{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T10:18:03Z","timestamp":1769941083923,"version":"3.49.0"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"DOI":"10.13039\/100000092","name":"U.S. National Library of Medicine","doi-asserted-by":"publisher","award":["1R01LM012974-01A1"],"award-info":[{"award-number":["1R01LM012974-01A1"]}],"id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosdigitalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Digit Health"],"abstract":"<jats:p>Health disparities cause significant strain on the wellbeing of individuals and society. In this study, we focus on the health disparities present in the condition of Peripartum Depression (PPD), a significant public health issue. While PPD can be managed through therapy and medication, many women do not receive adequate PPD treatment due to issues of social stigma and limited access to healthcare resources. Digital health technologies can offer practical tools for PPD management. However, current solutions do not integrate behavior theory and are rarely responsive to the transient information needs stemming from women\u2019s unique sociodemographic, clinical and psychosocial profiles. We describe a pilot acceptability evaluation of MomMind, a health-disparities focused digital health intervention for the prevention and management of PPD. A crucial MomMind advantage is its basis on behavior change theory and patient engagement as enabled by the Digilego digital health framework. Following an internal usability evaluation, MomMind was evaluated by patients through cross-sectional acceptability surveys, pre-and-post PPD health literacy surveys, and interviews. Survey respondents included n = 30 peripartum women, of whom n = 16 (53.3%) were Hispanic and n = 17 (56.7%) of low-income. Survey results show that 96.6% of participants (n = 29) approved and welcomed MomMind, and 90% (n = 27) found MomMind to be an appealing intervention. Additionally, significant improvements (p&lt; = 0.05) were observed in participants\u2019 PPD health literacy, specifically their ability to recognize PPD symptoms and knowledge of how to seek PPD information. Interview main themes include MomMind\u2019s straightforward design and influence of others (family members, providers) on use of technology. Results suggest that enhancement of a digital health framework with health literacy theory can support production of digital health solutions acceptable to vulnerable populations. This study incorporates existing theories from different disciplines into a unified approach for mitigating health disparities, and produced a novel solution for promotion of health in a vulnerable population.<\/jats:p>","DOI":"10.1371\/journal.pdig.0000508","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T17:24:02Z","timestamp":1716398642000},"page":"e0000508","update-policy":"https:\/\/doi.org\/10.1371\/journal.pdig.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["A pilot acceptability evaluation of MomMind: A digital health intervention for Peripartum Depression prevention and management focused on health 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postpartum)?2020"},{"issue":"6","key":"pdig.0000508.ref006","doi-asserted-by":"crossref","first-page":"888","DOI":"10.2105\/AJPH.2020.305619","article-title":"Financial Toll of Untreated Perinatal Mood and Anxiety Disorders Among 2017 Births in the United States.","volume":"110","author":"DL Luca","year":"2020","journal-title":"Am J Public Health."},{"issue":"6","key":"pdig.0000508.ref007","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1176\/ps.62.6.pss6206_0619","article-title":"Racial and ethnic disparities in postpartum depression care among low-income women.","volume":"62","author":"KB Kozhimannil","year":"2011","journal-title":"Psychiatr Serv."},{"issue":"4","key":"pdig.0000508.ref008","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.whi.2009.03.007","article-title":"Disparities in Detection and Treatment History Among Mothers With Major Depression in Los Angeles.","volume":"19","author":"S Lara-Cinisomo","year":"2009","journal-title":"Women\u2019s 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scale.","volume":"14","author":"PMA Desmet","year":"2016","journal-title":"J of Design Research"},{"issue":"6","key":"pdig.0000508.ref019","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.","volume":"150","author":"JL Cox","year":"1987","journal-title":"The British journal of psychiatry."