Digital Mental Health Interventions for Adolescents in Low- and Middle-Income Countries: A Scoping Review (Preprint) DOI Creative Commons
Carolina Wani, Lisa McCann, Marilyn Lennon

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e51376 - e51376

Published: Sept. 4, 2024

Background Digital mental health interventions (DMHIs) are increasingly recognized as potential solutions for adolescent health, particularly in low- and middle-income countries (LMICs). The United Nations’ Sustainable Development Goals universal coverage instrumental tools achieving all. Within this context, understanding the design, evaluation, well barriers facilitators impacting engagement with care through DMHIs is essential. Objective This scoping review aims to provide insights into current landscape of adolescents LMICs. Methods Joanna Briggs Institute methodology was used, following recommendations PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews). Our search strategy incorporated 3 key concepts: population "adolescents," concept "digital interventions," context "LMICs." We adapted various databases, including ACM Library, APA PsycINFO, Cochrane Google Scholar (including gray literature), IEEE Xplore, ProQuest, PubMed (NLM), ScienceDirect, Scopus, Web Science. articles were screened against a specific eligibility criterion from January 2019 March 2024. Results analyzed 20 papers focusing on conditions among adolescents, such depression, well-being, anxiety, stigma, self-harm, suicide ideation. These delivered diverse formats, group delivery self-guided interventions, support professionals or involving lay professionals. study designs evaluation encompassed range methodologies, randomized controlled trials, mixed methods studies, feasibility studies. Conclusions While there have been notable advancements LMICs, research base remains limited. Significant knowledge gaps persist regarding long-term clinical benefits, maturity readiness LMIC digital infrastructure, cultural appropriateness, cost-effectiveness across heterogeneous settings. Addressing these necessitates large-scale, co-designed, culturally sensitive DMHI trials. Future work should address this.

Language: Английский

The Use of Mobile Assessments for Monitoring Mental Health in Youth: Umbrella Review DOI Creative Commons
Laura Marciano, Emanuela Vocaj, Mesfin Awoke Bekalu

et al.

Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e45540 - e45540

Published: Sept. 19, 2023

Background Improving mental health in youth is a major concern. Future approaches to monitor and intervene problems should rely on mobile tools that allow for the daily monitoring of both actively (eg, using ecological momentary assessments [EMAs]) passively digital phenotyping) by capturing individuals’ data. Objective This umbrella review aims (1) report main characteristics existing reviews young people, including health; (2) describe EMAs trace data conditions investigated; (3) results; (4) outline promises, limitations, directions future research. Methods A systematic literature search was carried out 9 scientific databases (Communication & Mass Media Complete, Psychology Behavioral Sciences Collection, PsycINFO, CINAHL, ERIC, MEDLINE, ProQuest Sociology Database, Web Science, PubMed) January 30, 2022, coupled with hand updated July 2022. We included (systematic) context health, specific focus populations, children, adolescents, adults. The quality evaluated AMSTAR (Assessment Multiple Systematic Reviews) checklist. Results After screening process, 30 (published between 2016 2022) were this review, which 21 (70%) (30%) narrative reviews. focused symptoms depression (5/21, 24%); bipolar disorders, schizophrenia, or psychosis (6/21, 29%); general ill-being cognitive abilities (2/21, 9.5%); well-being (1/21, 5%); personality suicidal thoughts 5%). Of reviews, 15 (71%) summarized studies used apps tracing, 2 (10%) them intervention, 4 (19%) intervention tracing. Mobile smartphones only (8/21, 38%), wearable devices 29%), other (7/21, 33%). In total, 29% (6/21) EMAs, interventions; 33% (7/21) data; 38% (8/21) both. Narrative mainly discussion issues related phenotyping, theoretical frameworks used, new opportunities, practical examples. Conclusions interventions are promising tools. Opportunities low- middle-income countries, integration multimodal data, improving self-efficacy self-awareness health) limitations absence frameworks, difficulty assessing reliability effectiveness such approaches, need appropriately assess studies) further discussed. Trial Registration PROSPERO CRD42022347717; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=347717

Language: Английский

Citations

6

Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study DOI Creative Commons
Rahim Badrfam, Mostafa Qorbani, Atefeh Zandifar

et al.

