Wenjie Gong

• Xiangya school of public health, Central South University

Background Influenza vaccination rates remain suboptimal globally, particularly in China, highlighting the need for effective, low-cost interventions. This randomized controlled trial aimed to evaluate the effectiveness of a 30-second Rapid Verbal Persuasion intervention in promoting influenza vaccination uptake among individuals visiting vaccinati...

This study in China aimed to explore the impact of maternal depression on infant–mother attachment and whether parenting status moderated this relationship. Women underwent depression assessments at seven perinatal time points: ≤12, 17, 21, 31, and 37 weeks of pregnancy, as well as 1 and 6 weeks postpartum. Those completing at least three times ass...

Direct-to-onsumer telemedicine (DTCT) has become popular as an alternative to traditional care. However, uncertainties about the potential risks associated with the lack of comprehensive quality evaluation could influence its long-term development. This study aimed to assess the quality of care provided by DTCT platforms in China using unannounced...

Background Prompt professional care for postpartum depression (PPD) is difficult to obtain in China. Though online consultations improve accessibility and reduce stigma, the quality of services compared to in-person consultations is unclear. Methods Five trained, undisclosed “standardized patients” (SPs) made “asynchronous webchats” visits and in-...

Background The objective of the current study was to investigate the correlation between trajectories of maternal perinatal depression (PND) spanning from early pregnancy to one year postpartum and developmental delays observed in one-year-old children. Methods The dataset under examination encompassed 880 women who took part in a mother-child bir...

The United Nations reported that the mortality risk of Corona Virus Disease 2019 (COVID-19) is five times higher in the elderly than the global average. Although the COVID-19 vaccine effectively prevents infections and reduce mortality among the elderly, vaccine hesitancy among the Chinese elderly poses a significant threat. This study, utilizing t...

Background Postpartum depression (PPD) is common after childbirth. Previous reviews on the prevalence of PPD have mainly included results that relied on screening instruments or a mixture of such instruments and diagnostic interviews. In this study, we aimed to assess the prevalence of PPD based exclusively on studies using diagnostic interviews, a...

Introduction As direct-to-consumer teleconsultation (hereafter referred to as ‘teleconsultation’) has gained popularity, an increasing number of patients have been leaving online reviews of their teleconsultation experiences. These reviews can help guide patients in identifying doctors for teleconsultation. However, few studies have examined the va...

Background: Internet-based intervention platforms may improve access to mental health care for women with perinatal depression (PND). Though the majority of platforms in the market lack an evidence base, a small number of them are supported by research evidence. Objective: This study aims to assess the current status of internet-based PND interv...

Background Timely screening and referral can improve the outcomes of perinatal depression (PND). However, uptake rates of referral after PND screening are low in China and the reasons are unclear. The aim of this article is to explore the barriers and facilitators for referring women with positive results of PND screening in the Chinese primary mat...

BACKGROUND Internet-based intervention platforms may improve access to mental health care for women with perinatal depression (PND). Though the majority of platforms in the market lack an evidence base, a small number of them are supported by research evidence. OBJECTIVE This study aims to assess the current status of internet-based PND interventi...

We analyzed COVID-19 influences on the design, implementation, and validity of assessing the quality of primary health care using unannounced standardized patients (USPs) in China. Because of the pandemic, we crowdsourced our funding, removed tuberculosis from the USP case roster, adjusted common cold and asthma cases, used hybrid online–offline tr...

Background: Reducing the treatment gap for mental health in low-and middle-income countries is a high priority. Even with treatment, adherence to antipsychotics is rather low. Our integrated intervention package significantly improved medication adherence within 6 months for villagers with schizophrenia in resource-poor communities in rural China....

Purpose: To compare the characteristics of depression-related symptoms identified by individual EPDS items in women who screened positive and negative, and to describe the occurrence of thoughts of self-harm in these women. Methods: Based on a Chinese cohort of 1,112 women, scores on each EPDS item were analyzed at 7 time points from the first t...

