Table 1 Schedule of ICBT courses
Modules | Time arrangement | Content | Assignment for participants |
|---|---|---|---|
During pregnancy | |||
 Mental health education | The next day after enrolment | Education on pregnancy and mental health, including the impact of pregnancy on maternal mental health and the concept of CBT | Self-evaluation and goal setting |
 Behavioral activation | The second week after enrolment | Concept of negative behavior, avoidance behavior and procrastination. The use of positive or negative reinforcement | Record positive or negative behavior and make a list of behavior which should be reinforced. Set up a reward system for carrying out a mission |
 Cognitive restructuring | The third week after enrolment | Relationship between negative automatic thoughts and depression and anxiety. Awareness of cognitive bias and problem solving strategies | Make a list of personal typical negative automatic thoughts and record automatic thoughts within the past week. Find out negative proposals and selective thinking patterns |
Postpartum period | |||
 Mental health education | 2 weeks postpartum | Knowledge of postnatal health care and symptoms of perinatal depression. Review the concept of CBT | Self-evaluation and goal setting |
 Behavioral activation | 3 weeks postpartum | Make use of positive or negative reinforcement | Record positive or negative behavior and make a list of behavior which should be reinforced. Set up a reward system for carrying out a mission |
 Cognitive restructuring | 4 weeks postpartum | Recognition of negative automatic thoughts and strategies to solve the problems | Make a list of personal typical negative automatic thoughts and record automatic thoughts within the past week. Awareness of cognitive bias |
 Summary and relapse prevention | 5 weeks postpartum | Make a summary of what have learned. Provide strategies for preventing relapse | Make a future plan and practice mindfulness |
Additional modules | |||
 Worry and anxiety | 37 weeks of gestation | Problems in regard to pregnancy, labor and caring newborn | Share concerns about labor and childcare and find out ways to solve the problem |
 Sleeping problem | 38 weeks of gestation | Provide problem solving strategies | Record sleeping habits, improve sleeping environment, and restrict time for sleep |
 Interpersonal relationship | 1 week postpartum | The way of communication and psychological education of shifting roles and responsibilities in home | The relationship between parents and understanding the role of a mother. Skills to improve mood and cope with other family members |
 Mother-infant relationship | 1 week postpartum | Psychological support for new mothers | Share feelings and give feedback about difficulties in being a mother |