Cited by 638Digital Mental Health InterventionsMental Health Treatment and AccessMobile Health and mHealth Applications

Digital technology for treating and preventing mental disorders in low-income and middle-income countries: A narrative review of the literature

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Naslund, John A, Aschbrenner, Kelly A, Araya, Ricardo, Marsch, Lisa A, Unützer, Jürgen, Patel, Vikram, Bartels, Stephen J·2017·The Lancet Psychiatry

Abstract

Few individuals living with mental disorders around the globe have access to mental health care, yet most have access to a mobile phone. Digital technology holds promise for improving access to, and quality of, mental health care. We reviewed evidence on the use of mobile, online, and other remote technologies for treatment and prevention of mental disorders in low-income and middle-income countries. Of the 49 studies identified, most were preliminary evaluations of feasibility and acceptability. The findings were promising, showing the potential effectiveness of online, text-messaging, and telephone support interventions. We summarised the evaluations as: technology for supporting clinical care and educating health workers, mobile tools for facilitating diagnosis and detection of mental disorders, technologies for promoting treatment adherence and supporting recovery, online self-help programmes for individuals with mental disorders, and programmes for substance misuse prevention and treatment. Continued research is needed to rigorously evaluate effectiveness, assess costs, and carefully consider potential risks of digital technology interventions for mental disorders, while determining how emerging technologies might support the scale-up of mental health treatment and prevention efforts across low-resource settings.

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Authors
Naslund, J. A., Aschbrenner, K. A., Araya, R., Marsch, L. A., Unützer, J., Patel, V., & Bartels, S. J.
Affiliations
  • Dartmouth College (US)
  • London School of Hygiene & Tropical Medicine (GB)
  • University of Washington (US)
Corresponding author
Naslund, John A
Venue
The Lancet Psychiatry
Publisher
Elsevier BV
Published
2017-06
Volume
4
Issue
6
Pages
486-500
ISSN
2215-0366 (ISSN-L)
OpenAlex
W2606858293
Cited by
638
References
69
Citations by year
2026: 91 · 2025: 94 · 2024: 76 · 2023: 106 · 2022: 70 · 2021: 94 · 2020: 42 · 2019: 41 · 2018: 17 · 2017: 7
FWCI
3.41
Type
journal article
Language
en
Open access
Locations
  • The Lancet Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (publishedVersion, other-oa)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • United States Centers for Disease Control and Prevention (cooperative agreement number, U48 DP005018)
  • Additional funding was received from the National Institute of Mental Health (R01 MH104555)
  • National Institute on Drug Abuse (P30 DA029926)
  • National Institute of Mental Health (U19 MH109988-01)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
digital mental health interventions, mental illness, low- and middle-income countries, mobile health, text messaging, telephone support, access to mental health care, medication adherence, substance misuse prevention, psychiatric diagnosis, recovery support, feasibility and acceptability
MeSH terms
Mental Disorders, Community Health Workers, Delivery of Health Care, Developing Countries, Feasibility Studies, Female, Humans, Income, Male, Poverty, Cell Phone, Text Messaging

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