{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:04:59Z","timestamp":1789538699683,"version":"build-2803163510"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify, appraise, summarise, and synthesise current evidence on digital health strategies for postpartum depression (PPD) screening and management, and to develop practice-oriented recommendations to support evidence-informed clinical nursing practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the 6S evidence hierarchy to guide the retrieval sequence, we performed a wide literature search of clinical decision-support resources, guideline repositories, professional organisations\u2019 websites, and major Chinese and international databases from their inception to May 1, 2026. Eligible evidence sources included clinical practice guidelines, evidence summaries, and systematic reviews relevant to digital screening, intervention, follow-up, or continuing care for PPD. Two trained reviewers independently screened the literature, assessed the methodological quality of the publications, extracted evidence statements, and synthesised the recommendations given. This evidence summary followed the reporting specifications of the Fudan University Center for Evidence-based Nursing, which are based on the methodological process of the Joanna Briggs Institute (JBI), including problem establishment, literature retrieval, literature screening, literature evaluation, evidence synthesis and grading, and formulation of practical recommendations. The study registration number is \u2018ES202610615\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 16 publications were identified and included in the present study, comprising 2 guidelines, 13 systematic reviews, and 1 evidence summary. From these, 20 key evidence points were extracted and discussed, and 20 evidence statements were generated and then categorised into 5 domains: digital screening and assessment, delivery modalities, intervention components, continuity of care, and implementation issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Digital health technologies can extend the reach of PPD screening and management, but their implementation should be carefully adapted to address local service capacity, user needs, referral pathways, privacy requirements, and adherence risks. The 20 evidence statements summarised in this review could help guide the development of standardised, continuous, and patient-centred digital management models for PPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1933085","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:32:44Z","timestamp":1789536764000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Summary of current evidence for digital health interventions in the screening and management of postpartum depression"],"prefix":"10.3389","volume":"17","author":[{"given":"Tingting","family":"Xiang","sequence":"first","affiliation":[{"name":"First Department of Obstetrics, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuting","family":"Zou","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Postpartum Rehabilitation, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfeng","family":"Huang","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziqi","family":"Gao","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruifang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Operating Room, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limin","family":"Huang","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics, Hunan Provincial Maternal and Child Health Care Hospital","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"B1","article-title":"Meta-analysis of the detection rate of postpartum depression in China","volume":"19","author":"Liu","year":"2019","journal-title":"Chin J Evidence-Based Med"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.07.046","article-title":"Prevalence of perinatal depression and its determinants in Mainland China: A systematic review and meta-analysis","volume":"277","author":"Nisar","year":"2020","journal-title":"J Affect Disord"},{"key":"B3","first-page":"223","volume-title":"Obstetrics and Gynecology","author":"Xie","year":"2018"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.11852\/zgetbjzz2022-0511","article-title":"Association between maternal depressive symptoms and development of three-month-old infants","volume":"30","author":"Zhang","year":"2022","journal-title":"Chin J Child Health Care"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3466","article-title":"Depression and treatment among U.S. pregnant and nonpregnant women of reproductive age, 2005-2009","volume":"21","author":"Ko","year":"2012","journal-title":"J Womens Health (Larchmt)"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.12102\/j.issn.1009-6493.2024.17.013","article-title":"Research progress on the application of digital health technologies in alleviating negative emotions among perinatal women","volume":"38","author":"Jiang","year":"2024","journal-title":"Chin Nurs