Internet‐based interventions for postpartum depression: A systematic review and meta‐analysis

Mu, Ting-Yu; Li, Yu Hong; Xu, Ri; Wang, Ya Ya

doi:10.1002/nop2.724

Cited by 32 publications

(23 citation statements)

References 57 publications

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“…The results revealed that the participants in the intervention group, who participated in CBT self-help programs with weekly minimal guidance, signi cantly improved their depression symptoms with medium to large effect size of -0.60 at post-intervention compared with those in the control group. This result approximates the effect size of 0.64 [57] and effect size of 0.63 [58] reported in previous metaanalyses. In a recent systematic review and meta-analysis [59] from 2021, it was also found that guided internet-based CBT was associated with more effectiveness in reducing depressive symptoms than control conditions.…”

Section: E Cacy Of Computer-and/or Internet-based Cbt Self-help Treat...supporting

confidence: 90%

Efficacy of computer- and/or internet-based cognitive-behavioral guided self-management for depression in adults and adolescents: a systematic review and meta-analysis of randomized controlled trials

Mamukashvili-Delau

Koburger

Dietrich³

et al. 2022

Preprint

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Background Depression is a worldwide disease. Studies show that the rate of depression during the COVID-19 breakout seems to have considerably increased. CBT-based self-help treatment allows patients with mild to moderate depression symptoms to improve their depression or to bridge the waiting- or pandemic period until they receive further clinical treatment. Objective This systematic review and meta-analysis aims to explore the efficacy and acceptability of computer-delivered and/or internet-based CBT self-help interventions with minimal guidance (up to 10 minutes) for depression. In addition, comparing the effectiveness of treatment by the type of minimal guidance: (1) by e-mail, (2) by telephone calls, (3) by e-mail and telephone together, or (4) face-to-face in reducing depression symptoms at post-treatment was the second aim. Methods The Cochrane depression, anxiety, and neurosis review group’s specialized register electronic searches, grey literature, reference lists and correspondence were used to search for published and unpublished RCTs that reported efficacy of computer- and/or internet-based CBT self-help treatments for depression with minimal guidance up to 10 minutes per week. Methodological quality of included studies was evaluated with Cochrane Collaboration tools for assessing risk of bias. The meta-analysis was accomplished using the RevMen software. Results In total, 2620 study abstracts were checked for eligibility. Out of these, 17 studies (18 samples) with a total of 3134 participants were included. The results showed that concerning efficacy, the treatment group is superior to the control group with a medium to large effect size of 0.60. Also, treatment groups with combined guidance by e-mail and telephone calls together had greater effects (SMD − 0.74) than groups with other types of minimal guidance (guided by e-mail SMD − 0.63; guided face to-face SMD – 0.66; guided by telephone calls SMD − 0.33). Moreover, there were higher drop-out rates in the treatment condition (RR 1.35) than in the control groups. Conclusions The results of this meta-analysis support the efficacy of computer- and/or internet-based CBT self-help programs with minimal weekly guidance for improving depression symptoms at post-treatment for adults and adolescents.

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Section: E Cacy Of Computer-and/or Internet-based Cbt Self-help Treat...supporting

confidence: 90%

Efficacy of computer- and/or internet-based cognitive-behavioral guided self-management for depression in adults and adolescents: a systematic review and meta-analysis of randomized controlled trials

Mamukashvili-Delau

Koburger

Dietrich³

et al. 2022

Preprint

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“…Moreover, a large study capturing a wider demographic of women including those with reduced access to the internet and low technology literacy is lacking. Lastly, little is known about the rates of dropout from internet-based interventions for perinatal depression and anxiety symptoms, with reported rates ranging widely from 4.5–86% [ 40 , 41 ], and lack of information on factors determining dropouts and non-responses [ 35 ].…”

Section: Introductionmentioning

confidence: 99%

Internet-based interventions for perinatal depression and anxiety symptoms: an ethnographic qualitative study exploring the views and opinions of midwives in Switzerland

2022

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Background Mental disorders such as depression and anxiety are common during pregnancy and postpartum, but are frequently underdiagnosed and untreated. In the last decades, internet-based interventions have emerged as a treatment alternative showing similar effectiveness to face-to-face psychotherapy. We aimed to explore midwives’ perceptions of the acceptability of internet-based interventions for the treatment of perinatal depression and anxiety symptoms. Methods In this ethnographic qualitative study, semi-structured interviews were conducted with 30 midwives. We followed the Consolidated Criteria for Reporting Qualitative Research Checklist (COREQ). Audio-recorded interviews were transcribed verbatim and analysed using framework analysis. The identified framework categories were rated individually by two independent raters. Krippendorff’s alpha coefficient was used to ensure the reliability of the rating. Results Four main themes emerged: midwives’ experience with patients’ mental health issues; the role of healthcare workers in women’s utilisation of internet-based interventions in the perinatal period; the overall perception of internet-based interventions; and recommendation of internet-based interventions to perinatal women. Twenty-five of the 30 participants viewed internet-based interventions as an acceptable type of intervention, which they would recommend to a subgroup of patients (e.g. women who are well-educated or younger). All except for two midwives identified themselves and medical doctors as key figures regarding patients’ utilisation of internet-based interventions, although a third of the interviewees highlighted that they needed sufficient information about such interventions. Finally, several participants suggested features which could be relevant to develop more acceptable and feasible internet-based interventions in the future. Discussion Participants’ overall perception of internet-based interventions for perinatal depression and anxiety symptoms was positive. This study underlines the importance of considering midwives’ views about internet-based interventions for perinatal mental health care. Our findings have implications for the practice not only of midwives but also of other maternity care professionals. Future studies examining the views of other health professionals are warranted.

