RNQualitativeMCN. The American journal of maternal child nursing2020

Mindful Moms: Motivation to Self-Manage Depression Symptoms.

Sasha Russell, Christine Aubry, Amy Rider and 2 others

PMID 32604182

WHAT IT FOUND

Women with depressive symptoms described motivation to self-manage after recognizing need, feeling relief in the combined program, safe connection with peers, and accountability from staff.

They reported increased confidence, not proof the program works.

Key findings

01Women described recognizing a need for self-care, often prompted by family members, friends, or providers, as a starting point for managing depressive symptoms.

02Participants reported that the combined nurse-led motivational discussion, prenatal yoga classes, and home physical activity helped them gain confidence and empowerment in managing symptoms.

03The shared safe space with other women and the supportive study staff were described as important for motivation.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a qualitative interview study, so it reports how women described their experience, not whether depressive symptoms improved. The women had completed a small pilot intervention and were self-selected, so they may have been more motivated than women who did not enroll. The intervention included nurse-led motivational discussion, weekly prenatal yoga, and home physical activity at the same time, so the contribution of any one component cannot be separated. Participants were mostly highly educated and partnered, so the themes may not transfer to patients with different circumstances. Interviews occurred after birth, so recollections of pregnancy experiences may have been filtered by the birth and early childcare.

The easy way to misread this

Do not read the reported confidence and symptom relief as proof that prenatal yoga or nurse-led motivational interviewing reduces depression. The women received nurse-led motivational discussion, weekly prenatal yoga, and home physical activity together, and this qualitative study of women who completed a small pilot cannot separate those components or establish efficacy.

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