Effectiveness of peer support intervention on perinatal depression: A systematic review and meta-analysis

Huang, Ruirui; Yan, Chunli; Tian, Yuan; Lei, Beimei; Yang, Dongqi; Liu, Dan; Liu, Jun

doi:10.1016/j.jad.2020.06.048

Cited by 57 publications

(64 citation statements)

References 28 publications

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“…Peer support approaches is another recommended model for mental health care. Evidence has shown it promotes early help-seeking, prevents mental health-related hospitalizations, reduces extended hospital stays, and eases demands for more specialized mental health professionals [ 128 ].…”

Section: Discussionmentioning

confidence: 99%

Interventions to Support Mental Health among Those with Health Conditions That Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Language Literature

Davison

Thakkar

Lin

et al. 2021

IJERPH

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This study aimed to address knowledge gaps related to the prevention and management of mental health responses among those with a condition that presents risk of severe COVID-19 infection. A scoping review that mapped English and Chinese-language studies (2019–2020) located in MEDLINE (Ovid), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, Sociological Abstracts, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Data, and Airiti Library was undertaken. Search terms related to COVID-19, mental health, and physical health were used and articles that included all three of these factors were extracted (n = 77). With the exception of one hospital-based pilot study, there were no intervention studies targeting mental health in those at risk of severe COVID-19 infection. Promising practices such as integrated care models that appropriately screen for mental health issues, address health determinants, and include use of digital resources were highlighted. Patient navigator programs, group online medical visits, peer support, and social prescribing may also support those with complex needs. Future policies need to address digital health access inequities and the implementation of multi-integrated health and social care. Furthermore, research is needed to comprehensively assess multi-integrated interventions that are resilient to public health crises.

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Section: Discussionmentioning

confidence: 99%

Interventions to Support Mental Health among Those with Health Conditions That Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Language Literature

Davison

Thakkar

Lin

et al. 2021

IJERPH

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“…Peer support during the perinatal period has been shown to ‘have a number of interrelated positive impacts on the emotional wellbeing of mothers’ [ 32 ]. In itself it can be a valuable perinatal mental health intervention [ 4 ] and may also interact with the uptake of the uptake of more community based resources. This current study utilised less intensive peer facilitation to make use of existing community resources rather than provide active ongoing peer support.…”

Section: Discussionmentioning

confidence: 99%

“…Feeling well supported during the transition to parenthood promotes maternal wellbeing [ 3 ]. The value of support provided by peers has been demonstrated to be effective in reducing perinatal depression [ 4 ]. Improved maternal wellbeing and mental health is important as it impacts not only on the woman [ 5 ] but also on the growing fetus and other outcomes [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Facilitating Perinatal Access to Resources and Support (PeARS): a feasibility study with external pilot of a novel intervention

Slade

Dembinsky

Bristow

et al. 2021

BMC Pregnancy Childbirth

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Background Up to 50% of women in areas of high socio-economic deprivation are at risk of developing depressive symptoms in pregnancy. Feeling well supported, can facilitate good mental health perinatally. A brief, innovative intervention to facilitate access to support and resources was developed and tested. This included one antenatal and one postnatal session, each with three evidence-based components: i) support from a non-professional peer to enable a woman to identify her needs; ii) information about local community services and signposting; and iii) development of a personalised If–Then plan to access that support. The aims were to evaluate the intervention and research methods for feasibility and acceptability for perinatal women, maternity care providers and peers, and provide preliminary effectiveness indications. Methods Pregnant women living in an area of high deprivation were recruited from community-based antenatal clinics and randomised to intervention or control condition (a booklet about local resources). Outcome measures included women’s use of community services by 34 + weeks gestation and 6 months postnatally; mental health and wellbeing measures, and plan implementation. Interviews and focus groups were conducted with women participants, providers, and peers. Data were analysed using framework analysis. Recruitment and retention of peers and participants, intervention fidelity, and acceptability of outcome measures were recorded. Results Peer facilitators could be recruited, trained, retained and provide the intervention with fidelity. One hundred twenty six women were recruited and randomised, 85% lived in the 1% most deprived UK areas. Recruitment constituted 39% of those eligible, improving to 54% after midwifery liaison. Sixty five percent were retained at 6 months postnatally. Women welcomed the intervention, and found it helpful to plan access to community services. Providers strongly supported the intervention philosophy and integrated this easily into services. The study was not powered to detect significant group differences but there were positive trends in community service use, particularly postnatally. No differences were evident in mental health and wellbeing. Conclusions This intervention was well received and easily integrated into existing services. Women living in highly deprived areas could be recruited, randomised and retained. Measures were acceptable. Peer facilitators were successfully trained and retained. Full effectiveness studies are warranted.

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“…Peer support was more effective than routine nursing care in improving the resilience of breast cancer patients. Peer support refers to the approach whereby individuals with the same disease or condition meet in order to exchange information, share experiences, and provide emotional/appraisal/informational assistance [55,56]. The results of this study showed that peer support was more effective than routine nursing care in improving the resilience of breast cancer patients (SMD = 2.62; 95% CI 0.61, 4.63; p = 0.01), which was similar to the results of a systematic review [56].…”

Section: Discussionmentioning

confidence: 99%

The interventions for resilience of breast cancer patients: a systematic review and meta-analysis

Wang

Liu

Zhao

et al. 2021

Preprint

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BackgroundBreast cancer has now overtaken lung cancer as the world’s mostly commonly-diagnosed cancer. With the increasing prevalence of breast cancer, the psychological problems of breast cancer patients have also received more and more attention from scholars. The aim of our study was to synthesis the available research evidence on the effectiveness of interventions designed to promote or enhance the resilience of breast cancer patients.MethodsWe performed a systematic and comprehensive search of 12 databases from inception to February 4,2021: Web of Science, PubMed, Embase, MEDLINE, Scopus, Cochrane Library, CINAHL, PsycINFO, Chinese National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBM), WanFang and VIP. We conducted a comprehensive qualification screening of the retrieved records and analysed all the included data using Review Manager Version 5.3 and STATA/SE Version 15.1.ResultsA total of 23 RCTs involving 2,002 women with stage I-Ⅳ breast cancer met the eligibility criteria and 15 of them were included in the meta-analysis. The results showed that the effectiveness of resilience training program (SMD = 0.89; 95% CI 0.54, 1.24; p < 0.00001), health education delivered via mobile devices (SMD = 1.84; 95% CI 0.86, 2.82; p = 0.0002) and peer support (SMD = 2.62; 95% CI 0.61, 4.63; p = 0.01) in the experimental groups was better than that of the control groups. Furthermore, there were seven other kind of interventions which might contribute to improve resilience but with very few evidences available.ConclusionOur findings suggest that resilience training program, health education delivered via mobile devices and peer support are more effective than that of the routine nursing care in improving the resilience of breast cancer patients. In addition, this study cannot draw definitive conclusions regarding the effectiveness of other seven kind of interventions because the sample size in the included is small and cannot be conducted in the meta-analysis. More studies are needed in the future to clarify the effectiveness of these interventions.

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Effectiveness of peer support intervention on perinatal depression: A systematic review and meta-analysis

Cited by 57 publications

References 28 publications

Interventions to Support Mental Health among Those with Health Conditions That Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Language Literature

Interventions to Support Mental Health among Those with Health Conditions That Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Language Literature

Facilitating Perinatal Access to Resources and Support (PeARS): a feasibility study with external pilot of a novel intervention

The interventions for resilience of breast cancer patients: a systematic review and meta-analysis

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