Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review
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Abstract
BACKGROUND: The COVID-19 pandemic has shifted mental health care delivery to digital platforms, videoconferencing, and other mobile communications. However, existing reviews of digital health interventions are narrow in scope and focus on a limited number of mental health conditions. OBJECTIVE: To address this gap, we conducted a comprehensive systematic meta-review of the literature to assess the state of digital health interventions for the treatment of mental health conditions. METHODS: We searched MEDLINE for secondary literature published between 2010 and 2021 on the use, efficacy, and appropriateness of digital health interventions for the delivery of mental health care. RESULTS: Of the 3022 records identified, 466 proceeded to full-text review and 304 met the criteria for inclusion in this study. A majority (52%) of research involved the treatment of substance use disorders, 29% focused on mood, anxiety, and traumatic stress disorders, and >5% for each remaining mental health conditions. Synchronous and asynchronous communication, computerized therapy, and cognitive training appear to be effective but require further examination in understudied mental health conditions. Similarly, virtual reality, mobile apps, social media platforms, and web-based forums are novel technologies that have the potential to improve mental health but require higher quality evidence. CONCLUSIONS: Digital health interventions offer promise in the treatment of mental health conditions. In the context of the COVID-19 pandemic, digital health interventions provide a safer alternative to face-to-face treatment. However, further research on the applications of digital interventions in understudied mental health conditions is needed. Additionally, evidence is needed on the effectiveness and appropriateness of digital health tools for patients who are marginalized and may lack access to digital health interventions.
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There is limited evidence specifically for smartphone apps as a format for digital mental health compared to more conventional web-based programs.
“However, there is limited evidence specifically for smartphone apps as a format for digital mental health as compared to more conventional web-based programs [27,28].”
From Effects of a self-guided digital mental health self-help intervention for Syrian refugees in Egypt: A pragmatic randomized controlled trial (2024) · cites this paper as [27]
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McKechnie, V., Barker, C., & Stott, J. C. H. (2014) · International Psychogeriatrics · doi:10.1017/s1041610214001045 · Cited by 84 · see citing works
Online and mobile technologies for self-management in bipolar disorder: A systematic review.
Gliddon, E., Barnes, S. J., Murray, G., & Michalak, E. E. (2017) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000270 · Cited by 84 · see citing works
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Flagged first, then by citations
Research works printed but not linked: 3
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Advances in the use of virtual reality to treat mental health conditions
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“Researchers have suggested that digital interventions can increase accessibility and reduce barriers to mental health care, offering flexible and scalable solutions [4,5].”
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Dominguez-Rodriguez, A., Martínez-Arriaga, R. J., Herdoiza-Arroyo, P. E., Bautista-Valerio, E., de la Rosa-Gómez, A., Castellanos Vargas, R. O., Lacomba-Trejo, L., Mateu-Mollá, J., Lupercio Ramírez, M. D. J., Figueroa González, J. A., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912749 · Cited by 18 · see citing works
- Authors
- Philippe, T. J., Sikder, N., Jackson, A., Koblanski, M. E., Liow, E., Pilarinos, A., & Vasarhelyi, K.
- Affiliations
- University of British Columbia (CA)
- Vancouver Community College (CA)
- Vancouver Coastal Health Research Institute (CA)
- ORCID
- Venue
- JMIR Mental Health
- Publisher
- JMIR Publications Inc.
- Published
- 2022-05-12
- Volume
- 9
- Issue
- 5
- Pages
- e35159
- ISSN
- 2368-7959 (ISSN-L)
- PMC
- PMC9109782
- OpenAlex
- W4226148866
- Cited by
- 436
- References
- 405
- Citations by year
- 2026: 114 · 2025: 137 · 2024: 114 · 2023: 65 · 2022: 5
- FWCI
- 14.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Mental Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Summit (Simon Fraser University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Summit (Simon Fraser University) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- digital health interventions, mental health service delivery, telemedicine, COVID-19 pandemic, substance use disorders, mood disorders, anxiety disorders, traumatic stress disorders, virtual reality therapy, mobile health apps, social media and mental health, cognitive training, asynchronous communication, marginalized communities, digital divide
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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