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Cited by 178Digital Mental Health InterventionsMental Health Treatment and AccessMobile Health and mHealth Applications

The DOI matches its Crossref record; 178 of the 178 references it cites were found in a registry or an index.

Cultural adaptation of internet- and mobile-based interventions for mental disorders: a systematic review

Open access
Spanhel, Kerstin, Balci, Sumeyye, Feldhahn, Felicitas, Bengel, Juergen, Baumeister, Harald, Sander, Lasse B.·2021·npj Digital Medicine
DOI 10.1038/s41746-021-00498-1PMC PMC8387403
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Abstract

Providing accessible and effective healthcare solutions for people living in low- and middle-income countries, migrants, and indigenous people is central to reduce the global mental health treatment gap. Internet- and mobile-based interventions (IMI) are considered scalable psychological interventions to reduce the burden of mental disorders and are culturally adapted for implementation in these target groups. In October 2020, the databases PsycInfo, MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science were systematically searched for studies that culturally adapted IMI for mental disorders. Among 9438 screened records, we identified 55 eligible articles. We extracted 17 content, methodological, and procedural components of culturally adapting IMI, aiming to consider specific situations and perspectives of the target populations. Adherence and effectiveness of the adapted IMI seemed similar to the original IMI; yet, no included study conducted a direct comparison. The presented taxonomy of cultural adaptation of IMI for mental disorders provides a basis for future studies investigating the relevance and necessity of their cultural adaptation.PROSPERO registration number: CRD42019142320.

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Fig. 1 PRISMA study flow chart. Process of study identification, screening, eligibility verification, and inclusion decision (adapted from Liberati et al.115).
Fig. 1 PRISMA study flow chart. Process of study identification, screening, eligibility verification, and inclusion decision (adapted from Liberati et al.115).CC BY · PubMed Central
Fig. 2 Taxonomy of cultural adaption of internet- and mobile-based interventions (IMI). Percentages of the 42 included IMI that fulfilled the respective content, methodological, and procedural components of the taxonomy.
Fig. 2 Taxonomy of cultural adaption of internet- and mobile-based interventions (IMI). Percentages of the 42 included IMI that fulfilled the respective content, methodological, and procedural components of the taxonomy.CC BY · PubMed Central
Fig. 3 Effect sizes (Hedges’ g) of the culturally adapted versus original internet- and mobile-based interventions. Twenty-two included articles provided relevant information on the effect of their intervention. If more than one primary outcome was reported, the effect size of the Patient Health Questionnaire102 is illustrated. Both single group studies and randomised controlled trials are included. Full information on the respective effect sizes can be found in Table 4.
Fig. 3 Effect sizes (Hedges’ g) of the culturally adapted versus original internet- and mobile-based interventions. Twenty-two included articles provided relevant information on the effect of their intervention. If more than one primary outcome was reported, the effect size of the Patient Health Questionnaire102 is illustrated. Both single group studies and randomised controlled trials are included. Full information on the respective effect sizes can be found in Table 4.CC BY · PubMed Central

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Research works printed but not linked: 2

  1. Covidence. Covidence systematic review software, Veritas Health Innovation, Melbourne, Australia. Available at www.covidence.org.
  2. Hedges, L. & Olkin, I. Statistical Methods for Meta-analysis (Academic Press, 1985).

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Metadata

Authors
Spanhel, K., Balci, S., Feldhahn, F., Bengel, J., Baumeister, H., & Sander, L. B.
Affiliations
  • University of Freiburg (DE)
  • Universität Ulm (DE)
Corresponding author
Spanhel, Kerstin
ORCID
Venue
npj Digital Medicine
Publisher
Springer Science and Business Media LLC
Published
2021-08-25
Volume
4
Issue
1
Pages
128-128
ISSN
2398-6352 (ISSN-L)
DOI
10.1038/s41746-021-00498-1
PMC
PMC8387403
OpenAlex
W3196086198
Cited by
178
References
178
Citations by year
2026: 32 · 2025: 37 · 2024: 46 · 2023: 34 · 2022: 27 · 2021: 2
FWCI
4.38
Type
journal article
Language
en
Open access
Licence
Locations
  • npj Digital Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • German Academic Scholarship Foundation
  • Scholarship granted by the Ministry of Education, Turkey
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
cultural adaptation, online intervention, mobile-based interventions, mental illness, low- and middle-income countries, migrants, indigenous peoples, adherence, intervention effectiveness

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