Game-based digital interventions for depression therapy : a systematic review and meta-analysis

The aim of this study was to review the existing literature on game-based digital interventions for depression systematically and examine their effectiveness through a meta-analysis of randomized controlled trials (RCTs). Database searching was conducted using specific search terms and inclusion cri...

Full description

Bibliographic Details
Main Authors: Li, Jinhui, Theng, Yin-Leng, Foo, Schubert
Other Authors: Wee Kim Wee School of Communication and Information
Format: Journal Article
Language:English
Published: 2014
Subjects:
Online Access:https://hdl.handle.net/10356/105062
http://hdl.handle.net/10220/20412
_version_ 1811689921706983424
author Li, Jinhui
Theng, Yin-Leng
Foo, Schubert
author2 Wee Kim Wee School of Communication and Information
author_facet Wee Kim Wee School of Communication and Information
Li, Jinhui
Theng, Yin-Leng
Foo, Schubert
author_sort Li, Jinhui
collection NTU
description The aim of this study was to review the existing literature on game-based digital interventions for depression systematically and examine their effectiveness through a meta-analysis of randomized controlled trials (RCTs). Database searching was conducted using specific search terms and inclusion criteria. A standard meta-analysis was also conducted of available RCT studies with a random effects model. The standard mean difference (Cohen's d) was used to calculate the effect size of each study. Nineteen studies were included in the review, and 10 RCTs (eight studies) were included in the meta-analysis. Four types of game interventions—psycho-education and training, virtual reality exposure therapy, exercising, and entertainment—were identified, with various types of support delivered and populations targeted. The meta-analysis revealed a moderate effect size of the game interventions for depression therapy at posttreatment (d=−0.47 [95% CI −0.69 to −0.24]). A subgroup analysis showed that interventions based on psycho-education and training had a smaller effect than those based on the other forms, and that self-help interventions yielded better outcomes than supported interventions. A higher effect was achieved when a waiting list was used as the control. The review and meta-analysis support the effectiveness of game-based digital interventions for depression. More large-scale, high-quality RCT studies with sufficient long-term data for treatment evaluation are needed.
first_indexed 2024-10-01T05:55:47Z
format Journal Article
id ntu-10356/105062
institution Nanyang Technological University
language English
last_indexed 2024-10-01T05:55:47Z
publishDate 2014
record_format dspace
spelling ntu-10356/1050622022-02-16T16:30:25Z Game-based digital interventions for depression therapy : a systematic review and meta-analysis Li, Jinhui Theng, Yin-Leng Foo, Schubert Wee Kim Wee School of Communication and Information DRNTU::Social sciences::Psychology::Behaviorism The aim of this study was to review the existing literature on game-based digital interventions for depression systematically and examine their effectiveness through a meta-analysis of randomized controlled trials (RCTs). Database searching was conducted using specific search terms and inclusion criteria. A standard meta-analysis was also conducted of available RCT studies with a random effects model. The standard mean difference (Cohen's d) was used to calculate the effect size of each study. Nineteen studies were included in the review, and 10 RCTs (eight studies) were included in the meta-analysis. Four types of game interventions—psycho-education and training, virtual reality exposure therapy, exercising, and entertainment—were identified, with various types of support delivered and populations targeted. The meta-analysis revealed a moderate effect size of the game interventions for depression therapy at posttreatment (d=−0.47 [95% CI −0.69 to −0.24]). A subgroup analysis showed that interventions based on psycho-education and training had a smaller effect than those based on the other forms, and that self-help interventions yielded better outcomes than supported interventions. A higher effect was achieved when a waiting list was used as the control. The review and meta-analysis support the effectiveness of game-based digital interventions for depression. More large-scale, high-quality RCT studies with sufficient long-term data for treatment evaluation are needed. Published version 2014-08-27T05:25:35Z 2019-12-06T21:45:25Z 2014-08-27T05:25:35Z 2019-12-06T21:45:25Z 2014 2014 Journal Article Li, J., Theng, Y.-L., & Foo, S. (2014). Game-Based Digital Interventions for Depression Therapy: A Systematic Review and Meta-Analysis. Cyberpsychology, Behavior, and Social Networking, 17(8), 519-527. 2152-2715 https://hdl.handle.net/10356/105062 http://hdl.handle.net/10220/20412 10.1089/cyber.2013.0481 24810933 en Cyberpsychology, behavior, and social networking © 2014 Mary Ann Liebert, Inc. This paper was published in Cyberpsychology, Behavior, and Social Networking and is made available as an electronic reprint (preprint) with permission of Mary Ann Liebert, Inc. The paper can be found at the following official DOI: http://dx.doi.org/10.1089/cyber.2013.0481.  One print or electronic copy may be made for personal use only. Systematic or multiple reproduction, distribution to multiple locations via electronic or other means, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper is prohibited and is subject to penalties under law. application/pdf
spellingShingle DRNTU::Social sciences::Psychology::Behaviorism
Li, Jinhui
Theng, Yin-Leng
Foo, Schubert
Game-based digital interventions for depression therapy : a systematic review and meta-analysis
title Game-based digital interventions for depression therapy : a systematic review and meta-analysis
title_full Game-based digital interventions for depression therapy : a systematic review and meta-analysis
title_fullStr Game-based digital interventions for depression therapy : a systematic review and meta-analysis
title_full_unstemmed Game-based digital interventions for depression therapy : a systematic review and meta-analysis
title_short Game-based digital interventions for depression therapy : a systematic review and meta-analysis
title_sort game based digital interventions for depression therapy a systematic review and meta analysis
topic DRNTU::Social sciences::Psychology::Behaviorism
url https://hdl.handle.net/10356/105062
http://hdl.handle.net/10220/20412
work_keys_str_mv AT lijinhui gamebaseddigitalinterventionsfordepressiontherapyasystematicreviewandmetaanalysis
AT thengyinleng gamebaseddigitalinterventionsfordepressiontherapyasystematicreviewandmetaanalysis
AT fooschubert gamebaseddigitalinterventionsfordepressiontherapyasystematicreviewandmetaanalysis