Evidence map›Paper›PMID 34617909›Full record

SynthesisJMIR mHealth and uHealth2021

Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis.

Liuhong Zhao, Jingfen Chen, Liuying Lan, Ni Deng, Yan Liao, Liqun Yue, Innie Chen, Shi Wu Wen, Ri-Hua Xie

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Liuhong Zhao *Department of Nursing, The Seventh Affiliated Hospital, Southern Medical University, Foshan, China.ORCID 0000-0003-3826-6341
Jingfen Chen *Department of Nursing, The Seventh Affiliated Hospital, Southern Medical University, Foshan, China.ORCID 0000-0002-1507-4307
Liuying LanDepartment of Nursing, The Seventh Affiliated Hospital, Southern Medical University, Foshan, China.ORCID 0000-0003-3458-3016
Ni DengDepartment of Obstetrics and Gynecology, The Seventh Affiliated Hospital, Southern Medical University, Foshan, China.ORCID 0000-0002-1817-9737
Yan LiaoClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0002-8584-7467
Liqun Yue *Department of Nursing, The Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.ORCID 0000-0002-1240-194X
Innie ChenClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0002-6389-4617
Shi Wu WenClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0002-7227-0283
Ri-Hua XieDepartment of Nursing, The Seventh Affiliated Hospital, Southern Medical University, Foshan, China.ORCID 0000-0002-3023-5412

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum depression (PPD) is a prevalent mental health problem with serious adverse consequences for affected women and their infants. Clinical trials have found that telehealth interventions for women with PPD result in increased accessibility and improved treatment effectiveness. However, no comprehensive synthesis of evidence from clinical trials by systematic review has been conducted.

objectiveThe aim of this study is to evaluate the effectiveness of telehealth interventions in reducing depressive symptoms and anxiety in women with PPD. To enhance the homogeneity and interpretability of the findings, this systematic review focuses on PPD measured by the Edinburgh Postnatal Depression Scale (EPDS).

methodsPubMed, The Cochrane Library, CINAHL, PsycINFO, CNKI, and Wanfang were electronically searched to identify randomized controlled trials (RCTs) on the effectiveness of telehealth interventions for women with PPD from inception to February 28, 2021. Data extraction and quality assessment were performed independently by two researchers. The quality of included studies was assessed using the Cochrane risk-of-bias tool, and meta-analysis was performed using RevMan 5.4 software.

resultsFollowing the search, 9 RCTs with a total of 1958 women with PPD were included. The EPDS (mean difference=-2.99, 95% CI -4.52 to -1.46; P<.001) and anxiety (standardized mean difference=-0.39, 95% CI -0.67 to -0.12; P=.005) scores were significantly lower in the telehealth group compared with the control group. Significant subgroup differences were found in depressive symptoms according to the severity of PPD, telehealth technology, specific therapy, and follow-up time (P<.001).

conclusionsTelehealth interventions could effectively reduce the symptoms of depression and anxiety in women with PPD. However, better designed and more rigorous large-scale RCTs targeting specific therapies are needed to further explore the potential of telehealth interventions for PPD.

trial registrationPROSPERO CRD42021258541; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=258541.

Indexed as

Depression, PostpartumTelemedicineAnxietyFemaleHumansInfantTreatment Outcomeanxietymeta-analysispostpartum depressiontelehealth

Identifiers

PMID34617909
PMCPMC8532017

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.