Translating the Knowledge Gap Between Researchers and Communication Designers for Improved mHealth Research

Our industry insight focuses on the challenges for health researchers collaborating with communication designers during the development of an App for improving maternal mental health and parenting stress. We discuss the challenges around explicating and communicating tacit and domain knowledge across disciplinary boundaries. We believe this report can widen communication design’s traditional focus on users in mHealth research to consider partnerships with academic researchers. The lessons learned from our experience developing a mHealth program can be used to reduce challenges in future mHealth research, especially for collaborations between health researchers and communications designers. Considering the growth of interest in mHealth, this is extremely relevant for future team satisfaction, the optimal use of research funds and industry time, and faster development of effective mHealth tools.This is the accepted manuscript version of the following publication: Rioux, C., Weedon, S., MacKinnon, A. L., Watts, D., Salisbury, M. R., Penner-Goeke, L., Simpson, K. M., Harrington, J., Tomfohr-Madsen, L. M. & Roos, L. E. (2022). Translating the Knowledge Gap Between Researchers and Communication Designers for Improved mHealth Research. SIGDOC '22: The 40th ACM International Conference on Design of Communication, USA, 157–160. doi: 10.1145/3513130.3558997BEAM was funded by a Research Manitoba COVID-19 Rapid Response Operating Grant. CR was supported by a Postdoctoral fellowship from Research Manitoba and the Children’s Hospital Foundation of Manitoba. ALM was supported by a Social Sciences & Humanities Research Council (SSHRC) Banting Postdoctoral Fellowship (#01353-000).Ye

Supporting families to protect child health: Parenting quality and household needs during the COVID-19 pandemic

Data generated and analyzed for the study "Supporting families to protect child health: Parenting quality and household needs during the COVID-19 pandemic", accepted for publication at PLOS One

Development and validation of a battery of emotionally evocative film clips for use with young children

© 2019 American Psychological Association. Investigating normative and maladaptive emotional development requires the ability to elicit children\u27s reactivity to a range of affective stimuli. However, the field lacks a validated battery of stimuli tapping a broad range of childhood emotions. We therefore sought to validate a developmentally appropriate battery of emotionally evocative film stimuli, covering a range of affective responses, for use with children. During pilot work, clips were verified as age appropriate by parents of young children. Next, during a laboratory visit, 39 children (22 girls; Mage = 7.19 years, SD = .76) viewed 20 film clips thought likely to elicit either positive affect, dysphoria (i.e., sadness/anger), or fear, and provided self-reported emotional responses to clips. Children\u27s facial expressions during clips were also rated by trained coders blind to the intended purpose of the clips. We identified clips that successfully elicited the target emotion more so than nontarget emotions according to both coder ratings and child self-report. Implications for the use of these film clips in future research on child emotion are discussed

Supporting Families to Protect Child Health: Parenting Quality and Household Needs During the COVID-19 Pandemic

Background: Supportive parenting is critical for promoting healthy child development in the face of stressors, such as those occurring during COVID-19. Here, we address a knowledge gap regarding specific household risk factors associated with parenting quality during the pandemic and incorporate first-person accounts of family challenges and needs. Methods: Mixed methods were applied to data collected between April 14th - 28th, 2020 from the “Parenting During the Pandemic” survey. Participants included 656 primary caregivers (e.g., mothers, fathers, foster parents) of least one child age 1.5-8 years of which 555 (84.6%) responded to at least one parenting questionnaire. Parenting quality was assessed across stressful, negative, and positive parenting dimensions. Household risk was examined across pandemic-linked (e.g., caregiver depression, unmet childcare needs) and stable factors (i.e., annual income, mental illness history). Significant correlates were examined with regressions in Mplus. Thematic analysis identified caregiver challenges and unmet needs from open-ended questions. Findings: Caregiver depression, higher child parity, unmet childcare needs, and relationship distress predicted lower-quality parenting. Caregiver depression was the most significant predictor across every parenting dimension, with analyses indicating medium effect sizes, ds = .39 - .73. Qualitative findings highlighted severe strains on parent capacities including managing psychological distress, limited social supports, and too much unstructured time. Interpretations: Lower quality parenting during COVID-19 is associated with multiple household and pandemic risk factors, with caregiver depression consistently linked to parent-child relationship disruptions. Focused efforts are needed to address caregiver mental health to protect child health as part of the pandemic response

Growth Models of Positive Caregiving Behaviours and Concurrent Autonomic Activity in Caregivers and Children during a Challenging Puzzle Task: Replication and Extension

