Fidelity of Interventions to Reduce or Prevent Stress and/or Anxiety from Pregnancy up to Two Years Postpartum- A Systematic Review
Citation:
Gorman, G, Toomey, E, Flannery, C, Redsell, S Hayes, C, Huizink, A, Kearney, PM. and Matvienko-Sikar, K,, Fidelity of Interventions to Reduce or Prevent Stress and/or Anxiety from Pregnancy up to Two Years Postpartum- A Systematic Review, Annals of Behavioral Medicine, 2022, 56, 5Download Item:
Abstract:
Background: Intervention fidelity refers to whether an intervention is delivered as intended and can enhance interpretation of trial outcomes. Fidelity of interventions to reduce or prevent stress and anxiety during pregnancy and postpartum has yet to be examined despite inconsistent findings for intervention effects.
Objective: This study systematically reviews use and/or reporting of intervention fidelity strategies in trials of interventions, delivered to (expectant) parents during pregnancy and postpartum, to reduce or prevent stress and/or anxiety.
Methods: MEDLINE, Embase, CINAHL, PsychINFO, and Maternity and
Infant Care were searched from inception to March 2019. Studies were included
if they were randomized controlled trials including expectant parents and/ or
parents within the first two years postpartum. The National Institutes of Health
Behavior Change Consortium checklist was used to assess fidelity across five domains (study design, provider training, delivery, receipt, enactment).
Results: Sixteen papers (14 interventions) were identified. Average reported use
of fidelity strategies was ‘low’ (45%), ranging from 17.5% to 76%. Fidelity ratings
ranged from 22% for provider training to 54% for study design.
Conclusion: Low levels of intervention fidelity may explain previous inconsistent
effects of stress and anxiety reduction interventions. Important methodological
areas for improvement include intervention provider training, fidelity of comparator conditions, and consideration of non-specific treatment effects. Increased methodological rigor in fidelity enhancement and assessment will improve inter-
vention implementation and enhance examination of stress and anxiety reduction and prevention interventions.
Author's Homepage:
http://people.tcd.ie/hayesc9
Author: Hayes, Catherine
Other Titles:
Annals of Behavioral Medicine2020 International Behavioural Trials Network (IBTN) Conference
Type of material:
Published AbstractSeries/Report no:
56;5;
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Full text availableDOI:
https://doi-org.elib.tcd.ie/10.1093/abm/kaab058Metadata
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