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“…Thus, it is important to evaluate the effects of nonpharmacologic interventions on postpartum women experiencing PPD. In the existing literature, psychosocial intervention [11][12][13][14][15] and physical intervention [16][17][18][19] have been identified to be associated with a reduction in the likelihood of continued PPD, which mainly used traditional face-to-face method.…”

Section: Introductionmentioning

confidence: 99%

“…E-health technology was the innovative approach of intervention delivery that uses online technology [26], with the distinguished advantages of improved flexibility, accessibility, and reduced financial and time cost [27]. The random-effects model of a recent meta-analysis indicated that the internet-based interventions have proven to be effective in the reduction of PPD symptoms (d = 0.642, N = 7) [13]. However, all the seven randomized controlled trials (RCTs) for PPD based on internet had been conducted in developed countries, such as UK, USA, Canada, Australia, and Sweden [13].…”

Section: Introductionmentioning

confidence: 99%

“…The random-effects model of a recent meta-analysis indicated that the internet-based interventions have proven to be effective in the reduction of PPD symptoms (d = 0.642, N = 7) [13]. However, all the seven randomized controlled trials (RCTs) for PPD based on internet had been conducted in developed countries, such as UK, USA, Canada, Australia, and Sweden [13]. Furthermore, some researchers argued that internet-based interventions had obvious drawbacks of low diagnosis accuracy, and engagement and response rates due to the absence of face-to-face support and assessment from health professionals during the whole intervention [28][29][30].…”

Section: Introductionmentioning

confidence: 99%

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Online and Offline Intervention for the Prevention of Postpartum Depression among Rural-to-Urban Floating Women: Study Protocol for a Randomized Control Trial

Qiu

Fang

et al. 2022

IJERPH

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Background: As a higher-risk group of postpartum depression (PPD), rural to urban floating women urgently require effective and accessible mental health care after childbirth to prevent PPD. Even though there were various interventions, only a small number of women have sought professional help to reduce their depressive symptoms after childbirth, suggesting the need for an innovative intervention delivery to overcome women’s help-seeking barriers. Online and offline (OTO) interventions, which combine face-to-face and internet-based interventions, provide apparent benefits. As a result, the protocol for a randomized controlled study (RCT) was designed to examine the effectiveness and acceptability of OTO intervention on psychosocial outcomes for Chinese rural-to-urban floating women including the reduction of PPD symptoms and PPD stigma, and the improvement of social support and quality of life. Methods: A double blind, multicenter, RCT will be used and a total of 226 participants will be recruited. The OTO intervention called the “Hi, Mom” program will integrate two face-to-face consulting sessions with online sessions comprising an information module, a communication module, an ask-the-expert module, and a peer story module over a period of three months. The control group will receive routine postpartum care. Outcome measures including PPD symptoms, PPD stigma, social support, quality of life, mother–child bonding, and satisfaction with health care received will be conducted at baseline, postintervention, and three-month follow-up. Results and Discussion: If the intervention is effective, it will provide a convenient and effective intervention program on postpartum mental well-being for rural-to-urban floating women. As the first study to test the effects of an OTO intervention for the prevention of PPD in China, the outcomes gained from this study will provide evidence-based knowledge for clinical practice on PPD prevention based on online and offline health technologies. Moreover, it could be used to plan a culturally appropriate OTO intervention for migrant mothers from different countries.

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Internet‐based interventions for postpartum depression: A systematic review and meta‐analysis

Cited by 32 publications

References 57 publications

Efficacy of computer- and/or internet-based cognitive-behavioral guided self-management for depression in adults and adolescents: a systematic review and meta-analysis of randomized controlled trials

Efficacy of computer- and/or internet-based cognitive-behavioral guided self-management for depression in adults and adolescents: a systematic review and meta-analysis of randomized controlled trials

Internet-based interventions for perinatal depression and anxiety symptoms: an ethnographic qualitative study exploring the views and opinions of midwives in Switzerland

Online and Offline Intervention for the Prevention of Postpartum Depression among Rural-to-Urban Floating Women: Study Protocol for a Randomized Control Trial

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