Caregivers exhibiting low levels of positive caregiving tend to have reduced dynamic range in high- frequency heart rate variability (HRV), an index of parasympathetic nervous system activity. Yet less is known about the involvement of the sympathetic nervous system, which may impact the plausible range of parasympathetic reactivity. Here, caregiver–child dyads completed resting assessments of HRV and pre-ejection period (PEP), followed by a videotaped puzzle task during which HRV was measured and observers coded the degree of caregivers’ positive emotionality. Multilevel modelling was employed to characterize task fluctuations in HRV as a function of resting PEP and caregivers’ positive emotional expressions. Higher frequency of caregiver positivity was associated with greater HRV reactivity in caregivers but not children. Increased caregiver positivity was correlated with longer resting PEP in children. These results replicate findings of greater caregiver parasympathetic flexibility during positive caregiving and extend those findings to children’s resting sympathetic activity

Building Emotional Awareness and Mental Health (BEAM): A pilot randomized controlled trial of an App-based program for mothers of toddlers

Families have faced unprecedented challenges during the COVID-19 pandemic, leading to increased maternal mental health problems and barriers to accessing care. Innovative programs are needed to support both maternal mental health and parenting, and to buffer the long-term impacts of stress on young children. Using a patient-oriented approach, our research team co-developed and pilot tested an App-based psychoeducation and social-connection platform: Building Emotional Awareness and Mental Health (BEAM). The co-development process involved a parent advisory board from conceptualization and design, through to direct participation in the program delivery. The BEAM program includes weekly videos and activities based on Unified Protocol therapy modules and emotion-focused parenting strategies, a weekly telehealth group review session, and access to a private online forum for support from other mothers and clinical coaches. A pilot randomized control trial was conducted across two provinces in Canada. 65 mothers of preschool children (aged 18-36 months old), with moderate-to-severe depression (Patient Health Questionaire-9≥10), were allocated to either the 10-week BEAM intervention (n=33) or treatment as usual control (n=32) groups. Participants completed questions about feasibility and acceptability of the program and pre/post self-report measures of mental health, parenting, positive coping and child behavior outcomes. Engagement was relatively high at the beginning of the program, with 78.8% starting the BEAM App and 70.6% attending ≥1 telehealth session. Most respondents felt socially supported, satisfied with the App, and found it easy to use. Data were analysed using mixed models and an intention-to-treat approach. Pre-post results indicated interaction effects with greater reductions in overall mental health problems and specific anxiety and sleep symptoms among BEAM versus control participants, as well as time effects with reductions in depression symptoms across both groups. No significant treatment effects emerged for the other mental health symptoms, parenting problems, positive coping, or child behaviour outcomes. Descriptive data are included to highlight possible areas of promise for future large efficacy trials. Technological difficulties and other challenges that may have led to attrition and impacted outcomes are discussed. The BEAM program has promise as a novel, feasible and acceptable intervention for improving mental health among mothers of young children

Building Emotional Awareness and Mental Health (BEAM): study protocol for a phase III randomized controlled trial of the BEAM app-based program for mothers of children 18–36 months

Abstract Background The prevalence of maternal depression and anxiety has increased during the COVID-19 pandemic, and pregnant individuals are experiencing concerningly elevated levels of mental health symptoms worldwide. Many individuals may now be at heightened risk of postpartum mental health disorders. There are significant concerns that a cohort of children may be at-risk for impaired self-regulation and mental illness due to elevated exposure to perinatal mental illness. With both an increased prevalence of depression and limited availability of services due to the pandemic, there is an urgent need for accessible eHealth interventions for mothers of young children. The aims of this trial are to evaluate the efficacy of the Building Emotion Awareness and Mental Health (BEAM) app-based program for reducing maternal depression symptoms (primary outcome) and improve anxiety symptoms, parenting stress, family relationships, and mother and child functioning (secondary outcomes) compared to treatment as usual (TAU). Methods A two-arm randomized controlled trial (RCT) with repeated measures will be used to evaluate the efficacy of the BEAM intervention compared to TAU among a sample of 140 mothers with children aged 18 to 36 months, who self-report moderate-to-severe symptoms of depression and/or anxiety. Individuals will be recruited online, and those randomized to the treatment group will participate in 10 weeks of psychoeducation modules, an online social support forum, and weekly group teletherapy sessions. Assessments will occur at 18–36 months postpartum (pre-test, T1), immediately after the last week of the BEAM intervention (post-test, T2), and at 3 months after the intervention (follow-up, T3). Discussion eHealth interventions have the potential to address elevated maternal mental health symptoms, parenting stress, and child functioning concerns during and after the COVID-19 pandemic and to provide accessible programming to mothers who are in need of support. This RCT will build on an open pilot trial of the BEAM program and provide further evaluation of this evidence-based intervention. Findings will increase our understanding of depression in mothers with young children and reveal the potential for long-term improvements in maternal and child health and family well-being. Trial registration ClinicalTrials.gov NCT05306626 . Registered on April 1, 202