Implementasi Modul Digital Kesehatan Mental Berbasis Model PRECEDE–PROCEED Upaya Menurunkan Gejala Depresi Postpartum di Klinik Musytasyfah Karawang
DOI:
https://doi.org/10.55606/jpikes.v6i2.7748Keywords:
Digital Module, EPDS, Maternal Mental Health, Postpartum Depression, PRECEDE–PROCEEDAbstract
Introduction: Postpartum depression (PPD) is a major maternal mental health problem, with a global prevalence of 10–17% and approximately 6.1% in Indonesia. Musytasyfah Inpatient Clinic, Karawang, has not yet implemented a structured screening and follow-up system for early PPD detection. A preliminary assessment using the Edinburgh Postnatal Depression Scale (EPDS) among 15 postpartum mothers identified two mothers (13.3%) with EPDS scores ≥10, indicating possible PPD symptoms. Methods: This community service program aims to implement a Digital Maternal Mental Health Module based on the PRECEDE–PROCEED model. The activity employs a health education plan (SAP) integrated with a one-group pre-test post-test design using the EPDS instrument. The target participants are postpartum mothers 14–42 days after delivery. The intervention consists of five learning modules delivered through WhatsApp, face-to-face education sessions, and focus group discussions over four weeks. Program effectiveness will be evaluated using process and outcome indicators, with EPDS scores analyzed using the Wilcoxon Signed-Rank Test. Results: The expected outcomes include baseline data on PPD, improved maternal knowledge, reduced EPDS scores, identification of implementation barriers and facilitators, and evidence regarding the feasibility of the digital module for early PPD prevention and detection. Conclusion: The Digital Maternal Mental Health Module is expected to strengthen early screening, maternal mental health education, and follow-up services while supporting the development of a sustainable standard operating procedure for PPD screening in primary maternal healthcare settings.
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Armstrong, D. G., Monahan, K., Lehman, E. B., & Hennrikus, W. L. (2021). The pediatric open supracondylar fracture: Associated Injuries and Surgical Management. Journal of Pediatric Orthopaedics, 41(4), E342–E346. https://doi.org/10.1097/BPO.0000000000001772
Beydokhti, T. B., Dehnoalian, A., Moshki, M., & Akbary, A. (2021). Effect of educational- counseling program based on PRECEDE-PROCEED model during pregnancy on postpartum depression. Nursing Open, 8(4), 1578–1586. https://doi.org/10.1002/nop2.770
Emalia, F. H., & Nilasari, P. (2021). Pengaruh electronic health terhadap penurunan tingkat depresi postpartum: Tinjauan Sistematis. Jurnal Ilmu Keperawatan Maternitas, 4(2), 16–29. https://doi.org/10.32584/jikm.v4i2.1271
Faisal-Cury, A., Tabb, K. M., Ziebold, C., & Matijasevich, A. (2021). The impact of postpartum depression and bonding impairment on child development at 12 to 15 months after delivery. Journal of Affective Disorders Reports, 4(February), 100125. https://doi.org/10.1016/j.jadr.2021.100125
Fonseca, A., & Motrico, E. (2023). Editorial: Web-based and mobile-based interventions for perinatal mental health. Frontiers in Global Women’s Health, 17(4), 1207447. https://doi.org/10.3389/fgwh.2023.1207447
Green, L. W., Gielen, A. C., Ottoson, J. M., Peterson, D. V., & Kreuter, M. W. (2022). Health program planning, implementation, and evaluation: Creating behavioral, environmental, and policy change. Johns Hopkins University Press.
Jensen, S. K. G., & Betancourt, T. S. (2021). Recognizing the complexity of psychosocial factors associated with children’s development - the case of maternal depression. JAMA Network Open, 4(8), e2122310. https://doi.org/10.1001/jamanetworkopen.2021.22310
Khamidullina, Z., Marat, A., Muratbekova, S., Mustapayeva, N. M., Chingayeva, G. N., Shepetov, A. M., Ibatova, S. S., Terzic, M., & Aimagambetova, G. (2025). Postpartum depression epidemiology, risk factors, diagnosis, and management: an appraisal of the current knowledge and future perspectives. Journal of Clinical Medicine, 14(7), 1–16. https://doi.org/10.3390/jcm14072418
Levis, B., Negeri, Z., Sun, Y., Benedetti, A., & Thombs, B. D. (2020). Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: Systematic review and meta-analysis of individual participant data. The BMJ, 371, m4022. https://doi.org/10.1136/bmj.m4022
Miura, Y., Ogawa, Y., Shibata, A., Kamijo, K., Joko, K., & Aoki, T. (2023). App-based interventions for the prevention of postpartum depression: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 23(1), 1–10. https://doi.org/10.1186/s12884-023-05749-5
Rauf, E. L., Hiola, F. A. A., & Angriani, F. D. (2024). Deteksi dini depresi postpartum: penggunaan Edinburgh Post Natal Depression Scale (EPDS). JURNAL VOICE OF MIDWIFERY, 14(1), 18. https://doi.org/https://doi.org/10.35906/vom.v14i1.271
Romdiyah, Tyarini, I. A., Setiani, F. T., & Nugraheni, N. (2024). Kebidanan komunitas: Promotif, preventif, dan kolaboratif. PT Cipta Digital Edukasi. https://books.google.co.id/books?hl=id&lr=&id=kyfvEQAAQBAJ&oi=fnd&pg=PR3&dq=Fasilitas+pelayanan+kesehatan+primer,+termasuk+klinik+dan+puskesmas,+memegang+peran+penting+sebagai+garda+terdepan+dalam+penyelenggaraan+pelayanan+kesehatan+yang+komprehensif,+meliputi+upaya+promotif,+preventif,+kuratif,+dan+rehabilitatif+bagi+ibu+dan+anak.&ots=xpVDSEzeKt&sig=kMrcHhISa3ArEFRvbHQ5WpiiQek&redir_esc=y#v=onepage&q&f=false
Sari, R. A. (2020). Literature Review: Depresi Postpartum. Jurnal Kesehatan, 11(1), 167–174. https://doi.org/10.26630/jk.v11i1.1586
Shorey, S., Ng, Y. P. M., Ng, E. D., Siew, A. L., Mörelius, E., Yoong, J., & Gandhi, M. (2019). Effectiveness of a technology-based supportive educational parenting program on parental outcomes (Part 1): Randomized controlled trial. Journal of Medical Internet Research, 21(2), e10816. https://doi.org/10.2196/10816
Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1745506519844044. https://doi.org/10.1177/1745506519844044
Soep, & Agussalim. (2021). Psikoedukasi Mengatasi Depresi Postprtum. CV. Amerta Media.
Syam, A., Qasim, M., Kadrianti, E., & Kadir, A. (2021). Factor structure of the Edinburgh postnatal depression scale Indonesian version. Medicina Clinica Practica, 4(1), 100238. https://doi.org/10.1016/j.mcpsp.2021.100238
Tosto, V., Ceccobelli, M., Lucarini, E., Tortorella, A., Gerli, S., Parazzini, F., & Favilli, A. (2023). Maternity Blues: A Narrative Review. Journal of Personalized Medicine, 13(1), 2–14. https://doi.org/10.3390/jpm13010154
World Health Organization. (2019). Mental health, brain health and substance use. World Health Organisation. https://www-who-int.translate.goog/teams/mental-health-and-substance-use/promotion-prevention/maternal-mentalhealth?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc
World Health Organization. (2022). Guide for integration of perinatal mental health in maternal and child health services.
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