Evidence map›Paper›PMID 27917128›Full record

ReviewFrontiers in psychiatry2016

What Role Can Avatars Play in e-Mental Health Interventions? Exploring New Models of Client-Therapist Interaction.

Imogen C Rehm, Emily Foenander, Klaire Wallace, Jo-Anne M Abbott, Michael Kyrios, Neil Thomas

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  10. Avatars in Mental Health: Psychotherapists' Attitudes Towards Avatar Technology and Factors Influencing Adoption.European journal of investigation in health, psychology and education · 2025
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  20. Sexual Interventions in the Metaverse: Attitudes Towards Novel Therapeutic Approaches, a Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Imogen C RehmNational eTherapy Centre, Centre for Mental Health, Swinburne University of Technology , Melbourne, VIC , Australia.
Emily FoenanderNational eTherapy Centre, Centre for Mental Health, Swinburne University of Technology , Melbourne, VIC , Australia.
Klaire WallaceNational eTherapy Centre, Centre for Mental Health, Swinburne University of Technology , Melbourne, VIC , Australia.
Jo-Anne M AbbottNational eTherapy Centre, Centre for Mental Health, Swinburne University of Technology , Melbourne, VIC , Australia.
Michael KyriosResearch School of Psychology, College of Medicine, Biology and Environment, Australian National University , Canberra, ACT , Australia.
Neil ThomasNational eTherapy Centre, Centre for Mental Health, Swinburne University of Technology, Melbourne, VIC, Australia; Monash Alfred Psychiatry Research Centre, Monash University Central Clinical School and The Alfred, Melbourne, VIC, Australia.
Swinburne University of Technology · AUAustralian National University · AUMonash Alfred Psychiatry Research centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the burgeoning field of e-mental health interventions, avatars are increasingly being utilized to facilitate online communication between clients and therapists, and among peers. Avatars are digital self-representations, which enable individuals to interact with each other in computer-based virtual environments. In this narrative review, we examine the psychotherapeutic applications of avatars that have been investigated and trialed to date. Five key applications were identified (1) in the formation of online peer support communities; (2) replicating traditional modes of psychotherapy by using avatars as a vehicle to communicate within a wholly virtual environment; (3) using avatar technology to facilitate or augment face-to-face treatment; (4) as part of serious games; and (5) communication with an autonomous virtual therapist. Across these applications, avatars appeared to serve several functions conducive to treatment engagement by (1) facilitating the development of a virtual therapeutic alliance; (2) reducing communication barriers; (3) promoting treatment-seeking through anonymity; (4) promoting expression and exploration of client identity; and (5) enabling therapists to control and manipulate treatment stimuli. Further research into the feasibility and ethical implementation of avatar-based psychotherapies is required.

Indexed as

avatarscomputer-mediated communicationdigital mental healthe-mental healthhuman–computer interactionvirtual environmentsvirtual reality

Identifiers

PMID27917128
PMCPMC5114267
OpenAlexW2550910960

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.