The effects of Internet-Based Education on anxiety in the Covid-19. A systematic review and meta-analysis study

Document Type : Review Article

Authors

1 pediatrics department, nursing school, Mashhad

2 nursing and midwifery care research Center, Mashhad University of Medical sciences, Mashhad, iran

3 nursing and midwifery care research Center, Mashhad University of Medical sciences, Mashhad, Iran

Abstract

Background and Aims: Anxiety in the Covid-19 period has caused significant disorders in social health dimentions in patients and healthy people in the community. To reducing the mental health crisis, the studies showed the need for psychosocial support. Internet-based interventions are an effective treatment to prevent the spread of Covid-19 depressive symptoms. This systematic review and meta-analysis study aimed to investigate the effects of mobile-based Internet education on anxiety during Covid-19.
Materials and Methods: The search was performed in Cochrane, Web of sciences, PubMed, and ScienceDirect, and the Google scholar. The keywords Covid-19" OR coronavirus " AND "Internet Use" OR" Virtual education” OR “Mobile Health” AND " Anxiety were searched. The heterogeneity index of the studies was determined using I2 test and applying of the variance of the random effect model to estimed the mean differences for anxiety. Consort tool was used to check the quality of articles.
Results: of all the English articles evaluated and after deleting unrelated articles, 7 clinical trial articles were entered into a systematic review and meta-analysis. The results of meta-analysis showed that Internet-based education had an effect on the levels of anxiety caused by Covid-19 (20.65 = I2, P = 0.14, df = 6 Odd Ratio = 0.52, Cl (0.22-1.24). .
Conclusion: This study showed evidences for using Internet-based education to reduce anxiety related to Covid-19.

Keywords


1.    Noemi A B, Julia K.H, Thomas B, Hansjorg Z. Effects of an internet-based self-help intervention for psychological distress due to COVID-19: Results of a randomized controlled trial. Internet Interventions, 2022; 27: 1-10.
2.    Emmanuel Komla J.D, Oscar Akunor D, Adherence to social distancing and wearing of masks within public transportation during the COVID 19 pandemic. Transportation Research Interdisciplinary Perspectives. 2020; 7: 1-6.
3.    Nasiry S, Ameli A. Effects of Online Attentional Bias Modification on Coronavirus Anxiety. Journal of Practice in Clinical Psychology, 2021;9(2): 143-152. 
4.     Bryant R.A, Dawson K.S, Keyan D, Azevedo S, Yadav S, Tran J, Rawson N, Harvey S. Effectiveness of a Videoconferencing-Delivered Psychological Intervention for Mental Health Problems during COVID-19: A Proof-of-Concept Randomized Clinical Trial. Psychother Psychosom. 2022; 91:63–72.
5.    Shabahang R, Aruguete MS, McCutcheon L. Video-based cognitive-behavioral intervention for COVID-19 anxiety: a randomized controlled trial. Trends Psychiatry Psychother, 2021;43(2):141-150.
6.    Wang C, Pan R, Wan, X, Tan, Y, Xu, L, Ho C, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health. 2020; 17(5):17-29.
7.    Zahedifar1 F, Nejatifar Z, Rafiei S, Hashemi F. The Effect of Educational Intervention on Anxiety and Quality of Life Among Individuals Referring to Healthcare Centers in the Face of COVID-19. Acta Medica Iranica, 2021;59( 8):484-490.
8.    Camille K, Rodrigue T, Patricio V, Sandeep M, Bahman M. An estimation of the effects of social distancing measures on transit vehicle capacity and operations. Transportation Research Interdisciplinary Perspectives. 2021;10: 1-11.
9.    Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr. 2020; 52:1-5.
10.     Linda V, Doron A, Samantha J, Ezra S, Dixon L. Effectiveness of a Video-Based Intervention on Reducing Perceptions of Fear, Loneliness, and Public Stigma Related to COVID-19: A Randomized Controlled Trial. International Journal of Public Health. 2021; 1-9.
11.    Shahed -HaghGhadam H,  Fathi -Ashtiani A, Rahnejat  A.M, Ahmadi  M, soltani T, Taghva A, et al. Psychological Consequences and Interventions during the COVID -19 Pandemic: Narrative Review. Journal of Marine Medicine, 2020; 2(1):1 -11.
12.     Wei N, Huan B, Lu S, Hu J, Zhou X, Hu C, Wang Z. Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. J. Zhejiang Univ. Sci. 2020; 21(5):400-404.
13.    Maria J, Serrano-Ripo L, Ignacio Ricci-C, Rafael J, Rocío Zamanillo-C, Aina M, Yañez-J. et al. Effect of a mobile-based intervention on mental health in frontline healthcare workers against COVID-19: Protocol for a randomized controlled trial. J Adv Nurs. 2021;00:1–10.
14.   Tiraya L, Lampu K, Muthita P, Winitra N, Pairath T, Chommakorn T. Effect of an online psychological support group on patients with COVID-19 in a Thai field hospital: a real world study. Journal of Health Research Emerald Publishing Limited. 2021; 1-7.
15.    Baethge C, Braun C, Rink L, Schwarzer G, Henssler J, Bschor T. Effects of tricyclic antidepressants in the treatment of acute depression – A systematic review and meta-analysis of randomized trials. Journal of Affective Disorders. 2022;307:191–198.
16.   Salesi M, Maghari A, Mohammadi E, Yekaninejad M.S, Ghanbari A. Quality Assessment of Published Randomized Controlled Trials in the Journal of Military Medicine during 1999-2015. Journal of Military Medicine, 2017; 19(2): 106-125.
17.    Brett D T, Linda K, Brooke L, Angelica B, Richard S H, Alexander W L, et al. Effects of a multi-faceted education and support programme on anxiety symptoms among people with systemic sclerosis and anxiety during COVID-19 (SPIN-CHAT): a two-arm parallel, partially nested, randomised, controlled trial. Lancet Rheumatol. 2021; 3: 427–37.
18.    Singh AK, Agrawal B, Sharma A, Sharma P. COVID-19: Assessment  of knowledge   and awareness in Indian society. J Public Aff. 2020;1-9.
19.    Tripathi R, Alqahtani SS, Albarraq  AA, Meraya  AM, Tripathi  P,  Banji  D. Awareness  and  Preparedness  of COVID-19   Outbreak   among   Healthcare   Workers   and Other  Residents  of  South-West  Saudi  Arabia:  A  Cross -Sectional Survey. Front Public Health. 2020;8:482.