https://hdl.handle.net/20.500.12412/2558 Wed, 06 May 2026 04:20:19 GMT 2026-05-06T04:20:19Z https://hdl.handle.net/20.500.12412/6399 'Stakeholders' involvement in the co-design and development of e-Perinatal mHealth app to prevent perinatal mental health disorders in maternal health care: Study Protocol de-Juan-Iglesias, Paula; Company-Córdoba, Rosalba; Carretero, Stephanie; Gómez Gómez, Irene; Barquero-Jiménez, Carlos; Cruz-Cabrera, Carlos Roberto; Mótrico Martínez, Emma; e-Perinatal Group Stakeholders’ involvement in the co-design and development of e-Perinatal, a mHealth app to prevent perinatal mental health disorders in maternal health care: Study Protocol. Background: This study aims to co-design and develop, together with the involvement of the stakeholders, an innovative personalized mHealth app called e-Perinatal for psychological intervention to prevent perinatal mental health disorders (depression and anxiety) in maternal health care and to be implemented in normal routine practice. This project is frame in a European funded project (ERC grant). The co-design will contribute to the implementation process, through the evaluation of specific app contents and the potential participant´s barriers and enablers. Therefore, these findings will contribute to cover a scientific gap in evidence-based practice. Methods: It will be employed an iterative mixed-methods design to co-design, produce, and test a prototype of the e-Perinatal app, according to stakeholders’ preferences. We will follow these three phases: 1) A prototype of the e-Perinatal app (beta version) will be designed with a healthcare software development company. 2) The prototype will be refined via a co-design process, by focus groups, with 144 local stakeholders. 3) Usability testing will be undertaken with 8 pregnant/postpartum women and 8 fathers/partners from phase 2. Qualitative data will be examined by framework analysis and quantitative data from usability testing by simple descriptive statistics and tests of differences, both will be triangulated. Results: The analysis of the co-design process are expected to improve the scientific knowledge related to the implementation of new technologies in primary healthcare settings and, identify the determinants of practice (i.e., barriers and facilitators), to guide the process of implementation of the mHealth ʻe-perinatalʼ in routine practice as a normalized practice and improve the feasibility and effectiveness. Conclusions: To the best of our knowledge, the e-Perinatal study will be the first to examine the implementation process of a mHealth app to prevent perinatal mental health disorders in healthcare settings and to evaluate the implementation process in normal routine practice. Sun, 01 Jan 2023 00:00:00 GMT https://hdl.handle.net/20.500.12412/6399 2023-01-01T00:00:00Z https://hdl.handle.net/20.500.12412/6398 `Stakeholders’ involvement in the co-design and development of e-Perinatal, a mHealth app to prevent perinatal mental health disorders in maternal health care: Study Protocol’ de-Juan-Iglesias, Paula; Company-Córdoba, Rosalba; Carretero, Stephanie; Gómez Gómez, Irene; Barquero-Jiménez, Carlos; Cruz-Cabrera, Carlos Roberto; Mótrico Martínez, Emma; e-Perinatal Group Project aim This study aims to co-design and develop, together with the involvement of the stakeholders, an innovative personalized mHealth app called ePerinatal for psychological intervention to prevent perinatal mental health disorders (depression and anxiety) in maternal health care. This project is frame in a European funded project (ERC grant). Setting The sector will be the usual maternal health care programme framed in the public ? primary health care centres in available in the public health care services of the Andaluscian Region in Spain. Method(s) / Approach We will employ an iterative mixed-methods design to co-design, produce, and test a prototype of the e-Perinatal app, according to stakeholders’ preferences. We will follow these three phases: 1) A prototype of the e-Perinatal app (beta version) will be designed with a healthcare software development company. 2) The prototype will be refined via a co-design process with 144 local stakeholders. 3) Usability testing will be undertaken with 8 pregnant/postpartum women and 8 fathers/partners from phase 2. Framework analysis and quantitative data from usability testing by simple descriptive statistics and tests of differences will examine qualitative data. Key insights We will co-design with stakeholders the ‘e-Perinatal app’, an innovative and personalized mHealth psychological intervention for universal prevention of maternal PMD, to be provided by health professionals to women and their partners for use throughout the entire perinatal period. We will test the feasibility and effectiveness of the ‘e-Perinatal app’ in two real-world trials in routine maternal health care practice for the prevention of perinatal mental health disorders. Sun, 01 Jan 2023 00:00:00 GMT https://hdl.handle.net/20.500.12412/6398 2023-01-01T00:00:00Z https://hdl.handle.net/20.500.12412/6396 Online psychological interventions to prevent perinatal depression in fathers or non-birthing partners: systematic review and meta-analysis of randomized controlled trials de-Juan-Iglesias, Paula; Barquero-Jiménez, Carlos; Gómez Gómez, Irene; Wilson, Claire A.; Mótrico Martínez, Emma Paternal Perinatal Depression (PPD) is estimated to have an average prevalence of 8% to 13% in fathers during the perinatal period and has a negative impact on fathers’ well-being, family functioning, and child development. The purpose of this systematic review and meta-analysis (SR/MA) was to evaluate the effectiveness of online preventive interventions in non-birthing partners or fathers without depression or other mental disorders. PRISMA-DTA 2020 guidelines were followed. The search for eligible articles was conducted in PubMed, MEDLINE, PubMed, CINAHL Complete, PsycINFO, Scopus and Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), clinicalTrials.gov, Australian New Zealand Clinical Trial Registry, Beacon 2.0 and Psychotherapy Randomized Controlled and Comparative Trials. Grey literature in Opengrey was explored and experts in the field were asked for trial references or published studies. Selected RCTs involved non-birthing partners during the perinatal period (up to 12 months after childbirth). The results were a decrease in postpartum depressive symptoms and/or the incidence of PPD. Using random-effect models, the standardized mean difference (SMD) was computed. Sensitivity analysis were performed. A total of 6 RCTs were included in the SR-MA, conformed by 1752 participants, from five different countries. The pooled SMD was -0.258 [95% confidence interval (CI) -0.513 to -0.004; p < 0.001]. Heterogeneity was moderate (I2=51%). Only two RCTs had an overall low risk of bias. There were no available psychological online interventions delivered only for fathers or non-birthing partners, all were partner inclusive and their effect was not significant. Further RCTs with low risk of bias and specific fathers interventions to prevent PPD are needed. Thu, 06 Jul 2023 00:00:00 GMT https://hdl.handle.net/20.500.12412/6396 2023-07-06T00:00:00Z https://hdl.handle.net/20.500.12412/4672 Atlas de adicciones de España Salinas Pérez, José Alberto; Rodero Cosano, María Luisa; Campoy Muñoz, María Del Pilar; Díaz Milanés, Diego; Ruiz Gutierrez-Colosia, Mencía; García Alonso, Carlos España no cuenta con un directorio nacional completo de servicios, sino que es necesario acudir a las diferentes administraciones autonómicas con competencias en la materia, y dentro de ellas a los diferentes sectores implicados. Junto a esta fragmentación, el estudio y comparación de la provisión y disponibilidad de servicios es dificultada por problemas de inconmensurabilidad (diferentes unidades) y variedad terminológica (diferentes nombres). El Atlas de Adicciones de España está financiado por Plan Nacional sobre Drogas (PNSD)y tiene por objetivo ser un primer paso para conocer la provisión de servicios de adicciones en las Comunidades y Ciudades Autónomas. Sun, 01 Jan 2023 00:00:00 GMT https://hdl.handle.net/20.500.12412/4672 2023-01-01T00:00:00Z