Feasibility and acceptability of expressive writing with postpartum women: a randomised controlled trial

被引：12

作者：

Crawley, Rosalind ^{[1
]}

Ayers, Susan ^{[2
]}

Button, Susan ^{[3
]}

Thornton, Alexandra ^{[2
]}

Field, Andy P. ^{[4
]}

Lee, Suzanne ^{[2
]}

Eagle, Andrew ^{[5
]}

Bradley, Robert ^{[6
]}

Moore, Donna ^{[3
]}

Gyte, Gill ^{[7
]}

Smith, Helen ^{[8
,9
]}

机构：

[1] Univ Sunderland, Sch Psychol, Chester Rd, Chester SR2 7PT, Cheshire, England

[2] City Univ London, Ctr Maternal & Child Hlth Res, London EC1V 0HB, England

[3] Univ Greenwich, Dept Adult Nursing & Paramed Sci, London SE9 2UG, England

[4] Univ Sussex, Sch Psychol, Brighton BN1 9QH, E Sussex, England

[5] Cent & North West London NHS Fdn Trust, London W10 6DZ, England

[6] Brighton & Sussex Univ Hosp NHS Trust, Eastern Rd, Brighton BN2 5BE, E Sussex, England

[7] Natl Childbirth Trust, 30 Euston Sq, London NW1 2FB, England

[8] Brighton & Sussex Med Sch, Div Publ Hlth & Primary Care, Brighton BN1 9PH, E Sussex, England

[9] Nanyang Technol Univ, Lee Kong Chian Sch Med, Singapore 308232, Singapore

来源：

BMC PREGNANCY AND CHILDBIRTH | 2018年 / 18卷

基金：

美国国家卫生研究院;

关键词：

Feasibility; Acceptability; Expressive writing; Postpartum; Postnatal; Maternal; EMOTIONAL DISCLOSURE; POSTTRAUMATIC-STRESS; INTERVENTION; DEPRESSION; DISTRESS; SIZES; MOOD;

D O I：

10.1186/s12884-018-1703-7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Pregnancy, birth and adjusting to a new baby is a potentially stressful time that can negatively affect women's mental and physical health. Expressive writing, where people write about a stressful event for at least 15 min on three consecutive days, has been associated with improved health in some groups but it is not clear whether it is feasible and acceptable for use with postpartum women. This study therefore examined the feasibility and acceptability of expressive writing for postpartum women as part of a randomised controlled trial (RCT). Methods: The Health After Birth Trial (HABiT) was an RCT evaluating expressive writing for postpartum women which included measures of feasibility and acceptability. At 6 to 12 weeks after birth 854 women were randomised to expressive writing, a control writing task or normal care, and outcome measures of health were measured at baseline, one month later and six months later. Feasibility was measured by recruitment, attrition, and adherence to the intervention. Quantitative and qualitative measures of acceptability of the materials and the task were completed six months after the intervention. Results: Recruitment was low (10.7% of those invited to participate) and the recruited sample was from a restricted sociodemographic range. Attrition was high, increased as the study progressed (35.8% at baseline, 57.5% at one month, and 68.1% at six months) and was higher in the writing groups than in the normal care group. Women complied with instructions to write expressively or not, but adherence to the instruction to write for 15 min per day for three days was low (Expressive writing: 29.3%; Control writing: 23.5%). Acceptability measures showed that women who wrote expressively rated the materials/task both more positively and more negatively than those in the control writing group, and qualitative comments revealed that women enjoyed the writing and/or found it helpful even when it was upsetting. Conclusions: The feasibility of offering expressive writing as a universal self-help intervention to all postpartum women 6 to 12 weeks after birth in the HABiT trial was low, but the expressive writing intervention was acceptable to the majority of women who completed it.

引用

页数：12

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