Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive 117597, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive 117597, Singapore.
Midwifery. 2022 Nov;114:103457. doi: 10.1016/j.midw.2022.103457. Epub 2022 Aug 10.
Parents face many challenges during the perinatal period and are at risk for mental health issues, especially during the current coronavirus (COVID-19) pandemic. Mobile application-based interventions can help parents to improve their psychosocial well-being in a convenient and accessible manner. This review aims to examine the effectiveness of mobile application-based perinatal interventions in improving parenting self-efficacy, anxiety, and depression (primary outcomes), as well as stress, social support, and parent-child bonding (secondary outcomes) among parents.
Seven electronic databases (PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, and ProQuest Thesis and Dissertations) were searched from their respective inception dates until August 2021. The Cochrane Risk of Bias-2 tool was used to conduct quality appraisals. Results were narratively synthesized due to the high heterogeneity of intervention and participant types.
A total of 6164 articles were retrieved from the seven electronic databases and citation searching. After excluding duplicate records and irrelevant titles/abstracts, 105 full texts were examined. Full-text screening excluded another 93 articles, leaving 12 included studies in this review. All studies were rated as having some concerns or a high overall risk of bias. Mobile application-based interventions were found to be feasible and promising in improving parents' overall well-being post-intervention during the perinatal period. Further research would be needed to determine their long-term effects.
Parental well-being was shown to improve using the following intervention components: educational resources on perinatal and infant care, psychotherapy, and support from peers and healthcare professionals. Hence, future interventions could aim to include these components and evaluate all inter-related parenting outcomes (parenting self-efficacy, stress, anxiety, depression, social support, and parent-child bonding). Parents could be provided with experiential learning exposure by using computer animations and virtual reality. Future research could be conducted on more fathers and parents from varied geographical regions.
在围产期，父母面临着许多挑战，并且存在心理健康问题的风险，尤其是在当前的冠状病毒（COVID-19）大流行期间。基于移动应用程序的干预措施可以帮助父母以方便和可及的方式改善他们的社会心理健康。本综述旨在研究基于移动应用程序的围产期干预措施在提高父母育儿自我效能感、焦虑和抑郁（主要结果），以及压力、社会支持和亲子关系（次要结果）方面的有效性。
从各自的创建日期开始，在七个电子数据库（PubMed、Embase、CINAHL、PsycINFO、Web of Science、Scopus 和 ProQuest 论文和论文）中进行了搜索，直到 2021 年 8 月。使用 Cochrane 偏倚风险-2 工具进行质量评估。由于干预和参与者类型的高度异质性，结果以叙述性方式综合。
从七个电子数据库和引文搜索中检索到 6164 篇文章。排除重复记录和不相关的标题/摘要后，检查了 105 篇全文。全文筛选排除了另外 93 篇文章，本综述共纳入 12 项研究。所有研究均被评为存在一些问题或整体偏倚风险高。基于移动应用程序的干预措施在围产期内显示出在干预后提高父母整体幸福感的可行性和前景。需要进一步的研究来确定它们的长期效果。
通过以下干预措施可以提高父母的幸福感：围产期和婴儿护理的教育资源、心理治疗以及来自同行和医疗保健专业人员的支持。因此，未来的干预措施可以旨在包括这些组成部分，并评估所有相关的育儿结果（育儿自我效能感、压力、焦虑、抑郁、社会支持和亲子关系）。通过使用计算机动画和虚拟现实，可以为父母提供体验式学习体验。可以在更多的父亲和来自不同地理区域的父母中进行未来的研究。
