Evidence map›Paper›PMID 40306641›Full record

Trial reportJMIR human factors2025

Immersive Virtual Reality eHealth Intervention to Reduce Anxiety and Depression in Pregnant Women: Randomized Controlled Trial.

Marta Jimenez-Barragan, Amparo Del Pino Gutierrez, Gloria Sauch Valmaña, Olga Monistrol, Carme Monge Marcet, Mar Pallarols Badia, Ignasi Garrido, Anna Carmona Ruiz, Oriol Porta Roda, Cristina Esquinas and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR human factors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05756205 (A Randomized Controlled Low-intensity E-health Intervention by Midwives for Improving Mental Health in Pregnant Women), which is not on this map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 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.

NCT05756205 naunknown statusnot on this map

A Randomized Controlled Low-intensity E-health Intervention by Midwives for Improving Mental Health in Pregnant Women

TypeinterventionalSponsorHospital Mutua de TerrassaRan2022 to 2024Enrolled150ConditionsAnxiety Depression, Pregnancy RelatedArmsImmersive Virtual Reality (IVR)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Article
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

11 authors.

Marta Jimenez-BarraganDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0001-8462-6630
Amparo Del Pino GutierrezDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-2854-9850
Gloria Sauch ValmañaHealth Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, Institut Universitari per la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Institut Català de la Salut, Barcelona, Spain.ORCID 0000-0002-1767-4314
Olga MonistrolDepartament of Nursing and Physiotherapy, Campus Igualada, Universitat de Lleida, Lleida, Spain.ORCID 0000-0001-7605-8733
Carme Monge MarcetDepartment of Gynecology and Obstetrics, Assistential Foundation Mútua Terrassa, Mútua Terrassa, Terrassa, Spain.ORCID 0000-0003-1300-5620
Mar Pallarols BadiaDepartment of Gynecology and Obstetrics, Assistential Foundation Mútua Terrassa, Mútua Terrassa, Terrassa, Spain.ORCID 0009-0001-6941-3095
Ignasi GarridoPsychiatry and Mental Health Service. Eating Disorder Unit, Mútua Terrassa, Terrassa, Spain.ORCID 0000-0001-8902-9368
Anna Carmona RuizDepartment of Obstetrics and Gynaecology, Fundacio Assitencial Mollet, Mollet, Spain.ORCID 0000-0001-6597-0815
Oriol Porta RodaDepartment of Gynecology and Obstetrics, Mútua Terrassa, Terrassa, Spain.ORCID 0000-0001-6000-9566
Cristina Esquinas *Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0001-5568-257X
Gemma Falguera Puig *Primary Care Group, Germans Trias i Pujol Research Institute (IGTP), Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Institut Català de la Salut, Barcelona, Spain.ORCID 0000-0002-6066-3960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health during pregnancy is a critical factor influencing maternal and fetal outcomes. Anxiety and depression affect up to 30% of pregnant women, with significant consequences for maternal well-being and child development. Despite this, interventions during pregnancy remain limited, creating a need for innovative, accessible solutions.

objectiveThis study aimed to evaluate the effectiveness of an immersive virtual reality (IVR) eHealth intervention in reducing anxiety and depression symptoms in women during pregnancy.

methodsA 2-arm, randomized controlled trial was conducted across 5 primary care centers in Catalonia, Spain, between October 2021 and May 2024. The study included pregnant women (N=70) aged ≥18 years with moderate anxiety and depression symptoms (Edinburgh Postnatal Depression Scale [EPDS] scores: 9-12) at 12 to 14 weeks of gestation. They were randomly assigned (1:1) to an IVR intervention or standard care group. The intervention group engaged in daily 14-minute IVR mindfulness and relaxation sessions for 6 weeks. Mental health outcomes were assessed using the EPDS and State-Trait Anxiety Inventory.

resultsThe intervention group demonstrated significant reductions in EPDS scores, with a mean decrease from 11.32 (SD 0.96) to 7.25 (SD 1.32; P<.001), compared to an increase in the control group from 11.32 (SD 0.94) to 16.23 (SD 1.25; P<.001). Similarly, State-Trait Anxiety Inventory scores improved markedly in the intervention group (mean decrease from 57.94, SD 5.23 to 35.03, SD 6.12; coefficient -30.47, 95% CI -45.23 to -15.72; P<.001), while the control group experienced a nonsignificant increase (from 66.10, SD 5.89 to 72.91, SD 6.34; P=.68). High adherence rates were observed, with 79% (26/33) of participants completing ≥30 sessions. Participant satisfaction was high, with 87% (29/33) reporting being "very satisfied" with the intervention.

conclusionsThe IVR eHealth intervention significantly reduced symptoms of anxiety and depression, demonstrating its potential as an accessible and effective tool for mental health support during pregnancy. High adherence and satisfaction levels underscore its feasibility and acceptability. Future research should explore the long-term effects and scalability of IVR interventions in diverse settings.

trial registrationClinicalTrials.gov NCT05756205; https://clinicaltrials.gov/study/NCT05756205. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s12912-023-01440-4.

Indexed as

AnxietyDepressionPregnancy ComplicationsPregnant PeopleVirtual RealityAdultFemaleHumansPregnancySpainTelemedicineantenatal careanxietydepressioneHealthmental healthpregnancyrandomized controlled trialvirtual reality

Identifiers

PMID40306641
PMCPMC12079065

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Registered trials

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.