Background

Objectives: Primary health workers are the first fine to identify postpartum depression, which is important for patients with this disease to get early specialist diagnosis and treatment. The smartphone-based virtual patient is economical, convenient and effective, and has been applied extensively to evaluate the competency to detect postpartum de...

BACKGROUND Direct to Consumer (DTC) telemedicine platforms are digital platforms that enable patients to match with and initiate online consultations. This growing area of digital health has the potential to expand access to quality outpatient care by extending patient choice of providers and providers’ ability to interact with new patients online....

Background Reducing the treatment gap for mental health in low- and middle-income countries is a high priority. Even with treatment, adherence to antipsychotics is rather low. Our integrated intervention package significantly improved medication adherence within 6 months for villagers with schizophrenia in resource-poor communities in rural China....

BACKGROUND Reducing the treatment gap for mental health in low- and middle-income countries is a high priority. Even with treatment, adherence to antipsychotics is rather low. Our integrated intervention package significantly improved medication adherence within 6 months for villagers with schizophrenia in resource-poor communities in rural China....

Background: The relationship between adherence to traditional Chinese postpartum practices (known as “doing-the-month”) and postpartum depression (PPD) remains unknown. Practices including restrictions on diet, housework and social activity, personal hygiene, and cold contact, could introduce biological, psychological, and socio-environmental chang...

Background Immigrant status, acculturation level, race and ethnicity have been found to contribute to the utilization of mental health services in the perinatal period. This study explored perinatal experiences and perceptions among Chinese immigrant mothers and their spouses, as well as the possible barriers and facilitators that affect their heal...

Virtual visits is rapidly developed and accepted worldwide, especially in COVID-19 era. However, the related high-quality study about the healthcare quality of it compared to the quality of office visits, is still absence in China. The common methods of comparison were randomized controlled trail, retrospective cohort study, retrospective chart rev...

Background: Immigrant status, acculturation level, race and ethnicity have been found to contribute to the utilization of mental health services in the perinatal period. This study explored perinatal experiences and perceptions among Chinese immigrant mothers and their spouses, as well as the possible barriers and facilitators that affect their hea...

Introduction The Chinese government has encouraged the development of private sector in delivering healthcare, including primary healthcare (PHC) in the new round of national health reform since 2009. However, the debate about the role of the private sector in achieving universal health coverage continues with poor support from theories and empiric...

Background Schizophrenia is a severe and disabling condition that presents a dire health equity challenge. Our initial 6-month trial (previously reported) using mobile texting and lay health supporters, called LEAN, significantly improved medication adherence from 0.48 to 0.61 (adjusted mean 0.11, 95% CI 0.03 to 0.20, P=.007) for adults with schizo...

China recently issued a national plan on perinatal depression (PND) screening. Previous studies elsewhere suggested that uptake of referral after screening for PND is suboptimal, but little is known in China. In this cohort study including 1126 women in Hunan, we identified women at a high risk of PND using the Edinburgh Postpartum Depression Scale...

BACKGROUND As social media posts reflect users’ emotions, WeChat Moments, the most popular social media platform in China, may offer a glimpse into postpartum depression (PPD) OBJECTIVE To investigate the features of the images that mothers posted on WeChat Moments after childbirth and to explore the correlation between these features and the moth...

Background As social media posts reflect users’ emotions, WeChat Moments, the most popular social media platform in China, may offer a glimpse into postpartum depression in the population. Objective This study aimed to investigate the features of the images that mothers posted on WeChat Moments after childbirth and to explore the correlation betwe...

BACKGROUND Schizophrenia is a severe and disabling condition that presents a dire health equity challenge. Our 6-month trial using mobile texting and lay health supporters (LEAN) significantly improved medication adherence (percentage of dosages taken) (but not functioning and symptoms) from 0.48 to 0.61 (the adjusted mean difference [AMD] 0.11 [95...

