The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis

Systematic Reviews

Research

Pascale Cholette¹  Mylène Boucher²  Mbemba Gisèle²  Marianne Beaulieu²  Romina Barony²  Annie LeBlanc³  Christine Aspiros³  Marie-Pierre Gagnon³  Alain Larouche³  Becky Skidmore³  Maxime Sasseville³  Guylaine Chabot³  Maud-Christine Chouinard⁴  Nicolas Beaudet⁵  Jack Tchuente⁶  Michèle Dugas⁶ 

[1] Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale, Quebec City, Canada;Université Laval, Quebec City, Canada;Université Laval-VITAM Research Center on Sustainable Health, Quebec City, Canada;Université de Montréal, Montréal, Canada;Université de Sherbrooke, Omnimed, Sherbrooke, Quebec, Canada;VITAM Research Center on Sustainable Health, Quebec City, Canada;

关键词: Digital interventions;    Mental health;    Chronic diseases;    Meta-analysis;    Rapid review;   

DOI  :  10.1186/s13643-023-02241-1

 received in 2021-04-14, accepted in 2023-04-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe majority of people with a chronic disease (e.g., diabetes, hypertension, COPD) have more than one concurrent condition and are also at higher risk for developing comorbidities in mental health, including anxiety and depression. There is an urgent need for more relevant and accurate data on digital interventions in this area to prepare for an increase demand for mental health services. The aim of this study was to conduct a meta-analysis of the digital mental health interventions for people with comorbid physical and mental chronic diseases to compare the effect of technology systems and level of support.MethodsThis secondary meta-analysis follows a rapid review of systematic reviews, a virtual workshop with knowledge users to identify research questions and a modified Delphi study to guide research methods: What types of digital health interventions (according to a recognized categorization) are the most effective for the management of concomitant mental health and chronic disease conditions in adults? We conducted a secondary analysis of the primary studies identified in the rapid review. Two reviewers independently screened the titles and abstracts and applied inclusion criteria: RCT design using a digital mental health intervention in a population of adults with another chronic condition, published after 2010 in French or English, and including an outcome measurement of anxiety or depression.ResultsSeven hundred eight primary studies were extracted from the systematic reviews and 84 primary studies met the inclusion criteria Digital mental health interventions were significantly more effective than in-person care for both anxiety and depression outcomes. Online messaging was the most effective technology to improve anxiety and depression scores; however, all technology types were effective. Interventions partially supported by healthcare professionals were more effective than self-administered.ConclusionsWhile our meta-analysis identifies digital intervention’s characteristics are associated with better effectiveness, all technologies and levels of support could be used considering implementation context and population.Trial registrationThe protocol for this review is registered in the National Collaborating Centre for Methods and Tools (NCCMT) COVID-19 Rapid Evidence Service (ID 75).

【 授权许可】

CC BY   
© The Author(s) 2023

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