{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:08:33Z","timestamp":1791439713639,"version":"4.3.3"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009415","name":"IWK Health Centre","doi-asserted-by":"publisher","award":["IWK Mentored Grant"],"award-info":[{"award-number":["IWK Mentored Grant"]}],"id":[{"id":"10.13039\/501100009415","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009415","name":"IWK Health Centre","doi-asserted-by":"publisher","award":["IWK Ross Fund"],"award-info":[{"award-number":["IWK Ross Fund"]}],"id":[{"id":"10.13039\/501100009415","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the effectiveness of the Essential Coaching for Every Mother program on maternal self-efficacy, perceived social support, postpartum anxiety, and postpartum depression at six-weeks postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants from Nova Scotia were randomized, stratified by parity, to receive either the Essential Coaching for Every Mother postpartum text-message program or usual care, from birth to six-weeks postpartum. Participants completed surveys at enrollment (after birth) and at 6 weeks. Differences between groups were analyzed using analysis of covariance, considering parity and group allocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 171 participants recruited (53% primiparous), 150 completed the baseline survey (intervention n\u2009=\u200978, control n\u2009=\u200972). At baseline, newborns were on average 4.4 days old (SD: 3.9) and mothers 31.4 years old (SD: 4.5). Controlling for maternal age, primiparous women in the intervention group had a greater increase in maternal self-efficacy than primiparous women in the control group (mean difference [MD]\u2009=\u20094.84 (standard error [SE]\u2009=\u20090.75) vs. MD\u2009=\u20092.13 (SE\u2009=\u20090.81), p\u2009=\u20090.034). Women allocated to the intervention group had a greater reduction in postpartum anxiety symptoms than women in the control group for both multiparous and primiparous women (MD\u2009=\u2009\u22123.91 (SE\u2009=\u20091.82) vs. 2.81 (SE\u2009=\u20091.86), p\u2009=\u20090.011). There was no significant change in postpartum depression scores or perceived social support for either group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study presents the results of the first Canadian postpartum text message program, which found improved psychosocial outcomes for postpartum women. Given the potential to reach numerous women at a low cost across geographical locations, the scalability of this intervention can improve maternal self-efficacy and reduce postpartum anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076221107886","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T02:21:05Z","timestamp":1655086865000},"page":"205520762211078","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Effectiveness of the \u201cEssential Coaching for Every Mother\u201d postpartum text message program on maternal psychosocial outcomes: A randomized controlled trial"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8928-7647","authenticated-orcid":false,"given":"Justine","family":"Dol","sequence":"first","affiliation":[{"name":"Faculty of Health, Dalhousie University, Halifax, NS, Canada"},{"name":"St Michael's Hospital, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Aston","sequence":"additional","affiliation":[{"name":"School of Nursing, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Grant","sequence":"additional","affiliation":[{"name":"Maritime SPOR Support Unit, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"McMillan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Tomblin Murphy","sequence":"additional","affiliation":[{"name":"Nova Scotia Health, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marsha","family":"Campbell-Yeo","sequence":"additional","affiliation":[{"name":"School of Nursing, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,12]]},"reference":[{"key":"bibr1-20552076221107886","unstructured":"World Health Organization. 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