A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions
BackgroundDermatological conditions can have a substantial impact on psychological as well as physical health yet dedicated face-to-face psychological support for patients is lacking. Thus, individuals may require additional support to self-manage dermatological conditions effectively. Digital techn...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.1024879/full |
| _version_ | 1797991339610079232 |
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| author | Rachael M. Hewitt Rachael M. Hewitt Matthew Ploszajski Catherine Purcell Rachael Pattinson Bethan Jones Georgina H. Wren Olivia Hughes Matthew J. Ridd Andrew R. Thompson Andrew R. Thompson Chris Bundy |
| author_facet | Rachael M. Hewitt Rachael M. Hewitt Matthew Ploszajski Catherine Purcell Rachael Pattinson Bethan Jones Georgina H. Wren Olivia Hughes Matthew J. Ridd Andrew R. Thompson Andrew R. Thompson Chris Bundy |
| author_sort | Rachael M. Hewitt |
| collection | DOAJ |
| description | BackgroundDermatological conditions can have a substantial impact on psychological as well as physical health yet dedicated face-to-face psychological support for patients is lacking. Thus, individuals may require additional support to self-manage dermatological conditions effectively. Digital technology can contribute to long-term condition management, but knowledge of the effectiveness of digital interventions addressing psychological (cognitive, emotional, and behavioural) aspects of dermatological conditions is limited.ObjectivesTo identify, determine the effectiveness, and explore people’s views and experiences of digital interventions supporting the psychological health of people with dermatological conditions.MethodsA mixed methods systematic review informed by JBI methodology. The protocol was registered on PROSPERO. Eight electronic databases were searched for papers written between January 2002 and October 2021. Data screening and extraction were conducted in Covidence. The methodological quality of studies were scrutinised against JBI critical appraisal tools. Intervention characteristics were captured using the Template for Intervention Description and Replication checklist and guide. Data were synthesised using a convergent segregated approach. The results were reported in a narrative summary.ResultsTwenty-three papers were identified from 4,883 references, including 15 randomised controlled trials. Nineteen interventions were condition-specific, 13 were delivered online, 16 involved an educational component, and 7 endorsed established, evidence-based therapeutic approaches. Improvements in knowledge, mood, quality of life, the therapeutic relationship, and reduced disease severity in the short to medium term, were reported, although there was substantial heterogeneity within the literature. Thirteen studies captured feedback from users, who considered various digital interventions as convenient and helpful for improving knowledge, emotion regulation, and personal control, but technical and individual barriers to use were reported. Use of established qualitative methodologies was limited and, in some cases, poorly reported.ConclusionSome web-based digital psychological interventions seem to be acceptable to people living with mainly psoriasis and eczema. Whilst some digital interventions benefitted cognitive and emotional factors, heterogeneity and inconsistencies in the literature meant definitive statements about their effectiveness could not be drawn. Interdisciplinary and patient-centred approaches to research are needed to develop and test quality digital interventions supporting the psychological health of adults living with common and rare dermatological conditions.Systematic review registration[https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=285435], identifier [CRD42021285435]. |
| first_indexed | 2024-04-11T08:50:35Z |
| format | Article |
| id | doaj.art-4ee885a6e17f4244bc1871f39eb5fe43 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-11T08:50:35Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj.art-4ee885a6e17f4244bc1871f39eb5fe432022-12-22T04:33:35ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-11-01910.3389/fmed.2022.10248791024879A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditionsRachael M. Hewitt0Rachael M. Hewitt1Matthew Ploszajski2Catherine Purcell3Rachael Pattinson4Bethan Jones5Georgina H. Wren6Olivia Hughes7Matthew J. Ridd8Andrew R. Thompson9Andrew R. Thompson10Chris Bundy11School of Healthcare Sciences, Cardiff University, Cardiff, United KingdomWales Centre for Evidence Based Care–A JBI Centre of Excellence, Cardiff, United KingdomSchool of Psychology, Cardiff University, Cardiff, United KingdomSchool of Healthcare Sciences, Cardiff University, Cardiff, United KingdomSchool of Healthcare Sciences, Cardiff University, Cardiff, United KingdomSchool of Health and Social Wellbeing, University of the West of England, Bristol, United KingdomSchool of Psychology, Cardiff University, Cardiff, United KingdomSchool of Psychology, Cardiff University, Cardiff, United KingdomPopulation Health Sciences, University of Bristol, Bristol, United KingdomSchool of Psychology, Cardiff University, Cardiff, United KingdomSouth Wales Clinical Psychology Training Programme, Cardiff and Vale University Health Board – School of Psychology, Cardiff University, Cardiff, United KingdomSchool of Healthcare Sciences, Cardiff University, Cardiff, United KingdomBackgroundDermatological conditions can have a substantial impact on psychological as well as physical health yet dedicated face-to-face psychological support for patients is lacking. Thus, individuals may require additional support to self-manage dermatological conditions effectively. Digital technology can contribute to long-term condition management, but knowledge of the effectiveness of digital interventions addressing psychological (cognitive, emotional, and behavioural) aspects of dermatological conditions is limited.ObjectivesTo identify, determine the effectiveness, and explore people’s views and experiences of digital interventions supporting the psychological health of people with dermatological conditions.MethodsA mixed methods systematic review informed by JBI methodology. The protocol was registered on PROSPERO. Eight electronic databases were searched for papers written between January 2002 and October 2021. Data screening and extraction were conducted in Covidence. The methodological quality of studies were scrutinised against JBI critical appraisal tools. Intervention characteristics were captured using the Template for Intervention Description and Replication checklist and guide. Data were synthesised using a convergent segregated approach. The results were reported in a narrative summary.ResultsTwenty-three papers were identified from 4,883 references, including 15 randomised controlled trials. Nineteen interventions were condition-specific, 13 were delivered online, 16 involved an educational component, and 7 endorsed established, evidence-based therapeutic approaches. Improvements in knowledge, mood, quality of life, the therapeutic relationship, and reduced disease severity in the short to medium term, were reported, although there was substantial heterogeneity within the literature. Thirteen studies captured feedback from users, who considered various digital interventions as convenient and helpful for improving knowledge, emotion regulation, and personal control, but technical and individual barriers to use were reported. Use of established qualitative methodologies was limited and, in some cases, poorly reported.ConclusionSome web-based digital psychological interventions seem to be acceptable to people living with mainly psoriasis and eczema. Whilst some digital interventions benefitted cognitive and emotional factors, heterogeneity and inconsistencies in the literature meant definitive statements about their effectiveness could not be drawn. Interdisciplinary and patient-centred approaches to research are needed to develop and test quality digital interventions supporting the psychological health of adults living with common and rare dermatological conditions.Systematic review registration[https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=285435], identifier [CRD42021285435].https://www.frontiersin.org/articles/10.3389/fmed.2022.1024879/fullsystematic reviewdermatologypsychologydigital healthbehaviour change |
| spellingShingle | Rachael M. Hewitt Rachael M. Hewitt Matthew Ploszajski Catherine Purcell Rachael Pattinson Bethan Jones Georgina H. Wren Olivia Hughes Matthew J. Ridd Andrew R. Thompson Andrew R. Thompson Chris Bundy A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions Frontiers in Medicine systematic review dermatology psychology digital health behaviour change |
| title | A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions |
| title_full | A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions |
| title_fullStr | A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions |
| title_full_unstemmed | A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions |
| title_short | A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions |
| title_sort | mixed methods systematic review of digital interventions to support the psychological health and well being of people living with dermatological conditions |
| topic | systematic review dermatology psychology digital health behaviour change |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.1024879/full |
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