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H. Bayrampour

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    RF05 - Consumer Digital Health Partnership (ID 27)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Clinical Delivery
    • Presentations: 1
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      RF05.01 - eHealth Interventions to Manage Perinatal Anxiety: A Systematic Review (ID 431)

      H. Bayrampour, Midwifery Program | Department of Family Practice Faculty of Medicine, University of British Columbia; Vancouver/CA

      • Abstract
      • Slides

      Purpose/Objectives: Anxiety is the most common mental health problem during the perinatal period, affecting one fifth of women. Addressing mental health needs in maternity care settings has been challenging due to various barriers such as treatment cost and access. Recently, more research has been focused on eHealth interventions as more accessible and cost-effective approaches to manage maternal mental health issues. Few reviews have been conducted to examine the impact of these interventions in improving perinatal depression. No review to our knowledge has specifically focused on anxiety. The aim of this systematic review is to examine the effectiveness of eHealth interventions in management of perinatal anxiety.

      Methodology/Approach: To identify the relevant evidence, the following databases were searched, beginning with the date that the electronic databases were available through August 2017: MEDLINE, CINAHL, EMBASE, and PsycINFO. Studies that examined the impact of an eHealth intervention on anxiety symptoms or disorders, as a primary or secondary outcome, during pregnancy or postpartum period and provided data to assess anxiety levels pre and post intervention were included.

      Finding/Results: Eight studies met the inclusion criteria and were included in this review. The interventions in seven studies included cognitive behavioural therapy (CBT) (online/computer-based) and one study used an internet-based cognitive behavioural stress management (IB-CBSM) therapy. Only in one study anxiety was examined as a primary outcome. Five studies reported interventions among pregnant women and three studies were conducted during the postpartum period. None of the included studies determined anxiety using a clinical diagnostic interview. Various scales were used to measure symptoms of anxiety or generalized anxiety disorders. Six studies reported reduced levels of anxiety symptoms/disorders post interventions.

      Conclusion/Implications/Recommendations: The evidence is amounting that eHealth interventions might be promising approaches for management of perinatal anxiety. More studies are needed to examine the effectiveness of eHealth interventions on reducing clinical anxiety during the perinatal period.

      140 Character Summary: Findings of this systematic review suggest that eHealth interventions might be promising approaches for management of perinatal anxiety.

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