Res"},{"key":"B7","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1186\/s12884-021-04257-8","article-title":"Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress","volume":"21","author":"Lewis","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.03.027","article-title":"Effect of eHealth interventions on perinatal depression: A meta-analysis","volume":"354","author":"Xie","year":"2024","journal-title":"J Affect Disord"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12094","article-title":"The development and use of evidence summaries for point of care information systems: A streamlined rapid review approach","volume":"12","author":"Munn","year":"2015","journal-title":"Worldviews Evid Based Nurs"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.16821\/j.cnki.hsjx.2020.09.008","article-title":"Promoting evidence translation into clinical practice (III): Topic selection and question development","volume":"35","author":"Zhu","year":"2020","journal-title":"J Nurses Training"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.16821\/j.cnki.hsjx.2015.11.002","article-title":"JBI levels of evidence and grades of recommendation system (2014 version)","volume":"30","author":"Wang","year":"2015","journal-title":"J Nurses Training"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1177\/07067437241303031","article-title":"Canadian network for mood and anxiety treatments 2024 clinical practice guideline for the management of perinatal mood, anxiety, and related disorders","volume":"70","author":"Vigod","year":"2025","journal-title":"Can J Psychiatry"},{"key":"B13","article-title":"Perinatal mental health conditions","year":"2023"},{"key":"B14","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.ajog.2023.06.028","article-title":"The effect of digital health interventions on postpartum depression or anxiety: A systematic review and meta-analysis of randomized controlled trials","volume":"230","author":"Lewkowitz","year":"2024","journal-title":"Am J Obstet Gynecol"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2023.2185654","article-title":"Effects of digital health interventions on the psychological outcomes of perinatal women: Umbrella review of systematic reviews and meta-analyses","volume":"18","author":"Lau","year":"2024","journal-title":"Health Psychol Rev"},{"key":"B16","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1186\/s12884-023-05749-5","article-title":"App-based interventions for the prevention of postpartum depression: A systematic review and meta-analysis","volume":"23","author":"Miura","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"B17","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1186\/s12888-023-04790-0","article-title":"Mental health-related telemedicine interventions for pregnant women and new mothers: A systematic literature review","volume":"23","author":"Stentzel","year":"2023","journal-title":"BMC Psychiatry"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.2196\/30724","article-title":"mHealth solutions for perinatal mental health: Scoping review and appraisal following the mHealth index and navigation database framework","volume":"10","author":"Spadaro","year":"2022","journal-title":"JMIR Mhealth Uhealth"},{"key":"B19","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1177\/1357633x20917816","article-title":"The effectiveness of mHealth interventions on postpartum depression: A systematic review and meta-analysis","volume":"28","author":"Zhou","year":"2022","journal-title":"J Telemed Telecare"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.2196\/32544","article-title":"Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis","volume":"9","author":"Zhao","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v11.i4.133","article-title":"Effectiveness of digital psychotherapeutic intervention among perinatal women: A systematic review and meta-analysis of randomized controlled trials","volume":"11","author":"Lau","year":"2021","journal-title":"World J Psychiatry"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.12102\/j.issn.2095-8668.2021.02.006","article-title":"Meta-analysis of the therapeutic effects of internet-based interventions on postpartum depression","volume":"7","author":"Gao","year":"2021","journal-title":"Evidence-Based Nurs"},{"key":"B23","doi-asserted-by":"publisher","first-page":"30","DOI":"10.11124\/jbisrir-d-19-00191","article-title":"Impact of mobile health interventions during the perinatal period on maternal psychosocial outcomes: A systematic review","volume":"18","author":"Dol","year":"2020","journal-title":"JBI Evid Synth"},{"key":"B24","first-page":"68","article-title":"Meta-analysis of the effects of internet-based cognitive behavioral therapy on postpartum depression","volume":"6","author":"Li","year":"2020","journal-title":"Integrated Nurs Traditional Chin Western Med"},{"key":"B25","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s12884-016-0831-1","article-title":"Web-based interventions for prevention and treatment of perinatal mood disorders: A systematic review","volume":"16","author":"Lee","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2024.04.011","article-title":"Gaps between current practice in perinatal depression screening and guideline