Home Visits for Postpartum Depression Intervention among Low-Income Latinas: Results from the PST4PPD Project

Soc Work Public Health. 2024 Feb 17;39(2):141-155. doi: 10.1080/19371918.2024.2319862. Epub 2024 Mar 6.

Abstract

Research shows that U.S. Latinas are at risk for high rates of postpartum depression (PPD) but have low rates of treatment compared to non-Hispanic White mothers. This study examined the feasibility of a multi-site home-visiting intervention (PST4PPD) conducted by bilingual community health workers (CHW) among low-income Latina mothers. A one-group, pre/posttest design and paired sample's t-test were used to measure changes in depressive symptoms and self-efficacy for participants (n = 76) across five sites. The Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire (PHQ-9) were used to assess depression; the New General Self-Efficacy Scale and the Maternal Efficacy Questionnaire measured general self-efficacy and parenting self-efficacy. Depression scores decreased significantly from pretest to posttest. Participants' general self-efficacy, maternal self-efficacy, and PPD knowledge increased. With a 76% completion rate, demonstrable improvements were seen in participants' depression and self-efficacy. Implications for addressing modifiable factors such as self-efficacy and stress management are discussed.

Keywords: Home visit program; Latina; community health workers; postpartum depression.

Publication types

  • Clinical Study

MeSH terms

  • Depression, Postpartum* / diagnosis
  • Depression, Postpartum* / therapy
  • Feasibility Studies
  • Female
  • Hispanic or Latino
  • House Calls
  • Humans
  • Mothers
  • Self Efficacy