Mind-body internet and mobile-based interventions for depression and anxiety in adults with chronic physical conditions: A systematic review of RCTs

PLOS Digital Health, Journal Year: 2024, Volume and Issue: 3(1), P. e0000435 - e0000435

Published: Jan. 23, 2024

This review summarizes the effectiveness of scalable mind-body internet and mobile-based interventions (IMIs) on depression anxiety symptoms in adults living with chronic physical conditions. Six databases (MEDLINE, PsycINFO, SCOPUS, EMBASE, CINAHL, CENTRAL) were searched for randomized controlled trials published from database inception to March 2023. Mind-body IMIs included cognitive behavioral therapy, breathwork, meditation, mindfulness, yoga or Tai-chi. To focus a greater potential scale, intervention delivery needed be online no limited facilitation by study personnel. The primary outcome was mean change scores (Hedges’ g ). In subgroup analyses, random-effects models used calculate pooled effect size estimates based personnel support level, techniques, condition, survey type. Meta-regression conducted age length. Fifty-six studies met inclusion criteria (sample 7691, participants 43 years, 58% female): 30% (n = 17) neurological conditions, 12% 7) cardiovascular 11% cancer 6), 43% other conditions 24), 4% 2) multiple demonstrated statistically significant reductions ( SMD -0.33 [-0.40, -0.26], p<0.001) -0.26 [-0.36, -0.17], p<0.001). Heterogeneity moderate. Scalable hold promise as managing without differences seen While modest, sizes are comparable those pharmacological therapy. field would benefit detailed reporting participant demographics including related technological proficiency, well further evaluation non-CBT interventions. Registration: is registered PROSPERO ID # CRD42022375606 .

Language: Английский

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Ten Years of TeleHealth and Digital Healthcare: Where Are We?

Healthcare, Journal Year: 2023, Volume and Issue: 11(6), P. 875 - 875

Published: March 17, 2023

Due to the development of technological innovation devices, availability increasingly performing networks, improvement digitization processes, and push greater diffusion determined by COVID-19 pandemic, Digital Healthcare (DH), also referred as Health [...].

Language: Английский

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Promoting mental health in children and adolescents through digital technology: a systematic review and meta-analysis

Frontiers in Psychology, Journal Year: 2024, Volume and Issue: 15

Published: March 12, 2024

Background The increasing prevalence of mental health issues among children and adolescents has prompted a growing number researchers practitioners to explore digital technology interventions, which offer convenience, diversity, proven effectiveness in addressing such problems. However, the existing literature reveals significant gap comprehensive reviews that consolidate findings discuss potential technologies enhancing health. Methods To clarify latest research progress on promote past decade (2013–2023), we conducted two studies: systematic review meta-analysis. is based 59 empirical studies identified from three screening phases, with basic information, types technologies, as key points analysis for synthesis comparison. meta-analysis 10 qualified experimental determine overall effect size interventions possible moderating factors. Results results revealed (1) there an upward trend relevant research, comprising mostly quasi-experimental designs; (2) common include depression, anxiety, bullying, lack social emotional competence, related COVID-19; (3) various technological mobile applications (apps) have been used most frequently diagnosis treatment issues, followed by virtual reality, serious games, telemedicine services; (4) indicated moderate ( g = 0.43) promoting Conclusion Based these findings, this study provides guidance future practice promotion adolescent through technology. Systematic registration https://inplasy.com/inplasy-2023-12-0004/ , doi: 10.37766/inplasy2023.12.0004 .

Language: Английский

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Using a co-design approach to develop a Preventative Online Mental Health Program for Youth (POMHPY): a quality improvement project

