A Telemedicine Based Supportive Educational System Using Family-Centered Care to Enhance Family Support and Reduce Postpartum Depression
DOI:
https://doi.org/10.31674/mjn.2026.v17i03.007Abstract
Background: One of the most common types of depression in new mothers, postpartum depression (PPD), affects millions worldwide. Yet many face barriers to accessing therapy, such as time, financial and childcare challenges. The purpose of this study is to assess the effectiveness of a telemedicine-based supportive educative system, grounded in family-centered care, in enhancing family support and reducing depression during the postpartum period. Methods: A quasi-experimental design with pre-test-post-test control groups was used to assess the impact of telemedicine. Postpartum women and their families were randomly assigned to the intervention or control group. The intervention group received telemedicine sessions educating families to provide support with the Zoom meeting platform, while the control group received standard care. Validated PSSQ (Postpartum Social Support Questionnaire) and EPDS (Edinburgh Postnatal Depression Scale) were administered at baseline and post-intervention. Results: The Wilcoxon test results in the intervention group revealed significant improvements in husband’s support (p=0.000), parental support (p=0.005) and friend’s support (p=0.026) after the intervention, indicating increased support for participants. However, no significant change was observed in support from in-laws (p=0.138). In the control group, a significant increase was noted in husband’s support (p=0.009), while parental support (p=0.126) showed no significant enhancement. Additionally, the paired t-test results in the control group indicated no significant changes in support from in-laws (p=0.411) or friend’s support (p=0.437). Conclusion: The telemedicine-based supportive educational system using family-centred care effectively enhances family support and reduces postpartum depression, offering a promising approach to improve postpartum mental health outcomes.
Keywords:
Depression, Family Centered Care, Family Support, Postpartum, Supportive Educative System, TelemedicineDownloads
References
Aadillah, V. Y., & Nurbaeti, I. (2023). Postpartum depression and its contributing factors among mothers during the covid-19 pandemic in North Jakarta, Indonesia. Nurse Media Journal of Nursing, 13(1), 85–94. https://doi.org/10.14710/nmjn.v13i1.49860
Adli, F. K. (2022). Edinburgh Post-natal Depression Scale (EPDS): Deteksi dini dan skrining depresi post-partum [Edinburgh post-natal depression scale (epds): early detection and screening for post-partum depression]. Jurnal Kesehatan, 13(2), 430–436. https://doi.org/10.26630/jk.v13i2.2741
Ariasih, A., & Budiharsana, M. (2023). Prevalence and sociodemographic factors associated with peripartum depression in Indonesia: national basic health research data 2018. Jurnal Kesehatan Reproduksi, 13(2), 141–149. https://doi.org/10.58185/jkr.v13i2.45
Ayoub, K., Shaheen, A., & Hajat, S. (2017). Prevalence and associated factors of post-partum depression in Palestinian mothers: A cross-sectional study. The Lancet, 390, S31. https://doi.org/10.1016/S0140-6736(17)32032-9
Bakhshizadeh, A., Shiroudi, S. G., & Khalatbari, J. (2013). Effect of hardiness training on stress and postpartum depression. Procedia - Social and Behavioral Sciences, 84, 1790–1794. https://doi.org/10.1016/j.sbspro.2013.07.035
Basu, S., Budh, N., Garg, S., Singh, M. M., & Sharma, A. (2021). Postpartum depression burden and associated factors in mothers of infants at an urban primary health center in Delhi, India. Tzu Chi Medical Journal, 33(1), 70–73. https://doi.org/10.4103/tcmj.tcmj_190_19
Brahmana, K. M. B., Simbolon, H., Ginting, A. B., Udek, T. L. H. S., & Manalu, W. S. (2023). The effect of marriage commitment and marriage adjustment toward marriage satisfaction of GBKP Priest's Wife. Journal of Educational, Health & Community Psychology (JEHCP), 1(2), 349–367. https://doi.org/10.12928/jehcp.v1i2.25957
