Effects of digital health interventions on the psychological outcomes of perinatal women: umbrella review of systematic reviews and meta-analyses.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2024-06-01 Epub Date: 2023-03-15 DOI:10.1080/17437199.2023.2185654
Ying Lau, Han Shi Jocelyn Chew, Wei How Darryl Ang, Wen Wei Ang, Chin Yi Yeo, Grace Zhi Qi Lim, Sai Ho Wong, Siew Tiang Lau, Ling Jie Cheng
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Abstract

Evidence about the effects of digital health interventions (DHIs) on the psychological outcomes of perinatal women is increasing but remains inconsistent. An umbrella review was conducted to (1) assess the effect of DHIs on depressive, anxiety and stress symptoms and (2) compare the effects of DHIs on different digital platforms and population natures. Ten databases were searched from inception until December 23, 2022. The Hartung-Knapp-Sidik-Jonkman random-effects meta-analyses were utilised. Methodological quality was evaluated using the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2). Twenty-four systematic reviews with 41 meta-analyses involving 45,509 perinatal women from 264 primary studies were included. The credibility of the evidence of meta-analyses was rated as highly suggestive (4.88%), suggestive (26.83%), weak (51.22%) or non-significant (17.07%) according to AMSTAR-2. Our findings suggest that DHIs are beneficial for reducing stress symptoms. However, conflicting effects were found on anxiety symptoms. Subgroup and meta-regression analyses suggested that DHIs effectively improve depressive symptoms in postnatal women, and DHIs using the website platform are highly effective in stress reduction. DHIs can be implemented adjuvant to usual obstetric care to improve depressive and stress symptoms. Additional well-designed RCTs with long-term follow-up are warranted.

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数字健康干预对围产期妇女心理结果的影响:系统综述和荟萃分析总览。
有关数字健康干预(DHIs)对围产期妇女心理结果影响的证据越来越多,但仍不一致。我们进行了一项综合综述,目的是:(1)评估数字健康干预对抑郁、焦虑和压力症状的影响;(2)比较不同数字平台和人群性质的数字健康干预的效果。从开始到 2022 年 12 月 23 日,共检索了 10 个数据库。采用Hartung-Knapp-Sidik-Jonkman随机效应荟萃分析法。方法学质量采用《多重系统综述评估 2》(AMSTAR-2)进行评估。共纳入了 24 篇系统综述和 41 项元分析,涉及 264 项主要研究中的 45 509 名围产期妇女。根据 AMSTAR-2,荟萃分析的证据可信度被评为高度提示(4.88%)、提示(26.83%)、弱(51.22%)或无意义(17.07%)。我们的研究结果表明,DHIs 有助于减轻压力症状。然而,在焦虑症状方面却发现了相互矛盾的效果。分组分析和元回归分析表明,DHIs 能有效改善产后妇女的抑郁症状,而使用网站平台的 DHIs 对减轻压力非常有效。DHI可作为常规产科护理的辅助手段,以改善抑郁症状和压力症状。我们还需要进行更多设计良好、长期随访的 RCT 研究。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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