The Effects of APP-Based Intervention for Depression Among Community-Dwelling Individuals With Spinal Cord Injury: A Randomized Controlled Trial

Liu, Yinnan; Hasimu, Maiwuludai; Jia, Mengmeng; Tang, Jie; Wang, Yingmin; He, Xiaokuo; Yan, Tiebin; Xie, Sumei; Li, Kun

doi:10.1016/j.apmr.2022.10.005

Cited by 2 publications

(3 citation statements)

References 41 publications

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“…Three interventions were solely accompanied by a peer, for example via video chat ( 30 , 31 , 36 ). Further applications were supported by trained nursing staff ( 33 , 34 ), a physiotherapist ( 37 ) or a music therapist ( 46 ). The intervention of another study offered a peer forum and telephone or e-mail contact by a multidisciplinary team specialized in SCI ( 38 ).…”

Section: Resultsmentioning

confidence: 99%

“…Interventions based on a theory such as CBT in particular have achieved their goals (31,(38)(39)(40)(41)(42). In addition, professional human support, e.g., by phone or mail, appears to be a favourable factor: participants seem to benefit more from professional support, for example from a clinical psychologist (32)(33)(34)(35)(37)(38)(39)(40)(41)(42)(43), than from peer support (29-31, 36, 46) or no support (44,45,47,48). Adaptation of the digital interventions to people with SCI can also be recommended as lack of adaption was a main point of criticism in two interventions (42,45).…”

Section: Discussionmentioning

confidence: 99%

“…All digital psychosocial interventions were used exclusively as aftercare measures or could not be clearly categorised as preventive, acute or aftercare measures. For example, interventions to promote self-esteem (29) or self-management (30)(31)(32)(33)(34)(35)(36) are applicable at every stage of treatment from prevention to relapse prevention. Nineteen interventions were carried out as stand-alone interventions without further therapeutic support, while one intervention was supported by two weekly psychological counselling sessions (37).…”

Section: Indication and Application Areasmentioning

confidence: 99%

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Digital psychosocial interventions for individuals with spinal cord injury: a scoping review

Armstrong,

Oetinger,

Weimer

et al. 2024

Front. Psychiatry

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ObjectiveTo provide an overview of the digital mental health care landscape for individuals with spinal cord injury (SCI).MethodsPubMed, PsycInfo, and PSYNDEX were searched for articles meeting the following criteria: (1) article written in English or German; (2) digital psychosocial intervention; (3) SCI only; (4) treatment of individuals with SCI and not their relatives or caregivers. Records were screened by title and abstract and records meeting the inclusion criteria were obtained for full text screening. The references of identified articles were screened to find further relevant articles. The literature search was updated before submission. Risk of Bias was assessed by using the Cochrane risk-of-bias tool for randomized trials (RoB 2) and a narrative synthesis was conducted.ResultsTen randomized-controlled trials (RCT) and ten non-randomized-controlled trials were identified and compared in this review, evaluating twelve internet- and mobile-based interventions, five smartphone apps, and three virtual reality applications. The interventions were primarily used as stand-alone aftercare programs. While some were not based on any theory, cognitive behavioral therapy mostly served as the theoretical basis for the online interventions. The extent of human support also varied greatly between the studies. The number of intervention modules ranged between 2 and 72. There were also major differences in outcome variables and effects. A meta-analytical evaluation of the data was not conducted due to heterogeneity of studies.ConclusionDigital applications to promote the psychosocial health of individuals with SCI are an emerging field of research with many treatment approaches still to come. First high quality RCT studies report promising results. Unfortunately, not all studies are of high quality or the interventions have been insufficiently adapted to the needs of people with SCI. Therefore, more research is needed to further develop applications, and to generalize and test the effects found in the long term.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Indication and Application Areasmentioning

confidence: 99%

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Digital psychosocial interventions for individuals with spinal cord injury: a scoping review

Armstrong,

Oetinger,

Weimer

et al. 2024

Front. Psychiatry

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The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review

Mudiyanselage,

De Santis,

Jörg

et al. 2024

BMC Public Health

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Background Combining non-specialists and digital technologies in mental health interventions could decrease the mental healthcare gap in resource scarce countries. This systematic review examined different combinations of non-specialists and digital technologies in mental health interventions and their effectiveness in reducing the mental healthcare gap in low-and middle-income countries. Methods Literature searches were conducted in four databases (September 2023), three trial registries (January–February 2022), and using forward and backward citation searches (May–June 2022). The review included primary studies on mental health interventions combining non-specialists and digital technologies in low-and middle-income countries. The outcomes were: (1) the mental health of intervention receivers and (2) the competencies of non-specialists to deliver mental health interventions. Data were expressed as standardised effect sizes (Cohen’s d) and narratively synthesised. Risk of bias assessment was conducted using the Cochrane risk-of-bias tools for individual and cluster randomised and non-randomised controlled trials. Results Of the 28 included studies (n = 32 interventions), digital technology was mainly used in non-specialist primary-delivery treatment models for common mental disorders or subthreshold symptoms. The competencies of non-specialists were improved with digital training (d ≤ 0.8 in 4/7 outcomes, n = 4 studies, 398 participants). The mental health of receivers improved through non-specialist-delivered interventions, in which digital technologies were used to support the delivery of the intervention (d > 0.8 in 24/40 outcomes, n = 11, 2469) or to supervise the non-specialists’ work (d = 0.2–0.8 in 10/17 outcomes, n = 3, 3096). Additionally, the mental health of service receivers improved through digitally delivered mental health services with non-specialist involvement (d = 0.2–0.8 in 12/27 outcomes, n = 8, 2335). However, the overall certainty of the evidence was poor. Conclusion Incorporating digital technologies into non-specialist mental health interventions tended to enhance non-specialists’ competencies and knowledge in intervention delivery, and had a positive influence on the severity of mental health problems, mental healthcare utilization, and psychosocial functioning outcomes of service recipients, primarily within primary-deliverer care models. More robust evidence is needed to compare the magnitude of effectiveness and identify the clinical relevance of specific digital functions. Future studies should also explore long-term and potential adverse effects and interventions targeting men and marginalised communities.

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The Effects of APP-Based Intervention for Depression Among Community-Dwelling Individuals With Spinal Cord Injury: A Randomized Controlled Trial

Cited by 2 publications

References 41 publications

Digital psychosocial interventions for individuals with spinal cord injury: a scoping review

Digital psychosocial interventions for individuals with spinal cord injury: a scoping review

The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review

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