TY - JOUR AU - Davis, Jacqueline A AU - Ohan, Jeneva L AU - Gibson, Lisa Y AU - Prescott, Susan L AU - Finlay-Jones, Amy L PY - 2022 DA - 2022/8/9 TI -围产期妇女数字心理健康和福祉项目的理解参与:背景:妊娠期和产后可能是一个心理困扰增加的时期,这对母亲和发育中的孩子都是有害的。数字干预措施是具有成本效益和可获得的工具,可在围产期支持妇女的积极心理健康。尽管研究报告了疗效,但对基于网络的干预措施的一个关键关注是缺乏参与导致退出,缺乏参与或减少潜在的干预益处。目的:本系统综述旨在了解围产期数字心理心理健康或福祉干预研究的报告和参与水平。具体目标是了解研究如何报告连接、出席、参与和制定(CAPE)模型中指定的4个领域的参与情况,就报告数字心理健康干预(DMHIs)参与情况的最佳实践提出建议,并了解该领域干预研究的参与程度。为了最大限度地发挥这一系统评价的效用,我们打算开发用于公共卫生的实用工具:开发一个逻辑模型来参考变化理论,使用CAPE框架评估研究,并为未来的数据收集制定指南,以实现数字干预措施的一致报告。方法:本系统综述采用Cochrane综合无meta分析报告指南。本研究旨在确定在有亚临床情绪症状的妇女围产期提供DMHIs的研究。使用Ovid平台的MEDLINE、PsycINFO、EMBASE、Scopus、Web of Science和Medical Subject heading on Demand对过去10年发表的所有英文文章进行系统的数据库检索,以确定相关论文。 Results: Searches generated a database of 3473 potentially eligible studies, with a final selection of 16 (0.46%) studies grouped by study design. Participant engagement was evaluated using the CAPE framework and comparable variables were described. All studies reported at least one engagement metric. However, the measures used were inconsistent, which may have contributed to the wide-ranging results. There was insufficient reporting for enactment (ie, participants’ real-world use of intervention skills), with only 38% (6/16) of studies clearly recording longer-term practice through postintervention interviews. The logic model proposes ways of conceptualizing and reporting engagement details in DMHIs more consistently in the future. Conclusions: The perinatal period is the optimal time to intervene with strength-based digital tools to build positive mental health. Despite the growing number of studies on digital interventions, few robustly explore engagement, and there is limited evidence of long-term skill use beyond the intervention period. Our results indicate variability in the reporting of both short- and long-term participant engagement behaviors, and we recommend the adoption of standardized reporting metrics in future digital interventions. Trial Registration: PROSPERO CRD42020162283; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=162283 SN - 1438-8871 UR - //www.mybigtv.com/2022/8/e36620 UR - https://doi.org/10.2196/36620 UR - http://www.ncbi.nlm.nih.gov/pubmed/35943773 DO - 10.2196/36620 ID - info:doi/10.2196/36620 ER -
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