Browse > Article
http://dx.doi.org/10.12799/jkachn.2021.32.1.116

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

Chae, Jung Mi (Health Insurance Review & Assessment Service)
Kim, Hyun Kyoung (Department of Nursing, Kongju National University)
Publication Information
Research in Community and Public Health Nursing / v.32, no.1, 2021 , pp. 116-129 More about this Journal
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
Internet-based intervention; Maternal health; Postpartum women; Postpartum period; Systematic review;
Citations & Related Records
연도 인용수 순위
  • Reference
1 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   DOI
2 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   DOI
3 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   DOI
4 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   DOI
5 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   DOI
6 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   DOI
7 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   DOI
8 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   DOI
9 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   DOI
10 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
11 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   DOI
12 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   DOI
13 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   DOI
14 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   DOI
15 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   DOI
16 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   DOI
17 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   DOI
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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   DOI
23 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
24 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   DOI
25 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   DOI
26 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   DOI
27 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   DOI
28 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   DOI
29 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.
30 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
31 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   DOI