{"doi":"10.1186/s12912-025-03072-2","title":"Effectiveness of Smart Mama application on postpartum depression, anxiety, and maternal-infant bonding among women during the postnatal period: a randomized controlled trial","abstract":null,"journal":"BMC Nursing","year":2025,"id":669496,"datarank":0.31191623125197543,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"self_citation_contribution":0.31191623125197543,"citation_network_contribution":0.0,"self_endowment_contribution":0.31191623125197543,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1748515,"name":"Miyuki Toda","orcid":null,"position":1,"is_corresponding":false},{"id":1748516,"name":"Ayako Ogasawara","orcid":null,"position":2,"is_corresponding":false},{"id":967611,"name":"Naoki Hirose","orcid":"0000-0002-3358-0916","position":3,"is_corresponding":false},{"id":251495,"name":"Sanmei Chen","orcid":"0000-0003-0811-1701","position":4,"is_corresponding":false},{"id":1748517,"name":"Hiromi Kawasaki","orcid":null,"position":5,"is_corresponding":false},{"id":1748518,"name":"Yoko Shimpuku","orcid":"0000-0001-7531-7019","position":6,"is_corresponding":false},{"id":1748514,"name":"Yasmine M. Osman","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Effectiveness of Smart Mama application on postpartum depression, anxiety, and maternal-infant bonding among women during the postnatal period: a randomized controlled trial","abstract":"BACKGROUND: Postpartum depression and anxiety are significant public health concerns that have serious well documented negative effects on mothers and their families. However, they often remain under-recognized because of limited in-person interactions, time restrictions, lack of adequate support, and pervasive stigmatization. This study investigated the effectiveness of the Smart Mama application on postpartum depression, anxiety levels, and maternal-infant bonding at 12 weeks postpartum. MATERIALS AND METHODS: This prospective parallel-group randomized controlled trial included 148 participants from March 1, 2023, to March 31, 2024. Those who agreed to participate were randomly assigned to receive the Smart Mama intervention (n = 74) or routine care (n = 74), using permuted stratified block randomization. The primary outcome was assessed using the Edinburgh Postnatal Depression Scale (EPDS). The secondary outcomes were evaluated using the State-Trait Anxiety Inventory (STAI) and Maternal-Infant Bonding Scale (MIBS) at baseline and the 12-week follow-up using validated standardized tools. RESULTS: Compared with the control group, the Smart Mama intervention group showed a significant reduction in postpartum depressive symptoms (P for time × group interaction = 0.04), with a reduction in the EPDS mean score from 9.03 (standard deviation, 2.47) to 5.61 (3.3), whereas the control group showed a change from 9.01 (2.75) to 7.16 (3.1) at 12 weeks post-intervention. Similarly, the Smart Mama intervention led to a significantly greater decrease in both state and trait anxiety levels (both P for time × group interaction < 0.05) compared to the control group. No statistically significant effect on maternal-infant bonding was observed between the intervention and control group (P for time × group interaction = 0.25). CONCLUSION AND IMPLICATIONS: The Smart Mama intervention significantly reduced postpartum depressive symptoms and anxiety. This study provides empirical evidence and novel insights into the effectiveness of mobile device applications. By integrating a holistic approach, Smart Mama represents a promising and innovative solution for enhancing maternal health outcomes, empowering self-care activities, and overcoming barriers to accessibility. TRIAL REGISTRATION: The study was registered in the University Hospital Medical Information Network (UMIN) Clinical Trial Registry (ID: (UMIN000050065) on January 19, 2023 ( https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000056562 ).","is_dataset_classified":null,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"40269899","pmcid":"PMC12016341","openalex_id":"https://openalex.org/W4409696210","authors":[],"funders":[{"funder_name":"Public Health Research Foundation","grant_id":"(grant ID number: 231009)","title":null},{"funder_name":"European Commission","grant_id":"231009","title":"Modulation of the Notch receptor activity through the regulation of the epithelial apical-basal polarity in Drosophila melanogaster"}],"total_grants":2,"fwci":7.1671,"citation_percentile":0.97233489,"influential_citations":0,"citation_trend":[{"year":2025,"count":2},{"year":2026,"count":5}],"oa_status":"gold","license":"cc-by-nc-nd","oa_locations":[{"url":"https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-025-03072-2","host_type":"journal"},{"url":"https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-025-03072-2","host_type":"publisher"},{"url":"https://link.springer.com/content/pdf/10.1186/s12912-025-03072-2.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1186/s12912-025-03072-2/fulltext.html","host_type":"publisher"},{"url":"https://doi.org/10.1186/s12912-025-03072-2","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/40269899","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12016341","host_type":"repository"},{"url":"https://doaj.org/article/1d13f467e4e549b489d849d1b96843e8","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC12016341","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC12016341?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1186/s12912-025-03072-2","host_type":""}],"fields_of_study":["Maternal Mental Health During Pregnancy and Postpartum","Mobile Health and mHealth Applications","Neuroendocrine regulation and behavior","03 medical and health sciences","0302 clinical medicine"],"mesh_terms":[],"keywords":["Medicine","Postpartum depression","Randomized controlled trial","Depression (economics)","Anxiety","Postpartum period","Period (music)","Obstetrics","Pregnancy","Psychiatry","Internal medicine","Telenursing","Mobile Health","Mother-infant Bonding","Smart Mama App","Research","RT1-120","Nursing"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-14T18:22:21.676893Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}