Effectiveness of online psychological interventions to prevent perinatal depression in fathers and non-birthing partners: A systematic review and meta-analysis of randomized controlled trials

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-07-18 DOI:10.1016/j.invent.2024.100759

Paula de-Juan-Iglesias , Irene Gómez-Gómez , Carlos Barquero-Jimenez , Claire A. Wilson , Emma Motrico

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Abstract

Little is known about the effectiveness of online preventive interventions for paternal perinatal depression (PPD). This systematic review (SR) and meta-analysis (MA) of randomized controlled trials (RCTs) evaluated the effectiveness of online psychological interventions to prevent PPD in fathers and non-birthing partners. The PRISMA 2020 guidelines were followed. The search was conducted in eight electronic databases and other sources from inception to 12 May 2023. The pooled standardized mean difference (SMD) was computed using random-effect models. Seven RCTs were included in the SR and 6 were included in the MA, representing 1.042 fathers from five different countries. No trials focused on non-birthing partners were found. The pooled SMD was −0.258 [95 % confidence interval − 0.513 to −0.004; p < 0.047]. The heterogeneity was moderate (I2 = 51 %; 95%CI [0 % to 81 %]) and nonsignificant (p = 0.070). However, sensitivity analyses showed that the effectiveness was stable only when the fixed effect model and the Egger's g were used to estimate the pooled SMD.

No publication bias was found. Only two RCTs had an overall low risk of bias assessed by using the Cochrane ROB 2.0 tool. The quality of evidence based on GRADE was very low. In conclusion, online psychological interventions may be effective for the prevention of PPD. More high-quality evidence is warranted.

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在线心理干预对预防父亲和非分娩伴侣围产期抑郁症的效果：随机对照试验的系统回顾和荟萃分析

人们对针对父亲围产期抑郁症（PPD）的在线预防干预措施的有效性知之甚少。本研究对随机对照试验（RCT）进行了系统综述（SR）和荟萃分析（MA），评估了在线心理干预对预防父亲和非分娩伴侣的围产期抑郁症的有效性。研究遵循了 PRISMA 2020 指南。从开始到 2023 年 5 月 12 日，在 8 个电子数据库和其他来源中进行了检索。使用随机效应模型计算了汇总的标准化平均差（SMD）。7项RCT被纳入SR，6项被纳入MA，代表了来自5个不同国家的1.042名父亲。没有发现针对非分娩伴侣的试验。汇总的SMD为-0.258[95%置信区间-0.513至-0.004；p < 0.047]。异质性为中度（I2 = 51 %；95 %CI [0 % 至 81 %]），不显著（p = 0.070）。然而，敏感性分析表明，只有在使用固定效应模型和Egger's g估计汇总SMD时，有效性才是稳定的。通过使用 Cochrane ROB 2.0 工具进行评估，只有两项 RCT 的总体偏倚风险较低。基于 GRADE 的证据质量很低。总之，在线心理干预对预防 PPD 可能有效。我们需要更多高质量的证据。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions