Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review

BackgroundThe COVID-19 pandemic has shifted mental health care delivery to digital platforms, videoconferencing, and other mobile communications. However, existing reviews of digital health interventions are narrow in scope and focus on a limited number of mental health condi...

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Main Authors: Tristan J Philippe, Naureen Sikder, Anna Jackson, Maya E Koblanski, Eric Liow, Andreas Pilarinos, Krisztina Vasarhelyi
Format: Article
Language:English
Published: JMIR Publications 2022-05-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2022/5/e35159
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author Tristan J Philippe
Naureen Sikder
Anna Jackson
Maya E Koblanski
Eric Liow
Andreas Pilarinos
Krisztina Vasarhelyi
author_facet Tristan J Philippe
Naureen Sikder
Anna Jackson
Maya E Koblanski
Eric Liow
Andreas Pilarinos
Krisztina Vasarhelyi
author_sort Tristan J Philippe
collection DOAJ
description BackgroundThe COVID-19 pandemic has shifted mental health care delivery to digital platforms, videoconferencing, and other mobile communications. However, existing reviews of digital health interventions are narrow in scope and focus on a limited number of mental health conditions. ObjectiveTo address this gap, we conducted a comprehensive systematic meta-review of the literature to assess the state of digital health interventions for the treatment of mental health conditions. MethodsWe searched MEDLINE for secondary literature published between 2010 and 2021 on the use, efficacy, and appropriateness of digital health interventions for the delivery of mental health care. ResultsOf the 3022 records identified, 466 proceeded to full-text review and 304 met the criteria for inclusion in this study. A majority (52%) of research involved the treatment of substance use disorders, 29% focused on mood, anxiety, and traumatic stress disorders, and >5% for each remaining mental health conditions. Synchronous and asynchronous communication, computerized therapy, and cognitive training appear to be effective but require further examination in understudied mental health conditions. Similarly, virtual reality, mobile apps, social media platforms, and web-based forums are novel technologies that have the potential to improve mental health but require higher quality evidence. ConclusionsDigital health interventions offer promise in the treatment of mental health conditions. In the context of the COVID-19 pandemic, digital health interventions provide a safer alternative to face-to-face treatment. However, further research on the applications of digital interventions in understudied mental health conditions is needed. Additionally, evidence is needed on the effectiveness and appropriateness of digital health tools for patients who are marginalized and may lack access to digital health interventions.
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spelling doaj.art-e34611fea3374649a11999592a19fe6f2023-08-28T21:45:48ZengJMIR PublicationsJMIR Mental Health2368-79592022-05-0195e3515910.2196/35159Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-ReviewTristan J Philippehttps://orcid.org/0000-0003-2298-7275Naureen Sikderhttps://orcid.org/0000-0001-8213-881XAnna Jacksonhttps://orcid.org/0000-0002-3765-6367Maya E Koblanskihttps://orcid.org/0000-0003-4174-2919Eric Liowhttps://orcid.org/0000-0001-7019-4582Andreas Pilarinoshttps://orcid.org/0000-0001-8118-1242Krisztina Vasarhelyihttps://orcid.org/0000-0002-2378-0885 BackgroundThe COVID-19 pandemic has shifted mental health care delivery to digital platforms, videoconferencing, and other mobile communications. However, existing reviews of digital health interventions are narrow in scope and focus on a limited number of mental health conditions. ObjectiveTo address this gap, we conducted a comprehensive systematic meta-review of the literature to assess the state of digital health interventions for the treatment of mental health conditions. MethodsWe searched MEDLINE for secondary literature published between 2010 and 2021 on the use, efficacy, and appropriateness of digital health interventions for the delivery of mental health care. ResultsOf the 3022 records identified, 466 proceeded to full-text review and 304 met the criteria for inclusion in this study. A majority (52%) of research involved the treatment of substance use disorders, 29% focused on mood, anxiety, and traumatic stress disorders, and >5% for each remaining mental health conditions. Synchronous and asynchronous communication, computerized therapy, and cognitive training appear to be effective but require further examination in understudied mental health conditions. Similarly, virtual reality, mobile apps, social media platforms, and web-based forums are novel technologies that have the potential to improve mental health but require higher quality evidence. ConclusionsDigital health interventions offer promise in the treatment of mental health conditions. In the context of the COVID-19 pandemic, digital health interventions provide a safer alternative to face-to-face treatment. However, further research on the applications of digital interventions in understudied mental health conditions is needed. Additionally, evidence is needed on the effectiveness and appropriateness of digital health tools for patients who are marginalized and may lack access to digital health interventions.https://mental.jmir.org/2022/5/e35159
spellingShingle Tristan J Philippe
Naureen Sikder
Anna Jackson
Maya E Koblanski
Eric Liow
Andreas Pilarinos
Krisztina Vasarhelyi
Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
JMIR Mental Health
title Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
title_full Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
title_fullStr Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
title_full_unstemmed Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
title_short Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
title_sort digital health interventions for delivery of mental health care systematic and comprehensive meta review
url https://mental.jmir.org/2022/5/e35159
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