Aims Perinatal depression threatens the health of maternal women and their offspring. Although screening programs for perinatal depression exist, non-uptake of referral to further mental health care after screening reduces the utility of these programs. Uptake rates among women with positive screening varied widely across studies and little is know...

Aims Intimate partner violence (IPV) is an important risk factor for perinatal depression (PND). But IPV's impact on the natural prognosis of PND symptoms is not well understood. We tested two hypotheses: (1) pregnant women with IPV experiences will exhibit more severe PND symptoms than women without IPV experience; (2) IPV experience will impede t...

Introduction Perinatal depression refers to depressive episodes that occur during pregnancy or within 4 weeks postpartum, including prenatal and postnatal depression [1 2]. The prevalence of perinatal depression in developed countries is 10% to 15% [3] and is higher in developing countries [4]. This disorder is associated with many poor outcomes, n...

We aimed to investigate the coping styles of Chinese pregnant women, identify factors associated with coping and further explore the effect of coping during pregnancy on postpartum depression. A longitudinal study was performed from early pregnancy to six-week postpartum. A total of 1126 women were recruited by convenience sampling and participants...

Introduction: The Chinese government has encouraged the development of private sector in delivering health care, including primary health care (PHC) in the new round of national health reform since 2009. However, the debate about the role of the private sector in achieving universal health coverage continues with poor support from theories and empi...

Background Persons with schizophrenia frequently discontinue or avoid medications. Under a national community-based mental health program many places in China have started to provide free medications to people with severe mental health disorders in their communities. In the free medication program (FMP) in Liuyang, China, peripatetic psychiatrists...

Flow chart of text analysis

LSTM model construction

Evaluation indices of LSTM model

Variables of Image analysis

Flow chart of text analysis

LSTM model construction

Postpartum depression（PPD） has become the focus of attention.Mother's post in WeChat Moments can be an important predictor of PPD.The study will collect the post published by mothers in WeChat Moments, analyze the correlation of text and pictures with PPD, construct a predictive model of PPD, and explore the potential of WeChat in PPD research.

Postpartum depression（PPD） has become the focus of attention.Mother's post in WeChat Moments can be an important predictor of PPD.The study will collect the post published by mothers in WeChat Moments, analyze the correlation of text and pictures with PPD, construct a predictive model of PPD, and explore the potential of WeChat in PPD research.

Postpartum depression（PPD） has become the focus of attention.Mother's post in WeChat Moments can be an important predictor of PPD.The study will collect the post published by mothers in WeChat Moments, analyze the correlation of text and pictures with PPD, construct a predictive model of PPD, and explore the potential of WeChat in PPD research. Met...

Introduction： Postpartum depression（PPD） has become the focus of attention.Mother's post in WeChat Moments can be an important predictor of PPD.The study will collect the post published by mothers in WeChat Moments, analyze the correlation of text and pictures with PPD, construct a predictive model of PPD, and explore the potential of WeChat in PPD...

Background Few studies have examined protective or risk factors for coping styles of pregnant women, and studies which focus on coping in different ethnic populations are needed. The aim of this study was to investigate the coping styles of pregnant women and identify possible factors associated with coping. We further explored the effect of coping...

BACKGROUND Machine Learning is one of the important methods for disease prediction OBJECTIVE This study combined different machine learning methods to establish four postnatal depression prediction models, and compared their performance to determine the prediction model with best performance . METHODS A total of 1126 pregnant women were enrolled...

Background: Postpartum depression (PPD) is a serious public health problem. Building a predictive model for PPD using data during pregnancy can facilitate earlier identification and intervention. Objective: The aims of this study are to compare the effects of four different machine learning models using data during pregnancy to predict PPD and e...

Background Schizophrenia is a leading cause of disability, and a shift from facility- to community-based care has been proposed to meet the resource challenges of mental healthcare in low- and middle-income countries. We hypothesized that the addition of mobile texting would improve schizophrenia care in a resource-poor community setting compared w...

