Digital screening for mental health in pregnancy and postpartum: A systematic review

IF 3.2 3区 医学 Q2 PSYCHIATRY
Jocelyn R. Clarke, Melanie Gibson, Melissa Savaglio, Rhea Navani, Mariam Mousa, Jacqueline A. Boyle
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引用次数: 0

Abstract

Purpose

This systematic review aimed to determine if digital screening for mental health in pregnancy and postpartum is acceptable, feasible and more effective than standard care (paper-and pen-based screening or no screening). The second aim was to identify barriers and enablers to implementing digital screening in pregnancy and postpartum.

Method

OVID MEDLINE, PsycINFO, SCOPUS, CINAHL, Embase, Web of Science, Joanna Briggs Database and All EMB reviews incorporating Cochrane Database of Systematic Reviews (OVID) were systematically searched for articles that evaluated digital screening for mental health in pregnancy and postpartum between 2000 and 2021. Qualitative articles were deductively mapped to the Theoretical Domains Framework (TDF).

Results

A total of 34 articles were included in the analysis, including qualitative, quantitative and mixed-methods studies. Digital screening was deemed acceptable, feasible and effective. TDF domains for common barriers included environmental context and resources, skills, social/professional role and identity and beliefs about consequences. TDF domains for common enablers included knowledge, social influences, emotion and behavioural regulation.

Conclusion

When planning to implement digital screening, consideration should be made to have adequate training, education and manageable workload for healthcare professionals (HCP’s). Organisational resources and support are important, as well as the choice of the appropriate digital screening assessment and application setting for women. Theory-informed recommendations are provided for both healthcare professionals and women to inform future clinical practice.

孕期和产后心理健康数字筛查:系统综述。
目的:本系统性综述旨在确定数字化孕期和产后心理健康筛查是否可接受、可行,以及是否比标准护理(纸笔筛查或不筛查)更有效。第二个目的是确定在孕期和产后实施数字化筛查的障碍和促进因素:方法:系统检索了 OVID MEDLINE、PsycINFO、SCOPUS、CINAHL、Embase、Web of Science、Joanna Briggs 数据库和所有纳入 Cochrane 系统性综述数据库 (OVID) 的 EMB 综述,以查找 2000 年至 2021 年间评估孕期和产后心理健康数字化筛查的文章。定性文章被演绎映射到理论领域框架(TDF):共有 34 篇文章被纳入分析,包括定性、定量和混合方法研究。数字筛查被认为是可接受的、可行的和有效的。常见障碍的 TDF 领域包括环境背景和资源、技能、社会/专业角色和身份以及对后果的信念。常见促进因素的 TDF 领域包括知识、社会影响、情绪和行为调节:在计划实施数字筛查时,应考虑为医疗保健专业人员(HCP)提供充分的培训、教育和可管理的工作量。组织资源和支持以及为妇女选择合适的数字筛查评估和应用环境也很重要。我们为医护人员和妇女提供了理论依据丰富的建议,为今后的临床实践提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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