},{"issue":"1","key":"pdig.0000508.ref020","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-017-0635-3","article-title":"Psychometric assessment of three newly developed implementation outcome measures","volume":"12","author":"BJ Weiner","year":"2017","journal-title":"Implementation Science"},{"issue":"1","key":"pdig.0000508.ref021","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s12884-019-2705-9","article-title":"The postpartum depression literacy scale (PoDLiS): development and psychometric properties.","volume":"20","author":"F Mirsalimi","year":"2020","journal-title":"BMC Pregnancy and Childbirth"},{"key":"pdig.0000508.ref022","author":"K Glanz","year":"2008"},{"key":"pdig.0000508.ref023","doi-asserted-by":"crossref","first-page":"107327482110060","DOI":"10.1177\/10732748211006055","article-title":"The Development and Prototype Feedback of Digital Cancer 101 Videos to Enhance Cancer Education for Marginalized Communities With Limited Health Literacy.","volume":"28","author":"P Valera","year":"2021","journal-title":"Cancer Control."},{"key":"pdig.0000508.ref024","volume-title":"Fundamentals of biostatistics","author":"B. Rosner","year":"2011","edition":"7"},{"issue":"10","key":"pdig.0000508.ref025","first-page":"671","article-title":"Analysis of paired Likert data: how to evaluate change and preference questions.","volume":"27","author":"PK Roberson","year":"1995","journal-title":"Fam Med."},{"key":"pdig.0000508.ref026","volume-title":"Grounded theory in practice","author":"A Strauss","year":"1997"},{"key":"pdig.0000508.ref027","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.genhosppsych.2018.01.005","article-title":"Text messaging to support a perinatal collaborative care model for depression: A multi-methods inquiry.","volume":"52","author":"A Bhat","year":"2018","journal-title":"Gen Hosp Psychiatry"},{"issue":"5","key":"pdig.0000508.ref028","doi-asserted-by":"crossref","first-page":"e0194337","DOI":"10.1371\/journal.pone.0194337","article-title":"The Health-e Babies App for antenatal education: Feasibility for socially disadvantaged women.","volume":"13","author":"JA Dalton","year":"2018","journal-title":"PLOS ONE."},{"key":"pdig.0000508.ref029","first-page":"148","article-title":"Depression help-seeking attitudes and behaviors among an Internet-based sample of Spanish-speaking perinatal women.","volume":"37","author":"AZ Barrera","year":"2015","journal-title":"Revista panamericana de salud publica."},{"issue":"1","key":"pdig.0000508.ref030","first-page":"7","article-title":"Identifying Barriers and Facilitators to Prenatal Care for Spanish-Speaking Women.","volume":"82","author":"K Fryer","year":"2021","journal-title":"N C Med J."},{"issue":"1","key":"pdig.0000508.ref031","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1093\/jamia\/ocv109","article-title":"Participatory design of ehealth solutions for women from vulnerable populations with perinatal depression.","volume":"23","author":"M Gordon","year":"2016","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"pdig.0000508.ref032","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s12889-016-3907-y","article-title":"A randomized-controlled trial focusing on socio-economic status for promoting vegetable intake among adults using a web-based nutrition intervention programme: study protocol.","volume":"17","author":"S Nakamura","year":"2017","journal-title":"BMC Public Health"},{"key":"pdig.0000508.ref033","article-title":"A Trial Testing Strategies to Enhance Patient Understanding of Drug Information: Experience Recruiting Subjects through an Online Patient Community [abstract].","volume":"69","author":"SE Blalock SJ","journal-title":"Arthritis and Rheumatology"},{"issue":"6","key":"pdig.0000508.ref034","doi-asserted-by":"crossref","first-page":"e23473","DOI":"10.2196\/23473","article-title":"Application of the eHealth Literacy Model in Digital Health Interventions: Scoping Review.","volume":"23","author":"M El Benny","year":"2021","journal-title":"J Med Internet Res"},{"key":"pdig.0000508.ref035","author":"Pew Research Center","year":"2008","journal-title":"U.S. Population Projections: 2005\u20132050"}],"container-title":["PLOS Digital Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T17:24:23Z","timestamp":1716398663000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000508"}},"subtitle":[],"editor":[{"given":"Kara","family":"Burns","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,5,22]]},"references-count":35,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,22]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pdig.0000508","relation":{},"ISSN":["2767-3170"],"issn-type":[{"value":"2767-3170","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,22]]}}}