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: Nov. 3, 2022

Background Stigma can be seen as a mark of disgrace that lead to the separation one person from another. In this qualitative study, we assess status stigma among in front-line health care workers (HCWs) during first wave COVID-19 pandemic Iran. Subjects and methods The participants were selected frontline HCWs related Imam Ali Hossein referral hospitals Alborz province, Study was conducted between May June 2020. 32-item checklist Consolidated Criteria for Reporting Qualitative Research (COREQ) used report study. Interview questions prepared based on grounded theory method. thematic approach analyze data content. Data analysis open axial coding after implementing codes MAXQDA software. Results results study included 4 themes, 8 categories 33 sub-categories. Themes extrinsic intrinsic elements stigma, perplexity removal requirements. Extrinsic “creating blame shame” “discrimination” categories. Intrinsic “the desire avoidance,” “feeling depressed frustrated” anxious scared” Perplexity loss” category. requirements “factors causing stigma” “protective agents against Conclusion Low public awareness inadequate care, limited personal protective equipment facilities along with lack appreciation their efforts, proper psychiatric/psychological counseling identify treat symptoms associated mental limitations training maintain skills are considered factors formation COVID-19. Health policymakers should implement coherent strategies increasing providing protection needs relation

Language: Английский

Citations

8

Stress Alleviation Methods for community-Based Health ActiVists (SAMBHAV): Development of a digital program for stress reduction for community health workers in rural India DOI Creative Commons
Ritu Shrivastava, Abhishek Singh,

Azaz Khan

et al.

SSM - Mental Health, Journal Year: 2023, Volume and Issue: 4, P. 100230 - 100230

Published: June 17, 2023

Community health workers (CHWs) face high levels of stress (both professional and personal) risk burnout, highlighting the need for efforts to promote their mental well-being. This study seeks develop a digital reduction program CHWs in rural India.

Language: Английский

Citations

4

User‐centered development process of an evidence‐based mHealth intervention for psychosocially burdened families during the transition to parenthood DOI Creative Commons
Lea Vogel, Carmen Henning,

Jörg Wolstein

et al.

Mental Health Science, Journal Year: 2024, Volume and Issue: 2(2)

Published: March 10, 2024

Abstract Mobile health (mHealth) interventions are a promising approach to promote mothers' and fathers' in the perinatal period. This may be particularly true for psychosocially burdened families who poorly reached by current preventive services. Studies needed that examine how user‐centered evidence‐based mHealth look like this target group. The objective of paper is describe iterative development process I‐PREGNO app intervention aims prevent unhealthy weight gain mental during systematic content was divided into four stages. User needs were assessed through focus group discussions with mothers healthcare professionals (HPs; stage I). In II, prototype developed evaluated usability tests walkthrough HPs (stage III). Finally, behavior change techniques implemented using an existing taxonomy IV). revealed as well end‐users would benefit from addresses psychosocial aspects (i.e., emotion regulation, coping) links these behaviors. identified period combined translated 12 modules. Most used thematic modules assigned clusters self‐monitoring, knowledge building, goal planning. guided involving audience multidisciplinary team experts. findings provide valuable implications design self‐guided hard‐to‐reach groups transition parenthood. efficacy will randomized controlled trials routine care.

Language: Английский

Citations

1

Digital Mental Health Interventions for Adolescents in Low- and Middle-Income Countries: A Scoping Review (Preprint) DOI Creative Commons
Carolina Wani, Lisa McCann, Marilyn Lennon

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e51376 - e51376

Published: Sept. 4, 2024

Background Digital mental health interventions (DMHIs) are increasingly recognized as potential solutions for adolescent health, particularly in low- and middle-income countries (LMICs). The United Nations’ Sustainable Development Goals universal coverage instrumental tools achieving all. Within this context, understanding the design, evaluation, well barriers facilitators impacting engagement with care through DMHIs is essential. Objective This scoping review aims to provide insights into current landscape of adolescents LMICs. Methods Joanna Briggs Institute methodology was used, following recommendations PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews). Our search strategy incorporated 3 key concepts: population "adolescents," concept "digital interventions," context "LMICs." We adapted various databases, including ACM Library, APA PsycINFO, Cochrane Google Scholar (including gray literature), IEEE Xplore, ProQuest, PubMed (NLM), ScienceDirect, Scopus, Web Science. articles were screened against a specific eligibility criterion from January 2019 March 2024. Results analyzed 20 papers focusing on conditions among adolescents, such depression, well-being, anxiety, stigma, self-harm, suicide ideation. These delivered diverse formats, group delivery self-guided interventions, support professionals or involving lay professionals. study designs evaluation encompassed range methodologies, randomized controlled trials, mixed methods studies, feasibility studies. Conclusions While there have been notable advancements LMICs, research base remains limited. Significant knowledge gaps persist regarding long-term clinical benefits, maturity readiness LMIC digital infrastructure, cultural appropriateness, cost-effectiveness across heterogeneous settings. Addressing these necessitates large-scale, co-designed, culturally sensitive DMHI trials. Future work should address this.

Language: Английский

Citations

1