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Cultural Adaptation of the Mothers and Babies Online Course for Black Mothers with Preterm Infants: A Delphi Study

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  • Kobi V. Ajayi

    (Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA)

  • Robin Page

    (Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA)

  • Kelly Wilson

    (Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA)

  • Carly McCord

    (Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA)

  • Whitney Garney

    (Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA)

Abstract

With persistent racial inequities, cultural adaptations of health programs can promote equitable maternal mental health. Despite the intersecting identities of Black mothers with preterm birth combined with racial discrimination, previous mental health programs in the neonatal intensive care unit (NICU) are void of the sociocultural context that perpetuates racially motivated care. This study uses a two-round Delphi process to gather knowledge on the cultural appropriateness and content validity of the adapted Mothers and Babies Online Course, a United States Prevention Service Task Force-recommended intervention for managing mental health symptoms in pregnant and new mothers for Black mothers with preterm birth. The Black feminist theory and cultural adaptation strategies were used to conceptualize the adaptation process. Opinions were solicited from Black mothers and professionals based on predetermined criteria. Eleven participants, comprising eight mothers and three professionals, participated in Round One. Of these, only one professional did not participate in Round Two, totaling 10 participants who participated in Round Two. The participants rated the adapted program—eMB 4 Blackmamas, positively, and four themes emerged, substantiating the importance of culturally responsive mental health. The themes also offered additional feedback related to improving the program delivery. Including diverse stakeholders in mental health research offers unique and balanced insights into designing culturally appropriate programs to promote and protect Black maternal mental health in the NICU.

Suggested Citation

  • Kobi V. Ajayi & Robin Page & Kelly Wilson & Carly McCord & Whitney Garney, 2025. "Cultural Adaptation of the Mothers and Babies Online Course for Black Mothers with Preterm Infants: A Delphi Study," IJERPH, MDPI, vol. 22(8), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:8:p:1304-:d:1728551
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    References listed on IDEAS

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    1. Marisa Torres-Ruiz & Kaitlynn Robinson-Ector & Dionna Attinson & Jamie Trotter & Ayodola Anise & Steven Clauser, 2018. "A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    2. Anders Larrabee Sonderlund & Antoinette Schoenthaler & Trine Thilsing, 2021. "The Association between Maternal Experiences of Interpersonal Discrimination and Adverse Birth Outcomes: A Systematic Review of the Evidence," IJERPH, MDPI, vol. 18(4), pages 1-31, February.
    3. Jorge Medina-Martínez & Carlos Saus-Ortega & María Montserrat Sánchez-Lorente & Eva María Sosa-Palanca & Pedro García-Martínez & María Isabel Mármol-López, 2021. "Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
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