Gomez-Roas, M. V., Davis, K. M., Leziak, K., Jackson, J., Williams, B. R., Feinglass, J. M., Grobman, W. A., & Yee, L. M. (2022). Postpartum during a pandemic: Challenges of low-income individuals with healthcare interactions during COVID-19. PLoS One, 17(5), e0268698. https://doi.org/10.1371/journal.pone.0268698
Hanach, N., de Vries, N., Radwan, H., & Bissani, N. (2021). The effectiveness of telemedicine interventions, delivered exclusively during the postnatal period, on postpartum depression in mothers without history or existing mental disorders: A systematic review and meta-analysis. Midwifery, 94, 102906. https://doi.org/10.1016/j.midw.2020.102906
Hawkins, S. S. (2023). Telehealth in the prenatal and postpartum periods. Journal of Obstetric, Gynecologic & Neonatal Nursing, 52(4), 264–275. https://doi.org/10.1016/j.jogn.2023.05.113
Heidi, K., Emin, W. S., Taqiyah, Y., & Asnaniar, W. S. (2023). Husband’s support for the childbirth process: concept analysis. An Idea Nursing Journal, 2(02), 87–91. https://doi.org/10.53690/inj.v2i02.189
Hitzler, M., Behnke, A., Gündel, H., Ziegenhain, U., Kindler, H., Kolassa, I.-T., & Zimmermann, J. (2022). Sources of social support for postpartum women with a history of childhood maltreatment: Consequences for perceived stress and general mental health in the first year after birth. Child Abuse & Neglect, 134, 105911. https://doi.org/10.1016/j.chiabu.2022.105911
Hogue, A., Bobek, M., Levy, S., Henderson, C. E., Fishman, M., Becker, S. J., Dauber, S., Porter, N., & Wenzel, K. (2021). Conceptual framework for telehealth strategies to increase family involvement in treatment and recovery for youth opioid use disorder. Journal of Marital and Family Therapy, 47(2), 501–514. https://doi.org/10.1111/jmft.12499
Hopkins, J., & Campbell, S. B. (2008). Development and validation of a scale to assess social support in the postpartum period. Archives of Women’s Mental Health, 11, 57–65. https://doi.org/10.1007/s00737-008-0212-5
Kaplan, Ö., & Çağlı, F. (2022). Social support levels, mental health status and related factors in postpartum women during the pandemic. Psikiyatride Güncel Yaklaşımlar, 14(Ek 1), 278-285. https://doi.org/10.18863/pgy.1188621
Kumar, S. V., Oliffe, J. L., & Kelly, M. T. (2018). Promoting postpartum mental health in fathers: recommendations for nurse practitioners. American Journal of Men’s Health, 12(2), 221–228. https://doi.org/10.1177/1557988317744712
Lai, F. H. Y., Yan, E. W. H., Yu, K. K. Y., Tsui, W. S., Chan, D. T. H., & Yee, B. K. (2020). The protective impact of telemedicine on persons with dementia and their caregivers during the COVID-19 pandemic. The American Journal of Geriatric Psychiatry, 28(11), 1175-1184. https://doi.org/10.1016/j.jagp.2020.07.019
Leung, L. B., Yoo, C., Chu, K., O’Shea, A., Jackson, N. J., Heyworth, L., & Der-Martirosian, C. (2023). Rates of primary care and integrated mental health telemedicine visits between rural and urban veterans affairs beneficiaries before and after the onset of the COVID-19 pandemic. JAMA Network Open, 6(3), e231864. https://doi.org/10.1001/jamanetworkopen.2023.1864
Liu, X., Huang, S., Hu, Y., & Wang, G. (2022). The effectiveness of telemedicine interventions on women with postpartum depression: A systematic review and meta‐analysis. Worldviews on Evidence‐Based Nursing, 19(3), 175-190. https://doi.org/https://doi.org/10.1111/wvn.12576
Marcelina, L. A., Rachmawati, I. N., & Kurniawati, W. (2020). Supportive postpartum care reduces postpartum anxiety in mothers with twins: A pilot study. Jurnal Info Kesehatan, 18(2), 149-156. https://doi.org/10.31965/infokes.Vol18.Iss2.475
Maryatun, Pratama, B. A., Indarwati, I., Andriyani, A., Kusumaningsih, R., Mulyani, S., Wahyuni, E. S., & Agustina, N. W. (2023). Evaluation of a santun sejati web-based application: Mother and baby care with cognitive behaviour therapy approach. International Journal of Public Health Excellence (IJPHE), 3(1), 38–44. https://doi.org/10.55299/ijphe.v3i1.411
