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"Cann, Felicity"
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Feasibility of a Web-Based Intervention to Prevent Perinatal Depression and Promote Human Milk Feeding: Randomized Pilot Trial
2022
Mothers who identify as Black or African American are more likely to report depressed moods in late pregnancy and early postpartum and have the lowest rates of human milk feeding compared with all other racial groups in the United States. Internet interventions offer the potential to extend preventative and supportive services as they address key barriers, particularly for those navigating the complex and vulnerable early postpartum period. However, there is limited evidence on the feasibility of such interventions for preventing perinatal mental health disorders and improving human milk feeding outcomes in Black mothers.
This pilot study aimed to assess the feasibility and preliminary findings of a web-based cognitive behavioral therapy-based internet intervention, with and without human milk feeding education and support, to prevent perinatal depression and promote human milk feeding in Black mothers.
Participants were Black-identifying individuals between 20 and 28 weeks of pregnancy with human milk feeding intention and mild to moderate depressive symptoms (Patient Health Questionnaire scores 5-14). Participants were randomized to either Sunnyside, a 6-week cognitive behavioral therapy-based web-based intervention, or Sunnyside Plus, which included additional education and support to promote human milk feeding. Assessments occurred at baseline, third trimester (end of antenatal treatment), 6 weeks postpartum (end of postpartum treatment), and 12 weeks postpartum. The primary focus of this randomized pilot trial was the feasibility and preliminary outcomes of mental health and human milk feeding.
A total of 22 tertiary-educated participants were randomized. The mean number of log-ins was 7.3 (SD 5.3) for Sunnyside and 13.8 (SD 10.5) for Sunnyside Plus. Scores of depression and anxiety measures remained below the clinical threshold for referral to treatment in both groups. All the participants initiated human milk feeding (18/18, 100%). Most participants reported at least some human milk feeding at both 6 and 12 weeks postpartum (6/7, 86%; 11/11, 100%, or 10/10, 100%, for Sunnyside and Sunnyside Plus, respectively).
The results suggest that tertiary-educated Black mothers at risk for perinatal depression and who intended to human milk feed were receptive to and satisfied with a web-based cognitive behavioral therapy-based internet intervention, with and without human milk feeding education and support. Preliminary findings indicate that both Sunnyside and Sunnyside Plus interventions have the potential to affect symptoms of depression, anxiety, and human milk feeding outcomes.
ClinicalTrials.gov NCT04128202; https://www.clinicaltrials.gov/ct2/show/NCT04128202.
Journal Article
Agroecological Advantages of Early-Sown Winter Wheat in Semi-Arid Environments: A Comparative Case Study From Southern Australia and Pacific Northwest United States
by
Hunt, James R.
,
Porker, Kenton D.
,
Cann, David J.
in
adaptation
,
Agricultural production
,
Agronomy
2020
Wheat ( Triticum aestivum L.) is the most widely-grown crop in the Mediterranean semi-arid (150–400 mm) cropping zones of both southern Australia and the inland Pacific Northwest (PNW) of the United States of America (United States). Low precipitation, low winter temperatures and heat and drought conditions during late spring and summer limit wheat yields in both regions. Due to rising temperatures, reduced autumn rainfall and increased frost risk in southern Australia since 1990, cropping conditions in these two environments have grown increasingly similar. This presents the opportunity for southern Australian growers to learn from the experiences of their PNW counterparts. Wheat cultivars with an obligate vernalization requirement (winter wheat), are an integral part of semi-arid PNW cropping systems, but in Australia are most frequently grown in cool or cold temperate cropping zones that receive high rainfall (>500 mm p.a.). It has recently been shown that early-sown winter wheat cultivars can increase water-limited potential yield in semi-arid southern Australia, in the face of decreasing autumn rainfall. Despite this research, there has to date been little breeding effort invested in winter wheat for growers in semi-arid southern Australia, and agronomic research into the management of early-sown winter wheat has only occurred in recent years. This paper explores the current and emerging environmental constraints of cropping in semi-arid southern Australia and, using the genotype × management strategies developed over 120 years of winter wheat agronomy in the PNW, highlights the potential advantages early-sown winter wheat offers growers in low-rainfall environments. The increased biomass, stable flowering time and late-summer establishment opportunities offered by winter wheat genotypes ensure they achieve higher yields in the PNW compared to later-sown spring wheat. Traits that make winter wheat advantageous in the PNW may also contribute to increased yield when grown in semi-arid southern Australia. This paper investigates which specific traits present in winter wheat genotypes give them an advantage in semi-arid cropping environments, which management practices best exploit this advantage, and what potential improvements can be made to cultivars for semi-arid southern Australia based on the history of winter wheat crop growth in the semi-arid Pacific Northwest.
Journal Article
shorts
by
Felicity Allen, Nora Laughlin, Cheryl Critchley, Paul Gray, Francesca Cann, Greg Thom, Sashi Thapa
in
Hancock, Sheila
,
Thaw, John
2005
THE story of the marriage and professional lives of actors [Sheila Hancock] and [JOHN THAW]. A touching, real chronicle of both careers, the achingly sad childhood of Thaw and loving one of Hancock. Through the Depression to present day calamities, a gritty account of the death of one partner -- Thaw -- and the grief and gradual acceptance of life alone by a gutsy woman. N.L. THE world news will make more sense if you read this practical guide to the \"big five\" religions: Hinduism, Buddhism, Judaism, Christianity and Islam. [John Dickson], a Sydney Christian and historian, simply and positively dissects the religions' history, beliefs and rituals. Though he ignores concerns such as the oppression of women and gays by some faiths, the book provides a good grounding for those who want to know why Jews don't believe in Jesus or why Muslims pray five times a day. C.C. RETURNED soldier Billy Greer's story gives the reader an insight to post-World War II Britain. [Clare Francis] paints a realistic picture of a country in 1946 having to cope with food, fuel and housing shortages, plus the unexpected influx of Polish soldiers who can't or won't go home. Apart from these burdens, Billy and other characters in the Somerset Wetlands endure the harshest winter in 100 years, and plough through personal dramas. This book has it all - - war atrocities, racism, suspected murder, a suicide and romance. F.C.
Newspaper Article