Postpartum depression (PPD) is prevalent among adolescent mothers and is associated with negative maternal and infant outcomes. Peer support can improve health outcomes among adult and adolescent populations and involves the provision of informational, emotional, and appraisal support delivered by a peer.
Purpose
To describe adolescent mothers’ perceptions of a mobile phone-based peer support (MPPS) intervention designed to prevent PPD.
Methods
This analysis draws on data from the MPPS intervention group of a pilot randomized controlled trial of pregnant adolescents 17 to 24 years old (n = 16). Maternal perceptions of the intervention were measured using the validated Peer Support Evaluation Inventory at 12 weeks postpartum.
Results
Participants acknowledged receiving supportive actions including emotional (91%), informational (66%), and appraisal (64%) support. Participants perceived positive relationship qualities with their peer mentor such as trustworthiness (94%), acceptance (75%), empathy (81%), and commitment (81%) and felt their peer mentor possessed social competence (91%) and social skills (91%). Overall, 100% of participants were satisfied with their peer support experience and would recommend this type of support to a friend.
Conclusion
Participants perceived their experience with the MPPS intervention positively, which lends support to MPPS as an acceptable way to provide support to adolescent mothers.
Ahola KohutS.StinsonJ. N.RuskinD.ForgeronP.HarrisL.van WykM., … CampbellF. (2016).
iPeer2Peer program: A pilot feasibility study in adolescents with chronic pain. Pain,
157(5), 1146–1155. doi:10.1097/j.pain.0000000000000496
3.
BarnetB.JoffeA. M.DugganA. K. S.WilsonM. D.RepkeJ. T. (1996).
Depressive symptoms, stress, and social support in pregnant and postpartum adolescents. Archives of Pediatrics & Adolescent Medicine,
150, 64–69.
4.
BirkelandR.ThompsonJ. K.PharesV. (2005).
Adolescent motherhood and postpartum depression. Journal of Clinical Child & Adolescent Psychology,
34(2), 292–300. doi:10.1207/s15374424jccp3402_8
5.
DennisC.-L. (2002).
Breastfeeding peer support: Maternal and volunteer perceptions from a randomized controlled trial. Birth (Berkeley, Calif.),
29(3), 169–176.
6.
DennisC.-L. (2003).
Peer support within a health care context: A concept analysis. International Journal of Nursing Studies,
40(3), 321–332. doi:10.1016/S0020-7489(02)00092-5
7.
DennisC.-L. (2010).
Postpartum depression peer support: Maternal perceptions from a randomized controlled trial. International Journal of Nursing Studies,
47(5), 560–568. doi:10.1016/j.ijnurstu.2009.10.015
8.
DennisC.-L.HodnettE.KentonL.WestonJ.ZupancicJ.StewartD. E.KissA. (2009).
Effect of peer support on prevention of postnatal depression among high risk women: Multisite randomised controlled trial. BMJ: British Medical Journal,
338(7689), 280–284. Retrieved from http://www.jstor.org/stable/20511942
9.
DeVitoJ. (2010).
How adolescent mothers feel about becoming a parent. The Journal of Perinatal Education,
19(2), 25–34. doi:10.1624/105812410X495523
10.
HodgkinsonS.BeersL.SouthammakosaneC.LewinA. (2014).
Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics,
133(1), 114–122. doi:10.1542/peds.2013-0927
11.
KawachiI.BerkmanL. F. (2001).
Social ties and mental health. Journal of Urban Health: Bulletin of the New York Academy of Medicine,
78(3), 458–467. doi:10.1093/jurban/78.3.458
12.
LakeyB.CohenS. (2000). Social support theory and measurement. In CohenS.UnderwoodL. G.GottliebB. (Eds.), Social support measurement and intervention: A guide for health and social scientists (pp. 29–52).
New York, NY:
Oxford University Press.
13.
LakeyB.OrehekE. (2011).
Relational regulation theory: A new approach to explain the link between perceived social support and mental health. Psychological Review,
118(3), 482–495. doi:10.1037/a0023477
14.
LakeyB.OrehekE.HainK. L.Van VleetM. (2010).
Enacted support’s links to negative affect and perceived support are more consistent with theory when social influences are isolated from trait influences. Personality & Social Psychology Bulletin,
36(1), 132–142. doi:10.1177/0146167209349375
15.
LetourneauN. L.DennisC.-L.BenziesK.Duffett-LegerL.StewartM.TryphonopoulosP. D., . . . WatsonW. (2012).
Postpartum depression is a family affair: Addressing the impact on mothers, fathers, and children. Issues in Mental Health Nursing,
33(7), 445–457. doi:10.3109/01612840.2012.673054
16.
LogsdonM. C.BirkimerJ. C.SimpsonT.LooneyS. (2005).
Postpartum depression and social support in adolescents. JOGNN: Journal of Obstetric, Gynecologic, and Neonatal Nursing,
34(1), 46–54. doi:10.1177/0884217504272802
17.
NunesA.PhippsM. (2013).
Postpartum depression in adolescent and adult mothers: Comparing prenatal risk factors and predictive models. Maternal and Child Health Journal,
17(6), 1071–1079. doi:10.1007/s10995-012-1089-5
18.
O’HaraM. W.McCabeJ. E. (2013).
Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology,
9, 379–407. doi:10.1146/annurev-clinpsy-050212-185612
19.
ReidV.Meadows-OliverM. (2007).
Postpartum depression in adolescent mothers: An integrative review of the literature. Journal of Pediatric Health Care,
21(5), 289–298. doi:10.1016/j.pedhc.2006.05.010
20.
RobbY.McIneryD.Hollins-MartinC. (2013).
Exploration of the experiences of young mothers seeking and accessing health services. Journal of Reproductive Infant Psychology,
31(4), 399–412.
21.
SadlerL. S.CatroneC. (1983).
The adolescent parent: A dual developmental crisis. Journal of Adolescent Health Care: Official Publication of the Society for Adolescent Medicine,
4(2), 100–105.
22.
SawyerS. M.AzzopardiP. S.WickremarathneD.PattonG. C. (2018).
The age of adolescence. The Lancet Child and Adolescent Health,
2(3), 223–228.
23.
Schmidt, R. M., Wiemann, C. M., Rickert, V. I., & Smith, E. O. (2006). Moderate to severe depressive symptoms among adolescent mothers followed four years postpartum, Journal of Adolescent Health 38(6), 712–8.
24.
SimoniJ. M.FranksJ. C.LehavotK.YardS. S. (2011).
Peer interventions to promote health: Conceptual considerations. The American Journal of Orthopsychiatry,
81(3), 351–359. doi:10.1111/j.1939-0025.2011.01103.x
25.
SmithBattleL. (2009).
Reframing the risks and losses of teen mothering. The American Journal of Maternal and Child Nursing,
34(2), 122–128.
26.
TurnerG. (1999).
Peer support and young people’s health. Journal of Adolescence,
22(4), 567–572. doi:10.1006/jado.1999.0249
27.
Wills, T. A., & Shinar, O. (2000). Measuring perceived and received support. In CohenS.UnderwoodL. G.GottliebB. (Eds.), Social support measurement and intervention: A guide for health and social scientists (pp. 86–135).
New York, NY:
Oxford University Press.