recommendations: A systematic review","volume":"89","author":"Yang","year":"2024","journal-title":"Gen Hosp Psychiatry"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.2196\/44500","article-title":"Acceptability of an mHealth app for monitoring perinatal and postpartum mental health: Qualitative study with women and providers","volume":"7","author":"Varma","year":"2023","journal-title":"JMIR Form Res"},{"key":"B28","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1038\/s41746-023-00828-5","article-title":"Systematic review and meta-analysis of performance of wearable artificial intelligence in detecting and predicting depression","volume":"6","author":"Abd-Alrazaq","year":"2023","journal-title":"NPJ Digit Med"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1093\/cercor\/bhae034","article-title":"Evaluating the depression state during perinatal period by non-invasive scalp EEG","volume":"34","author":"Peng","year":"2024","journal-title":"Cereb Cortex"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcce.2024.12.002","article-title":"Prenatal depression level prediction using ensemble based deep learning model","volume":"6","author":"Gopalakrishnan","year":"2025","journal-title":"Int J Cognit Comput Eng"},{"key":"B31","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1186\/s13063-024-08304-5","article-title":"Smartphone-based intervention for postpartum depressive symptoms (Smart-e-Moms): Study protocol for a randomized controlled trial","volume":"25","author":"Daehn","year":"2024","journal-title":"Trials"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.2196\/17185","article-title":"Internet and face-to-face cognitive behavioral therapy for postnatal depression compared with treatment as usual: Randomized controlled trial of MumMoodBooster","volume":"23","author":"Milgrom","year":"2021","journal-title":"J Med Internet Res"},{"key":"B33","first-page":"68","article-title":"Construction and application of a remote management APP for mental health of pregnant women with fetal abnormalities during pregnancy termination","volume":"24","author":"Wang","year":"2024","journal-title":"Chin Nurs Manage"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.19485\/j.cnki.issn2096-5087.2025.09.009","article-title":"Research progress of digital health intervention platforms for perinatal depression","volume":"37","author":"Song","year":"2025","journal-title":"Prev Med"},{"key":"B35","article-title":"Guide for integration of perinatal mental health in maternal and child health services","year":"2022"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.2196\/17011","article-title":"Mobile health for perinatal depression and anxiety: Scoping review","volume":"22","author":"Hussain-Shamsy","year":"2020","journal-title":"J Med Internet Res"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.12114\/j.issn.1007-9572.2024.0290","article-title":"Application and effectiveness evaluation of a mobile platform for perinatal depression screening and intervention","volume":"28","author":"Wu","year":"2025","journal-title":"Chin Gen Pract"},{"key":"B38","doi-asserted-by":"publisher","article-title":"Integrated digital mental health services for pregnant and postpartum women","year":"2024","DOI":"10.1037\/e333512004-001"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.2196\/17405","article-title":"A mobile health mindfulness intervention for women with moderate to moderately severe postpartum depressive symptoms: Feasibility study","volume":"7","author":"Avalos","year":"2020","journal-title":"JMIR Ment Health"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12713","article-title":"Assessing the quality of mobile applications targeting postpartum depression in China","volume":"29","author":"Li","year":"2020","journal-title":"Int J Ment Health Nurs"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16399","article-title":"Effectiveness of internet-based psychological interventions for treating perinatal depression: A systematic review and meta-analysis","volume":"32","author":"Li","year":"2023","journal-title":"J Clin Nurs"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.2196\/28503","article-title":"Early patient-centered outcomes research experience with the use of telehealth to address disparities: Scoping review","volume":"23","author":"Bailey","year":"2021","journal-title":"J Med Internet Res"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.25259\/ijma_41_2024","article-title":"Digital health divide: Opportunities for reducing health disparities and promoting equitable care for maternal and child health populations","volume":"13","author":"Girmay","year":"2024","journal-title":"Int J MCH AIDS"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1933085\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:32:54Z","timestamp":1789536774000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1933085\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":43,"alternative-id":["10.3389\/fpsyt.2026.1933085"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2026.1933085","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"article-number":"1933085"}}