Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review

인터넷 기반 교육 중재가 산욕기 어머니 건강에 미치는 영향에 대한 체계적 고찰

  • Received : 2020.08.15
  • Accepted : 2021.02.27
  • Published : 2021.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials. Methods: An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as 'parenthood education', '*natal education', '*birth intervention', 'internet-based intervention', 'randomized controlled trial'. The inclusion criteria were peer-reviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed. Results: Internet-based education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence. Conclusion: This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

Keywords

References

  1. Du L, Gu YB, Cui MQ, Li WX, Wang J, Zhu LP, et al. Investigation on demands for antenatal care services among 2002 pregnant women during the epidemic of COVID-19 in Shanghai. Chinese Journal of Obstetrics and Gynecology. 2020;55(3):160-165. https://doi.org/10.3760/cma.j.cn112141-20200218-00112
  2. Haapio S, Kaunonen M, Arffman M, Astedt-Kurki P. Effects of extended childbirth education by midwives on the childbirth fear of first-time mothers: an RCT. Scandinavian Journal of Caring Science. 2017;31(2):293-301. https://doi.org/10.1111/scs.12346
  3. Statistics Korea. Population sensus [Internet]. Daejeon: Korean Statistical Information Service; 2019 [cited 2020 March 16]. Available from: http://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE&parmTabId=M_01_01&statId=1962001&themaId=#A_4.2
  4. Jeong GH, Kim HK, Kim YH, Kim SH, Lee SH, Kim KW. Development of an instrument to assess the quality of childbirth care from the mother's perspective. Journal of Korean Academy of Nursing. 2018;48(1):38-49. https://doi.org/10.4040/jkan.2018.48.1.38
  5. Jeong GH, Kim HK. Pro-environmental health behaviour and educational needs among pregnant women: A cross-sectional survey. Journal of Advanced Nursing. 2020;76(7):1638-1646. https://doi.org/10.1111/jan.14346
  6. Jiao N, Zhu L, Chong YS, Chan WS, Luo N, Wang W, et al. Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: A randomised controlled trial. International Journal of Nursing Studies. 2019;99:103385. https://doi.org/10.1016/j.ijnurstu.2019.07.002
  7. Barrera AZ, Wickham RE, Munoz RF. Online prevention of postpartum depression for Spanish- and English-speaking pregnant women: A pilot randomized controlled trial. Internet Intervention. 2015;2(3):257-265. https://doi.org/10.1016/j.invent.2015.06.002
  8. Forsell E, Bendix M, Hollandare F, Szymanska von Schultz B, Nasiell J, Blomdahl-Wetterholm M, et al. Internet delivered cognitive behavior therapy for antenatal depression: A randomised controlled trial. Journal of Affective Disorders. 2017;221:56-64. https://doi.org/10.1016/j.jad.2017.06.013
  9. Sinclair P, Kable A, Levett-Jones T. The effectiveness of internet-based e-learning on clinician behavior and patient outcomes: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports. 2015;13(1):52-64. https://doi.org/10.11124/jbisrir-2015-1919
  10. Abuidhail J, Mrayan L, Jaradat D. Evaluating effects of prenatal web-based breastfeeding education for pregnant mothers in their third trimester of pregnancy: Prospective randomized control trial. Midwifery. 2019;69:143-149. https://doi.org/10.1016/j.midw.2018.11.015
  11. Dol J, Richardson B, Tomblin Murphy G, Aston M, McMillan D, Campbell-Yeo M. Impact of mobile health (mHealth) interventions during the perinatal period for mothers in low- and middle-income countries: A systematic review. JBI Database of Systematic Reviews and Implementation Reports. 2019;17(8):1634-1667. https://doi.org/10.11124/JBISRIR-2017-004022
  12. van Dijk MR, Oostingh EC, Koster MP, Willemsen SP, Laven JS, Steegers-Theunissen RP. The use of the mHealth program Smarter Pregnancy in preconception care: rationale, study design and data collection of a randomized controlled trial. BMC Pregnancy and Childbirth. 2017;17(1):46. https://doi.org/10.1186/s12884-017-1228-5
  13. Unger JA, Ronen K, Perrier T, DeRenzi B, Slyker J, Drake AL, et al. Short message service communication improves exclusive breastfeeding and early postpartum contraception in a low- to middle-income country setting: A randomised trial. International Journal of Obstetrics & Gynaecology. 2018;125 (12):1620-1629. https://doi.org/10.1111/1471-0528.15337
  14. van den Heuvel JF, Groenhof TK, Veerbeek JH, van Solinge WW, Lely AT, Franx A, et al. eHealth as the next-generation perinatal care: An overview of the literature. Journal of Medical Internet Research. 2018;20(6):e202. https://doi.org/10.2196/jmir.9262
