Measures
depression, Depression, major depression, anxiety
RECRUITMENT
Participants answered standardized survey items for gender, age, race, ethnicity, household income, education, and intimate relationship status from the Behavioral Risk Factor Surveillance System survey [For feasibility measures, we gathered administrative data at enrollment and with each instance of survey administration for response rates and downloaded Qualtrics data analytics to evaluate eMB usage. The research team used these data to calculate recruitment, retention and attrition rates, and participant intervention adherence [To evaluate preliminary efficacy, we examined anxiety and depression symptom severity at each survey time using the Edinburgh Postnatal Depression Scale (EPDS) and the GAD-7. The PHQ-9 was used as a depression screener eligibility with a cutoff score of 10 or greater — consistent with moderate symptoms of major depression — required for eligibility. The PHQ-9 is a self-report, nine-item scale that measures depression severity with high internal reliability (α = 0.89). Response options are on a 4-point scale with scores ranging from zero to 27 with higher scores representing more severe depression symptoms [The EPDS is a ten-item self-reported questionnaire validated for use in pregnancy, acceptable for use with partners, [The GADWe used the Client Satisfaction Questionnaire (CSQ-8) for evaluating program satisfaction [