Depression in the postpartum period impacts approximately 13–26% of the general population. This number can be much higher for rural veteran women who face additional barriers to accessing specialized mental health services due to isolation and cultural factors. This study reports on a program evaluation of MomMoodBooster, a coach-supported internet-delivered CBT program for the treatment of maternal depression in veteran women. Repeated measures ANOVA, run with this sample of 326 women, demonstrated an overall positive effect size across outcome measures and engagement with no differences found between rural women and their urban counterparts. Some differences between urban and rural participants were found in total and average time spent with coaches as well as ratings of coach helpfulness, possibly indicating some cultural differences between coaches and rural women that need to be addressed. These results and the results of earlier trials suggest that MomMoodBooster can be a valid and efficacious option for reaching under-served veteran populations with specialized postpartum mental health support and is as effective with rural women as with urban women

产后抑郁症影响大约 13-26% 的普通人群。对于因孤立和文化因素而在获得专业心理健康服务方面面临额外障碍的农村退伍军人来说，这个数字可能要高得多。这项研究报告了对 MomMoodBooster 的项目评估，这是一个教练支持的互联网提供的 CBT 项目，用于治疗退伍军人的母亲抑郁症。对 326 名女性样本进行的重复测量方差分析显示，在结果测量和参与方面总体上具有积极影响，农村女性和城市女性之间没有发现差异。城市和农村参与者在与教练相处的总时间和平均时间以及教练乐于助人的评分方面存在一些差异，可能表明教练和农村妇女之间存在一些需要解决的文化差异。这些结果和早期试验的结果表明，MomMoodBooster 可以成为向服务不足的退伍军人群体提供专业的产后心理健康支持的有效选择，并且对农村妇女和城市妇女一样有效