Department of Psychology, University of Calgary, Calgary, AB, Canada.
Alberta Children's Hospital Research Institute (ACHRI), Calgary, AB, Canada.
Clin Child Fam Psychol Rev. 2022 Sep;25(3):413-434. doi: 10.1007/s10567-022-00385-5. Epub 2022 Feb 20.
Parent stress and mental health problems negatively impact early child development. This study aimed to systematically review and meta-analyze the effect of eHealth interventions on parent stress and mental health outcomes, and identify family- and program-level factors that may moderate treatment effects. A search of PsycINFO, Medline, CINAHL, Cochrane and Embase databases was conducted from their inception dates to July 2020. English-language controlled and open trials were included if they reported: (a) administration of an eHealth intervention, and (b) stress or mental health outcomes such as self-report or clinical diagnosis of anxiety and depression, among (c) parents of children who were aged 1-5 years old. Non-human studies, case reports, reviews, editorials, letters, dissertations, and books were excluded. Risk of bias was assessed using the National Institutes of Health (NIH) Study Quality Assessment Tools. Random-effects meta-analyses of standardized mean differences (SMD) were conducted and meta-regressions tested potential moderators. 38 studies were included (N = 4360 parents), from 13 countries (47.4% USA). Meta-analyses indicated eHealth interventions were associated with better self-reported mental health among parents (overall SMD = .368, 95% CI 0.228, 0.509), regardless of study design (k = 30 controlled, k = 8 pre-post) and across most outcomes (k = 17 anxiety, k = 19 depression, k = 12 parenting stress), with small to medium effect sizes. No significant family- or program-level moderators emerged. Despite different types and targets, eHealth interventions offer a promising and accessible option to promote mental health among parents of young children. Further research is needed on moderators and the long-term outcomes of eHealth interventions. Prospero Registration: CRD42020190719.
父母压力和心理健康问题会对幼儿发展产生负面影响。本研究旨在系统地回顾和荟萃分析电子健康干预对父母压力和心理健康结果的影响，并确定可能调节治疗效果的家庭和项目层面的因素。从各数据库创建日期至 2020 年 7 月，对 PsycINFO、Medline、CINAHL、Cochrane 和 Embase 数据库进行了检索。如果报告了以下内容，则纳入英语对照和开放试验：(a) 实施电子健康干预，以及(b) 压力或心理健康结果，如自我报告或焦虑和抑郁的临床诊断，(c) 年龄在 1-5 岁的儿童的父母。排除非人类研究、病例报告、综述、社论、信件、论文和书籍。使用美国国立卫生研究院 (NIH) 研究质量评估工具评估偏倚风险。对标准化均数差 (SMD) 进行了随机效应荟萃分析，并进行了荟萃回归测试潜在的调节因素。纳入了 38 项研究（N=4360 名父母），来自 13 个国家（47.4%来自美国）。荟萃分析表明，电子健康干预与父母自我报告的心理健康状况改善相关（总体 SMD=0.368，95%CI 0.228，0.509），无论研究设计（k=30 项对照，k=8 项前后）和大多数结果（k=17 项焦虑，k=19 项抑郁，k=12 项育儿压力）如何，均显示出小到中等的效应量。没有出现显著的家庭或项目层面的调节因素。尽管电子健康干预的类型和目标不同，但它们为促进幼儿父母的心理健康提供了一种有希望且易于获得的选择。需要进一步研究电子健康干预的调节因素和长期结果。前瞻性注册：CRD42020190719。
