Economic evaluations of internet- and mobile-based interventions for the treatment and prevention of depression: A systematic review

Paganini, Sarah; Teigelkötter, Wiebke; Buntrock, Claudia; Baumeister, Harald

doi:10.1016/j.jad.2017.07.018

Cited by 128 publications

(95 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mental health smartphone applications (MH apps) may offer less stigmatizing treatment options, especially for individuals who prefer self-help. MH apps can also be flexible (Anthes, 2016) and cost-effective (Paganini Teigelkötter, Buntrock, & Baumeister, 2018), potentially improving the reach and dissemination of evidence-based mental health care (Agras, Fitzsimmons-Craft, & Wilfley, 2017;Fairburn & Patel, 2017;Kazdin, 2017). Indeed, internetbased interventions have been effective for a variety of mental health conditions, (Andrews et al, 2010;Ebert et al, 2015;Kaplan & Stone, 2013), and recent meta-analyses suggest that interventions delivered via smartphones can help treat depression (Josephine, Josefine, Phillip, David, & Baumeister, 2017) and anxiety (Firth et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

A review of popular smartphone apps for depression and anxiety: Assessing the inclusion of evidence-based content

Wasil

Venturo‐Conerly

Shingleton

et al. 2019

Behaviour Research and Therapy

119

108

View full text Add to dashboard Cite

Smartphone applications for the treatment of depression and anxiety have acquired millions of users, yet little is known about whether they include evidence-based therapeutic content. We examined the extent to which popular mental health applications (MH apps) for depression and anxiety contain treatment elements found in empirically supported psychotherapy protocols (i.e., "common elements"). Of the 27 MH apps reviewed, 23 included at least one common element, with a median of three elements. Psychoeducation (in 52% of apps), relaxation (44%), meditation (41%), mindfulness (37%), and assessment (37%) were the most frequent elements, whereas several elements (e.g., problem solving) were not found in any apps. We also identified gaps between app content and empirically supported treatments. Cognitive restructuring was more common in depression protocols than in depression apps (75% of protocols vs. 31% of apps), as was problem solving (34% vs. 0%). For anxiety, exposure (85%, 12%), cognitive restructuring (60%, 12%), and problem solving (25%, 0%) were more common in protocols than apps. Overall, our findings highlight empirically supported treatment elements that are poorly represented in current MH apps. The absence of several core treatment elements underscores the need for future research, including randomized trials testing the effectiveness of popular MH apps.

show abstract

Section: Introductionmentioning

confidence: 99%

A review of popular smartphone apps for depression and anxiety: Assessing the inclusion of evidence-based content

Wasil

Venturo‐Conerly

Shingleton

et al. 2019

Behaviour Research and Therapy

119

108

View full text Add to dashboard Cite

show abstract

“…A recent systematic review looking specifically at Internet-and mobile-based interventions targeting depression highlights the potential of those interventions to be cost-effective, with similar cost-effectiveness ratios compared to those reported for face-to-face psychotherapy and antidepressant drug treatment [35]. In this review, of the 14 e-interventions six were deemed cost-effective, five were not cost-effective, and two were undecided.…”

Section: Evidence In Contextmentioning

confidence: 75%

Complaint-Directed Mini-Interventions for Depressive Symptoms: A Health-Economic Evaluation of Unguided Web-Based Self-Help Interventions (Preprint)

Wijnen¹,

Lokman²,

Leone³

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

“…Findings from our systematic review support findings from previous reviews that IMIs could be a costeffective way to target SUDs and increase the reach of effective treatments. 16,18,34,35…”

Section: Comparison With Prior Researchmentioning

confidence: 99%

A systematic review of trial-based economic evaluations of internet- and mobile-based interventions for substance use disorders

Buntrock

Kählke

Smit

et al. 2019

European Journal of Public Health

Self Cite

View full text Add to dashboard Cite

Background: Substance use disorders (SUDs) contribute significantly to global rates of morbidity and mortality. Internet-and mobile-based interventions (IMIs) have been suggested as an adjunct to face-to-face health services. However, the evidence for the cost-effectiveness of IMIs for SUDs is scant. Methods: A comprehensive literature search in PubMed, PsycINFO, the Cochrane Central Register of Controlled Trials, NHS Economic Evaluations Database, NHS Health Technology Assessment Database, Office of Health Economics Evaluations Database and EconLit was conducted. We included economic evaluations alongside randomized controlled trials of IMIs for SUDs compared with a control group. Results: Of 1687 abstracts identified, 11 studies met the inclusion criteria. Targeted conditions were alcohol use disorder (four studies) and tobacco smoking (five studies) whereas two studies included any SUD. Cost-effectiveness results demonstrated that IMIs had a firm probability of being more cost-effective than TAU (e.g. less costs per additional abstinent person). Compared with (online) psychoeducation, evidence towards an additional benefit of IMIs was less clear. Regarding cost-utility (e.g. costs per quality-adjusted life year gained), except for one study, results suggested that TAU and online psycho-education would probably be more preferable than IMIs. Quality of study reporting was at least adequate. Conclusions: The likelihood of IMIs being more cost-effective than TAU looks promising but more economic evaluations are needed in order to determine the economic merit of IMIs. With an increasing pressure on health care budgets, strategies to disseminate effective interventions at affordable costs are required. This review suggests that IMIs might carry that promise and have potential as a cost-effective strategy to scale-up existing evidence-based treatments for SUDs.

show abstract

Economic evaluations of internet- and mobile-based interventions for the treatment and prevention of depression: A systematic review

Cited by 128 publications

References 85 publications

A review of popular smartphone apps for depression and anxiety: Assessing the inclusion of evidence-based content

A review of popular smartphone apps for depression and anxiety: Assessing the inclusion of evidence-based content

Complaint-Directed Mini-Interventions for Depressive Symptoms: A Health-Economic Evaluation of Unguided Web-Based Self-Help Interventions (Preprint)

A systematic review of trial-based economic evaluations of internet- and mobile-based interventions for substance use disorders

Contact Info

Product

Resources

About