Digital Behavioral Activation Interventions During the Perinatal Period: Scoping Review

Area of Science:

• Digital mental health interventions
• Perinatal psychology
• Behavioral activation therapy

Background:

• Pregnancy involves significant biopsychosocial changes impacting maternal well-being.
• Women prefer web-based support during the perinatal period.
• Digital behavioral activation (BA) offers a structured approach for perinatal mental health.

Purpose of the Study:

• To systematically review digital BA interventions for the perinatal period.
• To analyze methodological aspects and impacts beyond depression symptoms.
• To compare interventions during pregnancy versus postpartum.

Main Methods:

• Systematic literature search using PRISMA-ScR guidelines across 5 databases.
• Screening of reference lists and key journals by two independent reviewers.
• Inclusion of protocols, empirical studies, and qualitative research.

Main Results:

• Seven studies (2013-2022) were included, primarily focusing on the postpartum period.
• Digital BA showed promise for depression symptoms but not other psychosocial issues.
• Low adherence and limited reporting on usability and digital platforms were noted.

Conclusions:

• Digital BA interventions in the perinatal period are scarce and preliminary, with a treatment rather than prevention focus.
• Future research must address usability and user engagement for intervention efficacy.
• Further investigation into digital BA for perinatal mental health is warranted.