Rationale and design of a systematic review: effectiveness and acceptance of technology-based psychological interventions in different clinical phases of depression management

Köhnen, Moritz; Kriston, Levente; Härter, Martin; Dirmaier, Jörg; Liebherz, Sarah

doi:10.1136/bmjopen-2018-028042

Cited by 9 publications

(23 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study was preregistered (PROSPERO registration number CRD42016050413), and a study protocol was published a priori [ 12 ]. This review is in accordance with the standards of the Cochrane Collaboration [ 24 ] (eg, preregistration, study protocol, systematic literature search considering gray literature, risk of bias assessment, statistical methods of data syntheses) and reported in line with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

“…The study protocol by Köhnen et al [ 12 ] provides more details on definitions and eligibility criteria.…”

Section: Methodsmentioning

confidence: 99%

“…We searched the following key databases: CENTRAL (Cochrane Central Register of Controlled Trials), MEDLINE, PsycINFO, PSYNDEX, and CINAHL; see the study protocol by Köhnen et al [ 12 ] for the search strategies. The search was not limited by date, language, or publication status.…”

Section: Methodsmentioning

confidence: 99%

“…We developed and piloted a standardized data extraction sheet containing characteristics of interest (see study protocol by Köhnen et al [ 12 ] for further information on extracted data). The data extraction sheet comprised information regarding general study information (eg, authors), methodological characteristics (including the risk of bias assessment), sample characteristics (eg, age), treatment characteristics, application areas, sample size and study flow, and primary (posttreatment scores of depression and treatment dropout rates) and secondary (eg, remission rates, quality of life) outcome data.…”

Section: Methodsmentioning

confidence: 99%

“…Technology-based psychological interventions (TBIs) are one option to address barriers (eg, long waiting periods before starting a treatment) and gaps (eg, providing psychotherapeutic treatment in rural areas) in the context of mental health care [ 11 ]. We defined TBIs as psychotherapeutic or psychological interventions being (at least partly) delivered by technical mediums and tailored to the treatment of depression (eg, guided or unguided web-based self-help programs, telephone therapy, or the combination of onsite therapy and web-based self-help; see study protocol by Köhnen et al [ 12 ] for details).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review

Köhnen¹,

Dreier²,

Seeralan³

et al. 2021

JMIR Ment Health

Self Cite

View full text Add to dashboard Cite

Background Evidence on technology-based psychological interventions (TBIs) for the treatment of depression is rapidly growing and covers a broad scope of research. Despite extensive research in this field, guideline recommendations are still limited to the general effectiveness of TBIs. Objective This study aims to structure evidence on TBIs by considering different application areas (eg, TBIs for acute treatment and their implementation in health care, such as stand-alone interventions) and treatment characteristics (eg, therapeutic rationale of TBIs) to provide a comprehensive evidence base and to identify research gaps in TBIs for diagnosed depression. Moreover, the reporting of negative events in the included studies is investigated in this review to enable subsequent safety assessment of the TBIs. Methods Randomized controlled trials on adults diagnosed with unipolar depression receiving any kind of psychotherapeutic treatment, which was at least partly delivered by a technical medium, were eligible for inclusion in our preregistered systematic review. We searched for trials in CENTRAL (Cochrane Central Register of Controlled Trials; until August 2020), MEDLINE, PsycINFO, PSYNDEX, CINAHL; until the end of January 2018), clinical trial registers, and sources of gray literature (until the end of January 2019). Study selection and data extraction were conducted by 2 review authors independently. Results Database searches resulted in 15,546 records, of which 241 publications were included, representing 83 completed studies and 60 studies awaiting classification (ie, preregistered studies, study protocols). Almost all completed studies (78/83, 94%) addressed the acute treatment phase, being largely either implemented as stand-alone interventions (66/83, 80%) or blended treatment approaches (12/83, 14%). Studies on TBIs for aftercare (4/83, 5%) and for bridging waiting periods (1/83, 1%) were scarce. Most TBI study arms (n=107) were guided (59/107, 55.1%), delivered via the internet (80/107, 74.8%), and based on cognitive behavioral treatment approaches (88/107, 79.4%). Almost all studies (77/83, 93%) reported information on negative events, considering dropouts from treatment as a negative event. However, reports on negative events were heterogeneous and largely unsystematic. Conclusions Research has given little attention to studies evaluating TBIs for aftercare and for bridging waiting periods in people with depression, even though TBIs are seen as highly promising in these application areas; thus, high quality studies are urgently needed. In addition, the variety of therapeutic rationales on TBIs has barely been represented by identified studies hindering the consideration of patient preferences when planning treatment. Finally, future studies should use specific guidelines to systematically assess and report negative events. Trial Registration International Prospective Register of Systematic Reviews (PROSPERO) CRD42016050413; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42016050413. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2018-028042

show abstract

Section: Methodsmentioning

confidence: 99%

“…The study protocol by Köhnen et al [ 12 ] provides more details on definitions and eligibility criteria.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review