  15. Kingston D, McDonald S, Biringer A, Austin MP, Hegadoren K, McDonald S, et al. Comparing the feasibility, acceptability, clinical-, and cost-effectiveness of mental health e-screening to paper-based screening on the detection of depression, anxiety, and psychosocial risk in pregnant women: A study protocol of a randomized, parallel-group, superiority trial. Trials. 2014;15:3. https://doi.org/10.1186/1745-6215-15-3
  16. Duffecy J, Grekin R, Hinkel H, Gallivan N, Nelson G, O'Hara MW. A group-based online intervention to prevent postpartum depression (Sunnyside): Feasibility randomized controlled trial. Journal of Medical Internet Research. 2019;6(5):e10778. https://doi.org/10.2196/10778
  17. Shorey S, Ng YPM, Ng ED, Siew AL, Morelius E, Yoong J, et al. Effectiveness of a technology-based supportive educational parenting program on parental outcomes (Part 1): Randomized controlled trial. Journal of Medical Internet Research. 2019;21(2):e10816. https://doi.org/10.2196/10816
  18. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Review. 2015;4(1):1. https://doi.org/10.1186/2046-4053-4-1
  19. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for understanding systematic reviews and meta-analysis for intervention. 1st ed. Seoul: National Evidence-based Collaborating Agency; 2011. 271 p.
  20. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions version 6.0 [Internet]. Chichester (UK): Cochrane. 2019. [updated July 2019; cited 2020 March 3]. Available from: http://www.training.cochrane.org/handbook
  21. Bidwell S, Jensen MF. Etext on Health Technology Assessment (HTA) Information Resources. Chapter 3: Using a Search Protocol to Identify Sources of Information: The COSI Model [Internet]. Bethesda, MD: U.S. National Library of Medicine; 2003. [updated 2003 June 14; cited 2019 August 20]. Available from: https://www.nlm.nih.gov/archive/20060905/nichsr/ehta/chapter3.html#COSI
  22. Schulz KF, Altman DG, Moher D. CONSORT Group. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. International Journal of Surgery. 2011;9(8):672-677. https://doi.org/10.1016/j.ijsu.2011.09.004
  23. Sterne JAC, Savovic J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: A revised tool for assessing risk of bias in randomised trials. British Medical Journal. 2019;366:l4898. https://doi.org/10.1136/bmj.l4898
  24. McGuinness, LA, Higgins, JPT. Risk-of-bias VISualization (robvis): An R package and Shiny web app for visualizing risk-of-bias assessments. Research Synthesis Methods. 2020;1-7. https://doi.org/10.1002/jrsm.1411
  25. Shorey S, Ng YP, Danbjorg DB, Dennis CL, Morelius E. Effectiveness of the 'Home-but not Alone' mobile health application educational programme on parental outcomes: A randomized controlled trial, study protocol. Journal of Advanced Nursing. 2017;73(1):253-264. https://doi.org/10.1111/jan.13151
  26. Gonzalez-Darias A, Diaz-Gomez NM, Rodriguez-Martin S, Hernandez-Perez C, Aguirre-Jaime A. 'Supporting a first-time mother': Assessment of success of a breastfeeding promotion programme. Midwifery. 2020;85:102687. https://doi.org/10.1016/j.midw.2020.102687
  27. O'Mahen HA, Woodford J, McGinley J, Warren FC, Richards DA, Lynch TR, et al. Internet-based behavioral activationtreatment for postnatal depression (Netmums): A randomized controlled trial. Journal of Affective Disorders. 2013;150(3): 814-822. https://doi.org/10.1016/j.jad.2013.03.005
  28. Milgrom J, Danaher BG, Gemmill AW, Holt C, Holt CJ, Seeley JR, et al. Internet cognitive behavioral therapy for women with postnatal depression: A randomized controlled trial of Mum-MoodBooster. Journal of Medical Internet Research. 2016;18 (3):e54. https://doi.org/10.2196/jmir.4993
  29. Seguranyes G, Costa D, Fuentelsaz-Gallego C, Beneit JV, Carabantes D, Gomez-Moreno C, et al. Efficacy of a videoconferencing intervention compared with standard postnatal care at primary care health centers in Catalonia. Midwifery. 2014;30(6):764-771. https://doi.org/10.1016/j.midw.2013.08.004
  30. Sawyer MG, Reece CE, Bowering K, Jeffs D, Sawyer ACP, Mittinty M, et al. Nurse-moderated internet-based support for new mothers: Non-inferiority, randomized controlled trial. Journal of Medical Internet Research. 2017;19(7):e258. https://doi.org/10.2196/jmir.6839
  31. Park MR, Park KM. Effects of a reinforcement program for postpartum care behavioral skills of couples with their first baby. Journal of Korean Academy of Nursing. 2019;49(2):137-148. https://doi.org/10.4040/jkan.2019.49.2.137