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 8, 2025

During the COVID-19 pandemic, youth in Ontario, Canada experienced a steep rise mental health concerns. Preventative intervention programs can address psychological impact of pandemic on and build resiliency. Co-design approaches to developing such actively involve young people, resulting solutions tailored their unique needs. The current paper details co-design approach creating Online Mental Health Program for Youth (POMHPY)-a virtually delivered program designed Ontario ages 12 25 that promotes mental, physical, social wellbeing. Participatory Action Research (PAR) framework guided development initiative. Literature reviews were conducted identify existing evidence-based targeting youth. perspectives primarily gathered via Advisory Group, comprising Resilience Coordinator Engagement Lead, who contributed literature review, surveys, focus groups, assets. Community insights through Reference Group (CRG) meetings, which engaged participants from local provincial organizations, as well individuals either directly representing or affiliated at arm's length with A review highlighted importance regular physical activity, connectedness, good sleep hygiene, healthy family relationships emotional Survey findings informed session length, duration, delivery, activities. Focus groups expanded survey provided an in-depth understanding preferences delivery. CRG meetings captured community refinements better meet needs As such, POMHPY was collaborative effort among researchers, youth, partners. highlight value PAR-informed youth-targeted online wellbeing programs, providing actionable iterative improvements future pilot testing. 6-week program, led by facilitators, will teaching social, wellness strategies skills various evidence-based, interactive

Language: Английский

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Understanding stakeholder views of the use of digital therapeutic interventions within children and young people’s mental health services

Frontiers in Psychiatry, Journal Year: 2025, Volume and Issue: 16

Published: Feb. 11, 2025

Background Providing the growing number of children and young people seeking mental health support with timely access to care poses a significant challenge. Increased use digital technology in delivery people’s services has been proposed as means increasing treatment. Methods We conducted three interrelated studies provide multi-perspective insights into therapeutic interventions within UK. Study 1 used semi-structured interviews an online survey collect views families who self-identified facing additional barriers accessing (n=13). 2 involved eight focus groups clinicians, service managers, commissioners, policy leads (n=28), exploring participants’ experiences implementing sustaining interventions. 3 was consensus exercise which aimed identify actions needed bridge gap between development for through parents/carers professionals (n=17), Delphi-survey rounds. Results Our findings revealed considerable enthusiasm increased across stakeholder groups, but also identified key their implementation. Actions perceived facilitate more effective implementation included: a) co-producing interventions, commissioning decisions plans parents/carers, b) enhancing national guidance local leadership, c) integration offers existing clinical pathways, d) efforts ensure accessibility inclusivity. Discussion Digital offer promising solution challenge improving people. Strengthened sustained funding further evidence-generation are urgently enable this promise be realised.

Language: Английский

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Barriers to and enhancement of the utilization of digital mental health interventions in low-resource settings: Perceptions of young people in Uganda

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 1, 2025

Introduction Digital mental health (DMH) enhances access to healthcare, particularly in low- and middle-income countries where investment healthcare is low. However, utilization among young people (YP) This study aimed explore YP's perceptions of the barriers using DMH interventions low-resource settings. Methods A qualitative descriptive approach was used. Six face-to-face focus group discussions were conducted with 50 YP from nine universities Uganda. The median age 24 years (range 21–25 years) respondents drawn diverse academic programmes majority being medical students (54%). thematic used interpret results. Results Three themes identified data including services, perceived utilization, suggestions for enhancement Most had a positive attitude towards DMH. included fear stigma, affordability, inequitable access, privacy confidentiality concerns, app-related challenges. Access use can be enhanced through public engagement, creating awareness, training, affordable interventions. Conclusion deemed important extending YP, systems traditional services are not readily available. several factors hinder equitable There need long-term digital technologies.

Language: Английский

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Developing and testing tele-support psychotherapy using mobile phones for depression among youth in Kampala district, Uganda: study protocol for a pilot randomized controlled trial

Frontiers in Digital Health, Journal Year: 2025, Volume and Issue: 7

Published: Feb. 18, 2025

In the post-COVID-19 era, depressive disorders among youth have risen significantly, creating an urgent need for accessible, cost-effective mental health interventions. This study adapts Group Support Psychotherapy into Tele-Support (TSP) via mobile phones. It aims to evaluate its feasibility, acceptability, effectiveness, and cost-efficiency in addressing mild moderate depression central Uganda. will use a mixed-methods approach, starting with qualitative phase adapt Guided by ecological theories Unified Theory of Acceptance Use Technology (UTAUT), focus group discussions interviews youth, professionals, stakeholders inform development youth-tailored call platform integrated Rocket Health Africa's telehealth services. Data be analyzed using grounded theory MAXQDA Analytics Pro 2022 guide intervention adaptation. An open-label randomized controlled trial enroll 300 (15-30 years) from Kampala, Uganda, (TSP). Participants TSP standard services (SMHS) or SMHS alone. Primary outcomes include feasibility secondary assessing cost-effectiveness, symptom changes, social support. Intention-to-treat analysis structural equation modeling treatment effects, complemented insights implementation barriers facilitators. protocol develops evaluates resource-limited settings, gaps exacerbated COVID-19. Using user-centered design mixed methods, it explores TSP's adaptability, cost-effectiveness while like technology literacy, laying groundwork accessible digital solutions. PACTR202201684613316.