Köhnen¹,

Dreier²,

Seeralan³

et al. 2021

JMIR Ment Health

Self Cite

View full text Add to dashboard Cite

show abstract

Technologiebasierte psychologische Interventionen (TBIs) zur Überbrückung von Wartezeiten und zur Nachsorge bei Menschen mit depressiven Erkrankungen – der aktuelle Forschungsstand

Köhnen

Härter

Liebherz

2021

Psychother Psychosom Med Psychol

Self Cite

View full text Add to dashboard Cite

ZusammenfassungZiel ist es, den aktuellen Forschungsstand hinsichtlich Wirksamkeit, Akzeptanz und Sicherheit von technologiebasierten psychologischen Interventionen (TBIs) zur Überbrückung von Wartezeiten auf weiterführende Behandlungen (z. B. ambulante Psychotherapie) und zur Nachsorge von Betroffenen mit Depressionen darzustellen und mögliche Implikationen für zukünftige Forschung abzuleiten. Auf Basis einer systematischen Übersichtsarbeit (n=83 eingeschlossene Studien) zu TBIs bei Menschen mit diagnostizierten depressiven Erkrankungen wird der aktuelle Forschungsstand beschrieben. Im Rahmen der systematischen Übersichtarbeit konnten insgesamt 5 Studien identifiziert werden, die TBIs zur Überbrückung von Wartezeiten (n=1) oder zur Nachsorge (n=4) von Betroffenen mit Depressionen eingesetzt haben. Die narrative Ergebniszusammenfassung weist auf die Wirksamkeit von TBIs zur Nachsorge von Menschen mit Depressionen hin. Allerdings liegen nur sehr wenige Daten zu TBIs im Hinblick auf Akzeptanz, Sicherheit und zur Überbrückung von Wartezeiten vor. Die aktuelle Evidenzlage ist nicht ausreichend, um TBIs zur Überbrückung von Wartezeiten und zur Nachsorge für die Praxis empfehlen zu können. Es bedarf weiterer randomisiert-kontrollierter Studien, welche Wirksamkeit, Akzeptanz und Sicherheit sowie Implementierbarkeit von TBIs unter Routinebedingungen erfassen.

show abstract

The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial

Soltani,

Parizad,

Radfar

et al. 2024

BMC Psychiatry

View full text Add to dashboard Cite

Background Depression is one of the most common mental disorders that leads to anxiety, sleep disturbances, and suicidal thoughts. Due to the high cost of treatment and the reluctance of many patients to seek medical help, major depressive disorder (MDD) is becoming more prevalent. Therefore, alternative methods like smartphone applications can help prevent and improve depression symptoms. The present study aimed to determine the effect of the newly developed Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with MDD. Methods This randomized controlled trial with a pretest-posttest design was conducted on Iranian patients with MDD in 2022. Sixty-four patients were recruited using convenience sampling and randomly assigned to two control and intervention groups. The intervention was conducted using the Yara smartphone application for three months. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Beck Scale for Suicidal Ideation (BSSI). Data were first entered into IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA) and then analyzed using descriptive and analytical statistics. Results There was no statistically significant difference in the mean score of anxiety and sleep quality between the intervention and control groups before the intervention (p ≥ .05). However, this difference in the mean score of anxiety and sleep quality was statistically significant in the two groups after the intervention (p < .05). The results showed no statistically significant difference in the mean score of suicidal thoughts between the two groups before and after the intervention (p ≥ .05). The use of the Yara smartphone application had a significant positive effect on anxiety and sleep quality in depressed patients (p < .001). At the same time, it had no significant effect on suicidal thoughts (p ≥ .05). Conclusion Considering the positive effect of using the Yara smartphone application on reducing anxiety and improving sleep quality in depressed patients, this application can help alleviate the problems of depressed patients alongside existing treatment methods. Thus, this application is recommended for this group of patients in psychiatric clinics and departments. The Yara application's effectiveness was not approved on suicidal thoughts in this study so that further investigation would be necessary. Trial Registration Iranian Registry of Clinical Trial approval code (IRCT# IRCT20131112015390N7).

show abstract

Rationale and design of a systematic review: effectiveness and acceptance of technology-based psychological interventions in different clinical phases of depression management

Cited by 9 publications

References 70 publications

Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review

Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review

Technologiebasierte psychologische Interventionen (TBIs) zur Überbrückung von Wartezeiten und zur Nachsorge bei Menschen mit depressiven Erkrankungen – der aktuelle Forschungsstand

The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial

Contact Info

Product

Resources

About