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Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review
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Abstract
BACKGROUND: Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking. OBJECTIVE: The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic. METHODS: A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic. RESULTS: Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. CONCLUSIONS: There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.
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“Between 2020 and 2021, several reviews were written to inform the implementation of remote solutions for both the treatment and prevention of mental health conditions [65,66].”
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“Previous evidence on mental health interventions to build resilience or prevent mental illness for children and adolescents was published before the COVID-19 pandemic [17–19] and in times of other health emergencies [20, 21], such as armed conflicts (e.g. war, terrorism) or natural disasters (e.g. earthquakes, hurricanes).”
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Riva, G., Lernia, D. D., Tuena, C., Bernardelli, L., Gutiérrez‐Maldonado, J., Ferrer‐García, M., Porras-García, B., Meyer, M. L., Shiban, Y., Castelnuovo, G., et al. (2023) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001198 · Cited by 11
Zhou, J., Dang, W., Luo, Z., Fan, X., Shi, H., Deng, N., & Xiong, G. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16805 · Cited by 9
Provision of Care by “Real World” Telemental Health Providers
Bunnell, B. E., Kazantzis, N., Paige, S. R., Barrera, J. F., Thakkar, R. N., Turner, D., & Welch, B. M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.653652 · Cited by 9
Guelmami, N., Tannoubi, A., Chalghaf, N., Saidane, M., Kong, J. D., Puce, L., Azaiez, F., Bragazzi, N. L., & Alroobaea, R. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.824134 · Cited by 10
Waters, A. M., Sluis, R. A., Ryan, K. M., Usher, W. T., Farrell, L. J., Donovan, C. L., Modecki, K. L., Zimmer‐Gembeck, M. J., Castle, M., & Hinchey, J. (2022) · Behaviour Change · doi:10.1017/bec.2022.17 · Cited by 9
Evaluation of Telehealth in Child Behavioral Health Services Delivery During the COVID-19 Pandemic
Riley, E. N., Cordell, K. D., Shimshock, S. M., Pérez‐Figueroa, R., Lyons, J. S., & Vsevolozhskaya, O. A. (2022) · Psychiatric Services · doi:10.1176/appi.ps.20220141 · Cited by 9
Louis, J. M., & Reyes, M. E. S. (2023) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045231169089 · Cited by 9
Menéndez, M. A., & Velázquez, E. D. (2021) · Teknokultura Revista de Cultura Digital y Movimientos Sociales · doi:10.5209/tekn.75516 · Cited by 8
Troncone, A., Cascella, C., Chianese, A., Zanfardino, A., Pizzini, B., & Iafusco, D. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111206 · Cited by 7
Gega, L., & Aboujaoude, E. N. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.733151 · Cited by 8
Effiong, A. (2022) · JMIRx Med · doi:10.2196/43880 · Cited by 8
eHealth tools use and mental health: a cross-sectional network analysis in a representative sample
Ochnik, D., Cholewa-Wiktor, M., Jakubiak, M., & Pataj, M. (2024) · Scientific Reports · doi:10.1038/s41598-024-55910-z · Cited by 10
Subotic-Kerry, M., Braund, T. A., Gallen, D., Li, S., Parker, B. L., Achilles, M. R., Chakouch, C., Baker, S. T. E., Werner‐Seidler, A., & O’Dea, B. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00623-w · Cited by 10
Potential Benefits of Remote Continuous Care for Depression
Forman‐Hoffman, V. L., Kvedar, J. C., & Ranta, K. (2021) · International Journal of Digital Health · doi:10.29337/ijdh.39 · Cited by 7
Hirjak, D., Reininghaus, U., Braun, U., Sack, M., Tost, H., & Meyer‐Lindenberg, A. (2021) · Der Nervenarzt · doi:10.1007/s00115-021-01086-0 · Cited by 7
Trottier, K., Monson, C. M., Kaysen, D. L., Wagner, A. C., Pun, C., & Abbey, S. E. (2021) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.1984049 · Cited by 8
Lai, L., Tong, J., Xiang, Y., Zhang, L., & Ren, Z. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.11.065 · Cited by 7
Krisher, L. K., Boeldt, D. L., Sigmon, C. A. N., Rimel, S. E., & Newman, L. S. (2024) · American Journal of Public Health · doi:10.2105/ajph.2023.307505 · Cited by 7
Lu, F., Wang, X., & Huang, X. Z. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20031718 · Cited by 10
Sheriff, R. S., Sinclair, E. W. C., Young, J., Bhamra, S., Chandler, L., Arachchige, T. N., Adams, H., Bonsaver, L., Riga, E., Bergin, L., et al. (2024) · BJPsych Bulletin · doi:10.1192/bjb.2023.102 · Cited by 6
The Dilemma of Isolation and Emotional Turmoil: the After Effects of the Pandemic
Kaur, K. (2022) · Indian Journal of Management and Language · doi:10.54105/ijml.d2046.101422 · Cited by 6
Metadata
- Authors
- Rauschenberg, C., Schick, A., Hirjak, D., Seidler, A., Paetzold, I., Apfelbacher, C., Riedel-Heller, S. G., & Reininghaus, U.
- Affiliations
- Heidelberg University (DE)
- Technische Universität Dresden (DE)
- Otto-von-Guericke-Universität Magdeburg (DE)
- Leipzig University (DE)
- King's College London (GB)
- Corresponding author
- Rauschenberg, Christian
- ORCID
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2021-03-10
- Volume
- 23
- Issue
- 3
- Pages
- e23365
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC7951054
- OpenAlex
- W3133402297
- Cited by
- 205
- References
- 123
- Citations by year
- 2026: 16 · 2025: 19 · 2024: 34 · 2023: 46 · 2022: 50 · 2021: 37
- FWCI
- 6.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (acceptedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Portal (King's College London) (submittedVersion, other-oa)
- PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
- PsyArXiv (OSF Preprints) (submittedVersion)
- Funders
- Deutsche Forschungsgemeinschaft (389624707)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- digital interventions, COVID-19 pandemic, public mental health, e-health, mobile health apps, telemedicine, mental health promotion, mental disorder prevention, psychiatric treatment, blended care, adherence strategies, cost-effectiveness, user satisfaction, social distancing, quarantine
- MeSH terms
- COVID-19, SARS-CoV-2, Mental Disorders, Humans, Public Health, Telemedicine, Pandemics
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