Language: Английский

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Digital health interventions with healthcare information and self-management resources for young people with ADHD: a mixed-methods systematic review and narrative synthesis

European Child & Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Abstract Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition. Young people face challenges accessing ADHD healthcare in the UK, especially when transitioning between child and adult services. Digital health interventions (DHIs), as an adjunct to usual care, could improve access information condition-management support for this underserved group. This systematic review aimed identify synthesise evidence on DHIs suitable young aged 16–25 with ADHD, focussing UK settings. We searched MEDLINE , Embase PsycINFO IEE Xplore ACM Library Cochrane Database of Systematic Reviews Central Register Controlled Trials Scopus Web Science Core Collection ProQuest Dissertations & Theses Global from inception December 2023 studies about which provided self-management information, included at least one participant years. Studies were grouped by intervention type (healthcare symptom monitoring, management tools), appraised using Quality Assessment Diverse (QuADS) tool. A narrative synthesis was conducted. Nineteen papers representing 15 comprising 2651 participants identified. Research spanned development, feasibility/usability, pilots exploring preliminary effectiveness, trials. QuADS scores ranged 13 34 out 39. Preliminary feasibility acceptability strongest co-produced interventions. Limited effectiveness found, except psychoeducation may be effective reducing symptoms. Future research should build emerging evidence-base, emphasising tailored ADHD.

Language: Английский

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Participants' evaluation of an internet-based group compassion-focused therapy program for young people in Sweden

Frontiers in Psychology, Journal Year: 2025, Volume and Issue: 16

Published: March 25, 2025

Introduction Online group compassion-focused therapy (CFT) has not been thoroughly studied in young people, and the participants' perspectives on treatment are highly relevant. Methods A seven-session internet-based CFT program was evaluated for people aged 15–20 ( n = 42, females 37). self-report evaluation questionnaire, specifically designed this study, administered post-intervention. The current study investigated: (1) Potential factors influencing goals (increase self-compassion, reduce self-criticism increase affect-regulation abilities) overall experience of treatment; (2) effect each intervention exercise had according to ratings. Results Participants generally reported high satisfaction a attendance rate. Only 2.4% participants completed less than half sessions 71% attended at least six seven sessions. Exercises that integrated traditional cognitive-behavioral (CBT) Compassion-Focused Therapy principles received ratings, whereas breathing mindfulness exercises were rated lower many cases. Several compassion also rated, such as Threat-drive security system , based theory. majority did find home assignments helpful. Discussion findings suggest could be an easily accessible acceptable primary care, though further research is warranted.

Language: Английский

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Perception, attitude and use of digital health platforms for mental health promotion among students in a national university in the south-western part of Nigeria: A cross-sectional study

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: March 1, 2025

Nigeria faces significant challenges in providing access to and utilisation of professional mental health treatments. Digital systems play an essential role healthcare across diverse settings. This study aimed determine the perceptions, attitudes use digital platforms promotion among University Ibadan students Nigeria. was a cross-sectional survey, 400 respondents from Ibadan, Nigeria, were selected using multistage sampling procedure. The data obtained semi-structured self-administered questionnaire. analysed SPSS version 25 via descriptive inferential statistics, such as chi-square tests multiple linear regression at 5% significance level. 24.2 ± 4.8 years. Most (99.8%) had least one mobile phone. majority (83.2%) unaware any platform for promotion. Despite lack awareness, most (47%) positively perceived usefulness (74.2%) favourable toward (88.3%) reported never applications, 11.7% application. In assessment, 46.5% mild-severe disorders. There association between students' awareness these (r = 25.429; p < 0.001). These findings revealed low platforms, but positive good behavioural intentions.

Language: Английский

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