Miller, A. M., Hogue, C. J., Knight, B. T., Stowe, Z. N., & Newport, D. J. (2012). Maternal expectations of postpartum social support: validation of the postpartum social support questionnaire during pregnancy. Archives of Women’s Mental Health, 15, 307–311. https://doi.org/10.1007/s00737-012-0287-x
Muliyani, N., & Suryaningsih, E. K. (2023). The effect of family support on postpartum depression: Scoping review. Indigenous: Jurnal Ilmiah Psikologi, 8(3), 337–351. https://doi.org/10.23917/indigenous.v8i3.2165
Mulyani, N. H. S., Prasetya, H., & Murti, B. (2023). Meta analysis: Effects of family support, family income, and domestic violence on postpartum depression. Journal of Maternal and Child Health, 8(6), 785-801. https://doi.org/10.26911/thejmch.2023.08.06.12
Nugrahaeni, M. T., Untari, N. Y., & Veibiani, N. A. (2022). Meta analysis: The effect of social support in preventing postpartum depression in postpartum mothers. Journal of Epidemiology and Public Health, 7(1), 80-91. https://doi.org/10.26911/jepublichealth.2022.07.01.07
Okta, S. L., & Jaizul, A. (2025). Bridging gaps in health access through telehealth in Indonesia: A literature review focused on primary care. International Journal of Health, Medicine, and Sports, 3(3), 87–91. https://doi.org/10.46336/ijhms.v3i3.240
Putri, L. W. (2023). Literature review: Husband's role in reduce the incidence of postpartum depression in working women in Indonesia. Muhammadiyah International Public Health and Medicine Proceeding, 3(1), 198-205. https://doi.org/10.61811/miphmp.v3i1.439
Qi, W., Liu, Y., Lv, H., Ge, J., Meng, Y., Zhao, N., Zhao, F., Guo, Q., & Hu, J. (2022). Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy and Childbirth, 22, 65. https://doi.org/10.1186/s12884-022-04392-w
Severo, M., Ventriglio, A., Bellomo, A., Iuso, S., & Petito, A. (2023). Maternal perinatal depression and child neurocognitive development: A relationship still to be clarified. Frontiers in Psychiatry, 14, 1151897. https://doi.org/10.3389/fpsyt.2023.1151897
Sundary, S. (2024). The role of family support in childbirth: Implications for maternal and infant well-being. Oshada Journal, 1(4), 61-72. https://doi.org/10.62872/9ep2er27
Syahri, L. M., Umami, F., & Tursina, S. R. (2023). Forgiveness and self-disclosure to marital satisfaction working husband and wife. Psychosocia Journal of Applied Psychology and Social Psychology 1(1), 49-54 https://doi.org/10.61978/psychosocia.v1i1.44
Thepha, T., Theeranut, A., Muangpin, S., Jantawong, P., & Nguyen, G. (2024). Effectiveness of husbands’ support exclusive breastfeeding Facebook programme during the COVID-19 pandemic. Journal of Multidisciplinary Healthcare, 3227-3234. https://doi.org/10.2147/jmdh.s465483
Tobiloba, A. I., Omotayo, A. P., Sodeinde, K., Akinyemi, A., & Chichebem, N. B. (2022). Knowledge, attitude and prevalence of postpartum depression among mothers attending immunization clinics in Osogbo local government, Osun State. African Journal of Health, Nursing and Midwifery, 5(4), 28–42. https://doi.org/10.52589/AJHNM-UI5DYZVX
Utamidewi, W., Tayo, Y., Putra, P. S., Febrianto, M., & Hafidz, A. N. (2023). Communication experiences of women surviving postpartum depression in Indonesia. Jurnal Komunikasi Profesional, 7(2), 313–326. https://doi.org/10.25139/jkp.v7i2.5869
Wang, Z., Liu, J., Shuai, H., Cai, Z., Fu, X., Liu, Y., Xiao, X., Zhang, W., Krabbendam, E., Liu, S., Liu, Z., Li, Z., & Yang, B. X. (2021). Mapping global prevalence of depression among postpartum women. Translational Psychiatry, 11, 543. https://doi.org/10.1038/s41398-021-01663-6
Wiyanto, B. E., & Ambarwati, K. D. (2021). Dukungan sosial dan postpartum depression pada ibu suku jawa [Social support and postpartum depression in javanese mothers]. Psychopreneur Journal, 5(2), 68–79. https://doi.org/10.37715/psy.v5i2.2270
World Health Organization (WHO). (2025, August 29). Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression
Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis. JMIR Mhealth Uhealth, 9(10), e32544. https://doi.org/10.2196/32544
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