Are Digital Health Interventions That Target Lifestyle Risk Behaviors Effective for Improving Mental Health and Wellbeing in Adolescents? A Systematic Review with Meta-analyses

IF 4.7 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Adolescent Research Review Pub Date : 2023-08-12 DOI:10.1007/s40894-023-00224-w

Rebecca Raeside, Si Si Jia, Allyson Todd, Karice Hyun, Anna Singleton, Lauren A. Gardner, Katrina E. Champion, Julie Redfern, Stephanie R. Partridge

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Abstract

Research has established associations between poor mental health and lifestyle risk behaviors among adolescents, yet gaps exist in understanding whether digital health interventions for adolescents targeting these behaviors will improve mental health and wellbeing. This study aimed to evaluate how effective digital health interventions targeting lifestyle risk behaviors are in improving mental health/wellbeing among adolescents (10–24 years old). We also aimed to understand how effects vary by participant and intervention characteristics, and intervention adherence and engagement. Through systematic review with meta-analysis, 5229 records were identified. 17 studies were included representing 9070 participants (15.3 mean age, 1.2 SD). Interventions had small but statistically non-significant positive effects on physical and psychosocial quality of life, depressive symptoms and anxiety at follow-up compared to usual care controls. Digital health delivery methods included text messaging, mobile applications, websites and email, or a combination of these. Intervention adherence, engagement and satisfaction were measured poorly across studies. Despite small changes, potential exists for digital health interventions to improve mental health or wellbeing outcomes among adolescents due to the shared nature of risk and protective factors for mental health and chronic diseases.

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针对生活方式风险行为的数字健康干预对改善青少年心理健康和福祉有效吗？带元分析的系统综述

研究表明，青少年心理健康状况不佳与生活方式风险行为之间存在关联，但在了解针对这些行为的青少年数字健康干预措施是否能改善心理健康和幸福感方面还存在差距。本研究旨在评估针对生活方式风险行为的数字健康干预在改善青少年（10-24 岁）心理健康/福祉方面的效果。我们还希望了解不同参与者和干预措施的特点以及干预措施的坚持度和参与度对效果的影响。通过系统回顾和荟萃分析，我们确定了 5229 条记录。共纳入 17 项研究，代表 9070 名参与者（平均年龄 15.3 岁，1.2 SD）。与常规护理对照组相比，干预措施对身体和社会心理生活质量、抑郁症状和焦虑在随访中产生了微小但无统计学意义的积极影响。数字健康提供方法包括短信、移动应用程序、网站和电子邮件，或这些方法的组合。各项研究对干预的坚持度、参与度和满意度的测量结果均不理想。尽管变化较小，但由于心理健康和慢性疾病的风险和保护因素具有共通性，因此数字健康干预有可能改善青少年的心理健康或幸福感。

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来源期刊

Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

10.40

自引率

0.00%

发文量

期刊介绍： Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence. The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries. Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.