Women’s use of online resources and acceptance of e-mental health tools during the perinatal period

Fonseca, Ana; Gorayeb, Ricardo; Canavarro, Maria Cristina

doi:10.1016/j.ijmedinf.2016.07.016

Cited by 29 publications

(28 citation statements)

References 51 publications

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“…For example, 90% used the Internet to search for health-related information [20] and 69% used the Internet to seek formation about postpartum depression [26]. They expressed interest in use of Web-based resources and greater engagement in ehealth behaviors related to mental health [27]. An increasing number of randomized controlled trials (RCTs) found that iCBT is effective for stress [28,29], anxiety [30,31], and depressive symptoms [32,33] among postpartum women.…”

Section: Introductionmentioning

confidence: 99%

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

124

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BackgroundA growing number of meta-analyses have supported the application of therapist-supported Internet-based cognitive behavior therapy (iCBT) for psychological disorders across different populations, but relatively few meta-analyses have concentrated on postpartum women.ObjectiveThis meta-analysis evaluated the efficacy of therapist-supported iCBT in improving stress, anxiety, and depressive symptoms among postpartum women.MethodsA total of 10 electronic databases were used to search for published and unpublished trials. Cochrane Collaboration tool for assessing risk of bias was utilized to measure methodological quality. Meta-analysis was performed using the RevMan software (Review Manager version 5.3 for Windows from the Nordic Cochrane Centre, the Cochrane Collaboration, 2014). Among the 789 studies identified, 8 randomized controlled trials were selected, involving 1523 participants across 6 countries.ResultsMore than half (65%) of the eligible studies had a low risk of bias with no heterogeneity. Results revealed that therapist-supported iCBT significantly improved stress (d=0.84, n=5), anxiety (d=0.36, n=6), and depressive symptoms (d=0.63, n=8) of the intervention group compared with those of the control group at post-intervention.ConclusionsThis review revealed that therapist-supported iCBT significantly improves stress, anxiety, and depressive symptoms among postpartum women with small to large effects. Future effectiveness studies should establish the essential components, format, and approach of iCBT with optimal levels of human support to maximize a long-term effect.

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Section: Introductionmentioning

confidence: 99%

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

124

View full text Add to dashboard Cite

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“…The global population with depression increased by 18.4% between 2005 and 2015; similarly, the total number of people with anxiety increased by 14.9% between 2005 and 2015 [ 236 ]. Depression can occur as a result of other health problems, such as perinatal and postpartum depression among women [ 155 , 237 ] and common depression among cancer patients [ 238 ].…”

Section: Discussionmentioning

confidence: 99%

Connected Mental Health: Systematic Mapping Study

Drissi¹,

Ouhbi²,

Idrissi³

et al. 2020

J Med Internet Res

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Background Although mental health issues constitute an increasing global burden affecting a large number of people, the mental health care industry is still facing several care delivery barriers such as stigma, education, and cost. Connected mental health (CMH), which refers to the use of information and communication technologies in mental health care, can assist in overcoming these barriers. Objective The aim of this systematic mapping study is to provide an overview and a structured understanding of CMH literature available in the Scopus database. Methods A total of 289 selected publications were analyzed based on 8 classification criteria: publication year, publication source, research type, contribution type, empirical type, mental health issues, targeted cohort groups, and countries where the empirically evaluated studies were conducted. Results The results showed that there was an increasing interest in CMH publications; journals were the main publication channels of the selected papers; exploratory research was the dominant research type; advantages and challenges of the use of technology for mental health care were the most investigated subjects; most of the selected studies had not been evaluated empirically; depression and anxiety were the most addressed mental disorders; young people were the most targeted cohort groups in the selected publications; and Australia, followed by the United States, was the country where most empirically evaluated studies were conducted. Conclusions CMH is a promising research field to present novel approaches to assist in the management, treatment, and diagnosis of mental health issues that can help overcome existing mental health care delivery barriers. Future research should be shifted toward providing evidence-based studies to examine the effectiveness of CMH solutions and identify related issues.

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“…For instance, in a systematic review of Internet interventions for anxiety and depression, Christensen et al (2009) found that a lower severity of depressive and anxiety disorder symptoms predicted increased adherence to e-mental health interventions. Likewise, Fonseca et al (2016) found that women who tested positive for depression screening, which indicated a need for help, reported a greater use of and more positive attitudes towards using e-mental health tools. In addition, individuals with stronger depressive symptoms, but lower personal stigma towards mental health services were reported to be more likely to adhere to Internet-based mental health intervention research (Crisp & Griffiths, 2014; but see Nicholas et al, 20102).…”

Section: Barriers To Conducting E-mental Health Intervention Researchmentioning

confidence: 97%

“…Overall, the acceptance of mental health services and e-mental health tools contributes to the increased participant recruitment and uptake of e-mental health interventions. For example, several studies (albeit not specific to Asian Americans) demonstrated that, while the severity of symptoms propels one to seek professional mental health assistance, individuals tend to participate in e-mental health research because of their acceptability and openness to e-mental health services (Fonseca, Gorayeb, & Canavarrio, 2016; Klein & Cook, 2010; Waller & Gilbody, 2009).…”

Section: Barriers To Conducting E-mental Health Intervention Researchmentioning

confidence: 99%

Exploring Challenges in Conducting E-Mental Health Research Among Asian American Women

Reyes

Constantino

Arenas

et al. 2018

Asian Pac Isl Nurs J

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In this discussion paper, we explore the challenges of conducting e-mental health intervention research among Asian American women and propose a model for addressing these barriers. Based on an extensive literature review, we identify two main types of barriers to conducting e-mental health intervention research among Asian American women: recruitment barriers and adherence barriers. Recruitment barriers are further subcategorized into those related to (1) stigmatized cultural beliefs about mental illness and mental health services; (2) lack of awareness about mental health services; and (3) language barrier. As to adherence barriers, the two identified subtypes concern (1) acuity and severity of mental health condition; and (2) lack of time. In order to enhance recruitment and adherence in e-mental health intervention research among the studied population, we formulate the following three main research strategies, namely: (1) considering the cultural and social contexts of Asian American women in the development of e-mental health interventions; (2) determining appropriate program length; and (3) conducting feasibility studies to test e-mental health interventions. We suggest that nurse researchers integrate our proposed model in conducting e-mental health interventions among Asian American women. Our proposed model also implies that nurses play an important role in encouraging Asian American women’s acceptance of and adherence to e-mental health interventions. In order to overcome the obstacles to conducting e-mental health research among Asian American women, we recommend that nurses familiarize themselves with credible, relevant, and evidence-based e-mental health resources and integrate online mental health services and information within their nursing practice.

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Women’s use of online resources and acceptance of e-mental health tools during the perinatal period

Abstract: The results seem to globally support Portuguese women's acceptance of e-mental health tools. To improve the level of acceptance, women should be involved as stakeholders in the development of new e-mental health tools and provided with specific information before their utilization.

Cited by 29 publications

References 51 publications

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Connected Mental Health: Systematic Mapping Study

Exploring Challenges in Conducting E-Mental Health Research Among Asian American Women

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