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Women's health and midwifery
Web-based psychoeducation for first-time mothers more effective than home-based psychoeducation or routine care
  1. Terri Kean
  1. Faculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada
  1. Correspondence to Professor Terri Kean, Faculty of Nursing, University of Prince Edward Island, Charlottetown PE C1A 4P3, Canada; tkean1965{at}

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Commentary on: Jiao N, Zhu L, Chong YS, et al. Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: A randomised controlled trial. Int J Nurs Stud 2019;99:103385.

Implications for practice and research

  • Use of web-based psychoeducation interventions provides meaningful support for first-time mothers.

  • Research to examine the effectiveness of web-based psychoeducation beyond 6 months post partum, in subsequent pregnancies, or in first-time mothers versus experienced mothers may provide greater insight into the value of web-based mental health interventions.


Many first-time mothers experience low parental self-efficacy as they transition to motherhood. Self-doubt can disrupt personal well-being and heighten feelings of inadequacy, unpreparedness and isolation. Low maternal confidence is a significant risk factor for postpartum depression (PPD). Untreated PPD can negatively impact the maternal-child bond, increase dissatisfaction with parenting, alter maternal response to infant needs (eg, hunger cues) and contribute to negative outcomes in children. This study illustrates the …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.