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

Journal: Archives of women's mental health

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Affiliated Institutions:  Monash Centre for Health Research and Implementation (MCHRI), Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Australia. Health and Social Care Unit (HSCU), School of Public Health and Preventive Medicine (SPHPM), Monash University, Melbourne, Australia. Melbourne Health, Melbourne, Australia. Health Systems and Equity, Eastern Health Clinical School,, Monash University, Melbourne, Australia. jacqueline.boyle@monash.edu.

Abstract summary 

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.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).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.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.

Authors & Co-authors:  Clarke Gibson Savaglio Navani Mousa Boyle

Study Outcome 

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Statistics
Citations :  Atkins L, Francis J, Islam R, O’Connor D, Patey A, Ivers N, Foy R, Duncan EM, Colquhoun H, Grimshaw JM, Lawton R, & Michie S (2017) A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Sci, 12(77), https://doi.org/10.1186/s13012-017-0605-9
Authors :  6
Identifiers
Doi : 10.1007/s00737-024-01427-3
SSN : 1435-1102
Study Population
Women
Mesh Terms
Other Terms
Anxiety;Depression;Digital screening;Mental health;Postpartum;Pregnancy
Study Design
Study Approach
Quantitative,Qualitative,Mixed-Methods
Country of Study
Publication Country
Austria