A systematic review and meta analysis on digital mental health interventions in inpatient settings

IF 12.4 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES NPJ Digital Medicine Pub Date : 2024-09-17 DOI:10.1038/s41746-024-01252-z

Alexander Diel, Isabel Carolin Schröter, Anna-Lena Frewer, Christoph Jansen, Anita Robitzsch, Gertraud Gradl-Dietsch, Martin Teufel, Alexander Bäuerle

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Abstract

E-mental health (EMH) interventions gain increasing importance in the treatment of mental health disorders. Their outpatient efficacy is well-established. However, research on EMH in inpatient settings remains sparse and lacks a meta-analytic synthesis. This paper presents a meta-analysis on the efficacy of EMH in inpatient settings. Searching multiple databases (PubMed, ScienceGov, PsycInfo, CENTRAL, references), 26 randomized controlled trial (RCT) EMH inpatient studies (n = 6112) with low or medium assessed risk of bias were included. A small significant total effect of EMH treatment was found (g = 0.3). The effect was significant both for blended interventions (g = 0.42) and post-treatment EMH-based aftercare (g = 0.29). EMH treatment yielded significant effects across different patient groups and types of therapy, and the effects remained stable post-treatment. The results show the efficacy of EMH treatment in inpatient settings. The meta-analysis is limited by the small number of included studies.

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关于住院环境中数字心理健康干预措施的系统回顾和元分析

电子心理健康（EMH）干预措施在心理健康疾病治疗中的重要性与日俱增。其门诊疗效已得到公认。然而，有关住院环境中电子心理健康干预的研究仍然很少，也缺乏荟萃分析。本文对EMH在住院环境中的疗效进行了荟萃分析。通过检索多个数据库（PubMed、ScienceGov、PsycInfo、CENTRAL、参考文献），纳入了26项随机对照试验（RCT）EMH住院研究（n = 6112），这些研究的偏倚风险评估为低或中等。研究发现，EMH治疗的总效果很小（g = 0.3）。混合干预（g = 0.42）和基于EMH的治疗后后续护理（g = 0.29）的效果都很明显。在不同的患者群体和治疗类型中，EMH治疗都产生了明显的效果，而且效果在治疗后保持稳定。结果表明，EMH疗法在住院环境中具有疗效。荟萃分析因纳入的研究数量较少而受到限制。

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来源期刊

NPJ Digital Medicine Multiple-

CiteScore

25.10

自引率

3.30%

发文量

170

审稿时长

15 weeks

期刊介绍： npj Digital Medicine is an online open-access journal that focuses on publishing peer-reviewed research in the field of digital medicine. The journal covers various aspects of digital medicine, including the application and implementation of digital and mobile technologies in clinical settings, virtual healthcare, and the use of artificial intelligence and informatics. The primary goal of the journal is to support innovation and the advancement of healthcare through the integration of new digital and mobile technologies. When determining if a manuscript is suitable for publication, the journal considers four important criteria: novelty, clinical relevance, scientific rigor, and digital innovation.