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Internet-based interventions for postpartum depression: A systematic review and meta-analysis
Ting-Yu Mu1,2, Yu-Hong Li3, Ri-Xiang Xu4
1School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China.
Aim:
To determine the efficacy of Internet-based interventions in decreasing the prevalence of postpartum depression in perinatal women.
Design:
This review was conducted according to the standards outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.
Methods:
We performed a systematic meta-analysis of randomized controlled trials on the efficacy of Internet-based interventions for postpartum depression. Studies (2008-2018) were identified through a search conducted on PubMed, EMBASE and the Cochrane Library. Risk ratios or weighted mean differences with 95% confidence intervals were calculated using a fixed-effects model or a random-effects model. Stata software 11.0 was used to perform the meta-analysis.
Results:
Most of the seven eligible studies were randomized controlled trials. The random-effects model indicated that Internet-based interventions significantly improved postpartum depression (d = 0.642, N = 7). Attrition rates ranged from 4.5%-86.9% and from 0%-87.1% for the intervention and control groups, respectively.
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