ABSTRACT

Objective: To determine the efficacy and characteristics of psychological or educational eHealth interventions on reducing symptoms of mental illness in parents of preterm or low birthweight infants.

Background: Many parents suffer psychological disorders after preterm birth. Computer or mobile application-based interventions are a promising alternative.

Methods: We searched seven electronic databases up to January 2020 and included randomised and quasi-randomised controlled trials assessing psychological or educational eHealth interventions in parents of infants born very preterm <32 weeks or with very low birthweight <1500g (primary question), or preterm <37 weeks or with low birthweight <2500g (secondary question). Primary outcomes were measures of depression, anxiety, acute stress disorder or post-traumatic stress disorder. Secondary outcomes included other indicators of mental health, quality of life and intervention characteristics. We had planned random-effects meta-analysis in our protocol (CRD42018105731).

Results: Of 9768 records, no study reported our primary outcomes. Three studies showed potential benefits for parental self-efficacy, discharge preparedness, parental satisfaction and family satisfaction with the neonatal intensive care unit.

Conclusions: We found scarce evidence on the efficacy of psychological or educational eHealth interventions on reducing mental illness in parents of preterm or low birthweight infants, highlighting the need for more research.

摘要

目的：确定心理或教育电子健康干预措施在减轻早产儿或低出生体重儿父母精神疾病症状方面的效果和特点。

背景：许多父母在早产后患有心理障碍。基于计算机或移动应用程序的干预是一种很有前景的替代方法。

方法：我们检索了截至 2020 年 1 月的七个电子数据库，并纳入了随机和半随机对照试验，这些试验评估了对小于 32 周的极早产婴儿或出生体重极低的婴儿（主要问题）或早产儿的父母的心理或教育电子健康干预措施<37 周或低出生体重 <2500g（次要问题）。主要结果是对抑郁、焦虑、急性应激障碍或创伤后应激障碍的测量。次要结果包括心理健康、生活质量和干预特征的其他指标。我们计划在我们的协议 (CRD42018105731) 中进行随机效应荟萃分析。

结果：在 9768 条记录中，没有研究报告我们的主要结果。三项研究表明，新生儿重症监护病房对父母的自我效能、出院准备、父母满意度和家庭满意度都有潜在的好处。

结论：我们发现很少有证据表明心理或教育电子健康干预措施对减少早产或低出生体重婴儿父母的精神疾病的有效性，强调需要进行更多研究。