Sample text messages. (DOCX)

Raw analysis versus adjusted analysis with covariates and data imputation. (DOCX)

Multiple imputation used in our statistical analysis. (DOCX)

Free medications dispensed in the 686 Program in Liuyang, Hunan, China. (DOCX)

Introduction Primary healthcare (PHC) serves as the cornerstone for the attainment of universal health coverage (UHC). Efforts to promote UHC should focus on the expansion of access and on healthcare quality. However, robust quality evidence has remained scarce in China. Common quality assessment methods such as chart abstraction, patient rating an...

Background: Antenatal care smartphone apps are increasingly used by pregnant women, but studies on their use and impact are scarce.Objective: This study investigates the use of antenatal care apps in pregnant women and explores the association between the use of these apps and antenatal depression.Methods: This study used a convenient sample of pre...

A study on the effect of the hands-on demonstration of up to 3 sessions (20 minutes per session) for villagers with schizophrenia based on the LEAN sample. LEAN is a randomized controlled trial that tested the effect of lay health supporters aided by text messaging to improve the care of people with schizophrenia in a resource limited setting. The...

BACKGROUND Antenatal care smartphone apps are increasingly used by pregnant women, but studies on their use and impact are scarce. OBJECTIVE This study investigates the use of antenatal care apps in pregnant women and explores the association between the use of these apps and antenatal depression. METHODS This study used a convenient sample of pr...

Introduction Valid and low-cost quality assessment tools examining care quality are not readily available. The unannounced standardised patient (USP), the gold standard for assessing quality, is costly to implement while the validity of clinical vignettes, as a low-cost alternative, has been challenged. Computerised virtual patients (VPs) create hi...

BACKGROUND: Despite the abundance of measures to assess medication adherence by persons suffering schizophrenia, few studies have evaluated their concordance and validity against a reference standard in resource-poor community settings. We explored the concordance and validity of several measures to assess antipsychotic medication adherence in a re...

We will use unannounced standardized patients to assess quality of primary care in a random sample of primary care providers in seven Chinese provinces. A quality checklist will be used to assess the technical quality while the Patient Perceived Patient Centeredness scale will be used for patient-centeredness. We detailed on the process of developi...

Background: Despite the abundance of measures to assess medication adherence by persons suffering schizophrenia, few studies have evaluated their concordance and validity against a reference standard in resource-poor community settings. We explored the concordance and validity of several measures to assess antipsychotic medication adherence in a re...

A poster presentation on the preliminary result of the LEAN Trial. PMAC is a highly recognized global health conference.

Preliminary result of LEAN trial - a poster presentation at PMAC 2017

Long-term therapy should be administrated for patients with schizophrenia and the medication adherence is very important for the prognosis and outcome in these patients. In this study, we screened the literatures from various databases in accordance with our search criteria. A total of 11 literatures with the results of reliability and validity reg...

Introduction Schizophrenia is a severe, chronic and disabling mental illness. Non-adherence to medication and relapse may lead to poorer patient function. This randomised controlled study, under the acronym LEAN (Lay health supporter, e-platform, award, and iNtegration), is designed to improve medication adherence and high relapse among people with...

To study the influence of mediating/moderating effects of health skills on the relations between health knowledge and health behaviors in college students. Stratified cluster random sampling was used among 2 181 students, selected in several colleges in Changsha, Hunan province. EpiData 3.0 was adopted to establish the database. Correlation and reg...

Background: Strict compliance with prescribed medication is the key to reducing relapses in schizophrenia. As villagers in China lack regular access to psychiatrists to supervise compliance, we propose to train village 'doctors' (i.e., villagers with basic medical training and currently operating in villages across China delivering basic clinical...

Objective: To constitute school sanitation standard using modified Delphi method, and to explore the feasibility and the predominance of Delphi method in the constitution of school sanitation standard. Methods: Two rounds of expert consultations were adopted in this study. The data were analyzed with SPSS15.0 to screen indices of school sanitati...