Publications by authors named "Cornelia Yin Ing Chee"

Postpartum experiences and challenges faced by fathers in Singapore are often overlooked. A more comprehensive understanding is essential to identify areas for supporting fathers' mental health and developing father-inclusive healthcare strategies, ultimately enhancing family-centered care. The perinatal period is challenging for fathers, with shifts in roles, routine changes, and societal pressures which can lead to anxiety or depression, especially during postpartum.

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Background: Mobile app-based interventions are viable methods of delivering perinatal care support to parents. A mobile app-based intervention entitled Parentbot-a Digital Healthcare Assistant (PDA) was developed and evaluated via a randomized controlled trial. PDA aimed to provide informational, socioemotional, and psychological support to parents across the perinatal period.

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Aim: To investigate the incidence and the factors associated with paternal postpartum depression amongst new fathers in Singapore.

Design: A prospective repeated measures study was conducted from September 2023 to March 2024.

Methods: A total of 200 fathers aged 21 years and above who had a neonate born at full term and no serious health events for both mother and neonate were recruited from a local hospital via convenience sampling.

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Objectives: To examine the predictors of parent-child bonding and parenting satisfaction using structural equation models at three time points across the perinatal period: (1) during pregnancy at >24 gestational weeks, (2) one month postpartum, and (3) three months postpartum.

Methods: This longitudinal exploratory quantitative study recruited a convenient sample of 118 heterosexual couples (236 participants; 118 mothers and 118 fathers) from maternity clinics of a public tertiary hospital in Singapore. Descriptive statistics were used to summarize the parents' characteristics and study variables.

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Article Synopsis
  • - The study evaluates the effectiveness of the Parentbot, a digital healthcare assistant, in improving various outcomes for parents during the perinatal period, including parenting self-efficacy, stress, and mental health.
  • - Conducted with 118 heterosexual couples in Singapore, the research involved random assignment to either the intervention group (Parentbot plus standard care) or a control group (standard care only), with data collected at multiple points postpartum.
  • - Results showed that the intervention group reported higher parenting self-efficacy at one month postpartum and lower anxiety levels among mothers at three months postpartum compared to the control group.
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Aim: To explore the experiences, expectations and needs of mothers from low socioeconomic status at 3 months postpartum.

Design: Descriptive qualitative.

Methods: Mothers aged 21 years old and above, from low socioeconomic status (monthly household income is less than Singapore Dollar [SGD] $4300), and irrespective of their parity were invited to participate in one-to-one in-depth interviews at 3 months postpartum from September 2022 to June 2023.

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Article Synopsis
  • This study looked at why mothers with low socioeconomic status seek help during pregnancy and after giving birth.
  • It involved 209 mothers and asked them questions at three different times: during pregnancy and one and three months after giving birth.
  • The results showed that things like social support, attending antenatal classes, and how involved the father is significantly affected whether these mothers sought help after the baby was born.
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Introduction: Perinatal depression and anxiety are public health concerns affecting approximately 1 in 10 women in Singapore, with clear evidence of association with various adverse outcomes in mother and child, including low birthweight, preterm birth and negative impact on infant neurodevelopment, temperament and behaviour. A workgroup was formed to develop recommendations to address the perinatal mental health needs of women with depression and anxiety. The approach was broad-based and aimed to incorporate holistic methods that would be readily applicable to the network of care providers supporting childbearing women.

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Background: Parents experience many challenges during the perinatal period. Mobile app-based interventions and chatbots show promise in delivering health care support for parents during the perinatal period.

Objective: This descriptive qualitative process evaluation study aims to explore the perinatal experiences of parents in Singapore, as well as examine the user experiences of the mobile app-based intervention with an in-built chatbot titled Parentbot-a Digital Healthcare Assistant (PDA).

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Aim: To explore the experiences, expectations and needs of mothers from low-socioeconomic status at 1 month postpartum.

Design: Descriptive qualitative.

Methods: Mothers from low-socioeconomic status and irrespective of their parity were invited to participate in one-to-one interviews at 1 month postpartum.

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Objective: To describe the development procedure of a mobile application-based parenting support program with integrated chatbot features entitled Parentbot - a Digital healthcare Assistant (PDA) for multi-racial Singaporean parents across the perinatal period.

Methods: The PDA development process was guided by the combined information systems research framework with design thinking modes, and Tuckman's model of team development. A user acceptability testing (UAT) process was conducted among 11 adults of child-bearing age.

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Introduction: Chatbots, which are also known as conversational or virtual agents, are digital programs that can interact with humans using voice, text, or animation. They have shown promise in providing preconception, pregnancy, and postpartum care. This review aims to consolidate the insights of parents and parents-to-be in using chatbots to improve their preconception, pregnancy, and postpartum health.

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Objective: The onset of maternal perinatal depression poses many challenges for fathers, yet in Singapore and Asia, the topic remains largely unexplored. This study aimed to gain insight into the experiences of fathers whose partners suffer from perinatal depression in the Asian milieu.

Design: A descriptive qualitative study design was adopted.

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Background: The frenzy of postbirth events often takes a toll on mothers' mental well-being, leaving them susceptible to postpartum psychological disorders such as postnatal depression (PND). Social support has been found to be effective in restoring the emotional well-being of new mothers. Therefore, mothers need to be supported during the crucial postpartum period to buffer the negative after effects of childbirth and to promote healthier maternal well-being.

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Background: Mindfulness-based childbirth education programs are gaining popularity among expectant parents.

Purpose: To synthesize knowledge on current available evidence of mindfulness-based childbirth education programs on maternal outcomes and to provide recommendations to improve future mindfulness-based childbirth education programs.

Method: A mixed-studies systematic review using a narrative synthesis was conducted.

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This review aims to examine the prevalence and incidence of postpartum depression among healthy mothers without prior history of depression including postpartum depression and who gave birth to healthy full-term infants. A systematic search of ClinicalTrials.gov, CINAHL, EMBASE, PsycINFO, and PubMed was performed for English articles from the inception of the database to November 2017, as well as a manual search of the reference lists of the included articles, and an expert panel was consulted.

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Maternal antenatal mood is associated with negative infant temperament. This link has not been substantiated in Asian populations. We evaluated the association between antenatal maternal mood and infant temperament among Asian mother-infant pairs.

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Objectives: In many cultures, postpartum rituals are observed because they are believed to have beneficial mental health effects. Our systematic review examines the research literature investigating the effects of postpartum rituals on postpartum depression (PPD) to determine if the rituals protect against PPD.

Methods: MEDLINE, CINAHL, PsycINFO, EMBASE, and the Cochrane Library were searched (from 1966 to October 31, 2008).

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