public health importance. Most cases classified mild, importance timely interventions prevent escalation. risk first-trimester pregnancy, abortion history, previous pregnancy.

Language: Английский

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Antenatal Depression and Risk of Gestational Diabetes, Adverse Pregnancy Outcomes, and Postpartum Quality of Life

The Journal of Clinical Endocrinology & Metabolism, Journal Year: 2021, Volume and Issue: 106(8), P. e3110 - e3124

Published: March 10, 2021

Abstract Aims To determine the impact of depressive symptoms on pregnancy outcomes and postpartum quality life in women with gestational diabetes mellitus (GDM) normal glucose tolerance (NGT). Methods 1843 from a prospective cohort study received universal GDM screening an oral test (OGTT). The Center for Epidemiologic Studies–Depression questionnaire was completed before diagnosis communicated early postpartum. All participants 36-Item Short Form Health Survey (SF-36) health survey Results Women who developed (231; 12.5%) had significantly more often than NGT (1612; 87.5%) [21.3% (48) vs 15.1% (239), odds ratio (OR) 1.52, 95% confidence interval (CI) (1.08-2.16), P = 0.017]. Compared to without symptoms, depressed attended less OGTT [68.7% (33) 87.6% (155), 0.002], remained [37.1% (13) 12.4% (19), < 0.001], lower SF-36 scores There were no significant differences between both groups. Rates labor inductions higher group compared nondepressed [31.7% (75) 24.7% (330), adjusted OR (aOR) 1.40, CI (1.01-1.93), 0.041]. (P 0.001) women. Conclusions antenatal depression develop GDM. remain life. have rates

Language: Английский

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