Table 3.
Health outcome of electronic health (eHealth) use in electronic mental (e-mental) health, low- and middle-income countries, and telemonitoring and teleconsultation in pregnancy: overview of the literature.
Study domain and reference | Methods | N | Technology/eHealth intervention | |||
E-mental health (16 studies) |
|
|
|
|||
|
Lau et al [64] | Systematic review (with 8 RCTsa) | 1523 | Therapist-supported internet-based cognitive behavior therapy among postpartum women | ||
|
Lee et al [61] | Systematic review (with 4 RCTs) | 1274 | Cognitive behavioral therapy with internet | ||
|
Ashford et al [63] | Systematic review (with 11 studies) | 1537 | Web-based perinatal mental health interventions | ||
|
Milgrom et al [91] | RCT | 43 | Cognitive behavioral therapy with internet | ||
|
Ngai et al [92] | RCT | 397 | Telephone-based cognitive-behavioral Therapy | ||
|
Shamshiri Milani et al [93] | RCT | 54 | Telephone-based cognitive-behavioral therapy | ||
|
Kingston et al [60] | RCT | 636 | Acceptability of e-screening for mental health | ||
|
Fontein et al [94] | Before-after study | 433 | Website for maternal stress prevention | ||
|
Jimenez-Serrano et al [59] | Prospective cohort | 1880 | App screening for postpartum depression | ||
|
Posmontier et al [62] | Prospective cohort | 61 | Telephone-administered psychotherapy | ||
|
Letourneau et al [65] | Prospective cohort | 64 | Telephone-based peer support intervention | ||
|
Broom et al [95] | Observational | 54 | Supportive text messaging in postpartum depression | ||
|
Mitchell et al [58] | Cross sectional | 106 | Telephone screening for postpartum depression | ||
|
Figueiredo et al [96] | Cross sectional | 90 | Telephone screening for postpartum depression | ||
|
Pugh et al [97] | Case study | 1 | Therapeutic assistance with email and SMSb | ||
|
Pineros-Leano et al [98] | Qualitative | 25 | Screening for postpartum depression using mobile health | ||
Low and middle income countries (2 studies) |
|
|
|
|||
|
Lee et al [67]; Sondaal et al [66] | 2 systematic reviews with 18 RCTs and 18 observational studies | 34,149 | Mobile health interventions for prenatal, birth, and postnatal period in low- and middle-income countries | ||
Telemonitoring and teleconsulting (12 studies) |
|
|
|
|||
|
Tapia-Conyer et al [75] | RCT | 153 | Wireless antepartum maternal-fetal monitoring | ||
|
Pflugeisen et al [74] | Non-RCT | 1058 | Prenatal care with virtual visits and home measurements | ||
|
Ivey et al [99] | Prospective cohort | 155 | Teleconsultation with tertiary center | ||
|
Cuneo et al [100] | Prospective cohort | 125 | Home fetal heart monitoring for anti-SSA+c patients | ||
|
Rauf et al [73] | Prospective cohort | 70 | Fetal monitoring system for induction of labor | ||
|
Krishnamurti et al [101] | Prospective cohort | 16 | Smartphone app with information and symptom scores | ||
|
Rhoads et al [102] | Non-RCT | 50 | Telemonitoring of postpartum hypertension | ||
|
Kerner et al [77] | Feasibility study | 36 | Self-administered fetal heart rate monitoring | ||
|
Marko et al [103] | Feasibility study | 8 | Remote monitored pregnancy care (blood pressure, weight) | ||
|
Marko et al [76] | Controlled trial | 100 | Prenatal care with app and telemonitoring | ||
|
Lanssens et al [104] | Retrospective cohort | 166 | Remote monitoring of hypertension in pregnancy | ||
|
Pflugeisen et al [105] | Cross sectional | 171 | Satisfaction with virtual obstetric care |
aRCT: randomized controlled trial.
bSMS: short message services.
cAnti-SSA: Anti-Sjögren’s-syndrome-related antigen A.