the canopie program is backed by strong evidence

results from our proof of concept

Change in mean depression scores (Edinburgh Postnatal Depression Scale) in treatment, control

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(p) .00015, Hedges (g) treatment effect of .68. Average 4.8 pt reduction in depression in the treatment group (> reliable change index of 4), no statistically significant change in control group.

 Change in number of participants with clinical depressive symptoms (i.e. EPDS scores >10)

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62% of participants with depression in the treatment group had a reduction in depressive symptoms to below the clinical threshold for referral. There was no statistically significant change in control group.

Cognitive Behavioural Therapy


CBT has been proven to have a large effect in reducing depression for women in the perinatal period. Studies show web-based CBT can be as effective as face-to-face CBT.

Compassion Focused Therapy


CFT has been shown to be particularly effective in reducing self-criticism and shame in new mothers. It shifts blaming difficulties on mothers to understanding the impact of society and evolution on parenting.

Interpersonal Therapy


IPT is recommended for preventing perinatal depression, and focuses on relationships and communication, which are common struggles for many new mothers.

the research 

Over 50 randomized control trials have demonstrated significant treatment effects from therapeutic techniques such as cognitive behavioral therapy, interpersonal therapy and compassion focused therapy delivered in a similar way to the canopie program (both guided self help and pure self help) including the below.

A proof of concept pilot randomised comparative trial of brief CMT and CBT for perinatal and intending to become pregnant women

Kelman A. , Evare B. S.,  Barrera A. Z., Muñoz R. F., Gilbert P.


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Delivering the Thinking Healthy Programme for perinatal depression through volunteer peers: a cluster randomised controlled trial in Pakistan

Sikander S. et al.




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Online prevention of postpartum depression for Spanish- and English-speaking pregnant women: A pilot randomized controlled trial

Barrera A. Z., Robert E Wickham R. E., Muñoz R. F.



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Zlotnick C., Tzilos G., Miller I., Seifer R. and Stoute R.



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RCT to prevent postpartum depression in mothers on public assistance

Netmums: a phase II randomized controlled trial of a guided Internet behavioural activation treatment for postpartum depression. Psychological medicine

O'Mahen, H. A., Richards, D. A., Woodford, J., Wilkinson, E., McGinley, J., Taylor, R. S., & Warren, F. C.


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A randomised controlled trial of therapist-assisted, internet-delivered cognitive behavior therapy for women with maternal depression

Pugh, N. E., Hadjistavropoulos, H. D., & Dirkse, D.




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The Effectiveness of a Guided Internet-Based Tool for the Treatment of Depression and Anxiety in Pregnancy (MamaKits Online): Randomized Controlled Trial

Heller, H. M., Hoogendoorn, A. W., Honig, A., Broekman, B. F., & van Straten, A.


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Be a Mom’s Efficacy in Enhancing Positive Mental Health among Postpartum Women Presenting Low Risk for Postpartum Depression: Results from a Pilot Randomized Trial

Monteiro, F., Pereira, M., Canavarro, M. C., & Fonseca, A.


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policy recommendations

US & UK government reviews recommend the use of cognitive behavioral therapy and interpersonal therapy (techniques used in the canopie program) to prevent and treat perinatal depression

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US Preventative Task Force


Interventions to Prevent Perinatal Depression
US Preventive Services Task Force
Recommendation Statement

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National Institute for Health and Care Excellence



Antenatal and postnatal mental health: clinical management and service guidance