Evidence map›Paper›PMID 28851342›Full record

SynthesisBMC psychiatry2017

eHealth interventions for the prevention of depression and anxiety in the general population: a systematic review and meta-analysis.

M Deady, I Choi, R A Calvo, N Glozier, H Christensen, S B Harvey

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04139785 (Moodbuster, a Guided Self-help Intervention for Prevention of Depression in Primary Care), which is not on this map. Cited by 111 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 21 pooled it
–field-weighted citation impact
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.

NCT04139785 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Moodbuster, a Guided Self-help Intervention for Prevention of Depression in Primary Care

TypeinterventionalSponsorMental Health Foundation, LondonRan2019 to 2021Enrolled290ConditionsDepressionArmsMoodbuster
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 21 syntheses or guidelines pooled it.

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  9. Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
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  14. eHealth in the support of people with mild intellectual disability in daily life: A systematic review.Journal of applied research in intellectual disabilities : JARID · 2020
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  15. Psychological interventions to foster resilience in healthcare students.The Cochrane database of systematic reviews · 2020
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51 more citing papers are in PubMed but not listed here.

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.

M DeadySchool of Psychiatry, University of New South Wales, Sydney, NSW, 2052, Australia. m.deady@unsw.edu.au.
I ChoiBrain and Mind Centre, University of Sydney, Camperdown, NSW, 2050, Australia.
R A CalvoSchool of Electrical and Information Engineering, University of Sydney, Sydney, NSW, 2006, Australia.
N GlozierBrain and Mind Centre, University of Sydney, Camperdown, NSW, 2050, Australia.
H ChristensenBlack Dog Institute, Randwick, NSW, 2031, Australia.
S B HarveySchool of Psychiatry, University of New South Wales, Sydney, NSW, 2052, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnxiety and depression are associated with a range of adverse outcomes and represent a large global burden to individuals and health care systems. Prevention programs are an important way to avert a proportion of the burden associated with such conditions both at a clinical and subclinical level. eHealth interventions provide an opportunity to offer accessible, acceptable, easily disseminated globally low-cost interventions on a wide scale. However, the efficacy of these programs remains unclear. The aim of this study is to review and evaluate the effects of eHealth prevention interventions for anxiety and depression.

methodA systematic search was conducted on four relevant databases to identify randomized controlled trials of eHealth interventions aimed at the prevention of anxiety and depression in the general population published between 2000 and January 2016. The quality of studies was assessed and a meta-analysis was performed using pooled effect size estimates obtained from a random effects model.

resultsTen trials were included in the systematic review and meta-analysis. All studies were of sufficient quality and utilized cognitive behavioural techniques. At post-treatment, the overall mean difference between the intervention and control groups was 0.25 (95% confidence internal: 0.09, 0.41; p = 0.003) for depression outcome studies and 0.31 (95% CI: 0.10, 0.52; p = 0.004) for anxiety outcome studies, indicating a small but positive effect of the eHealth interventions. The effect sizes for universal and indicated/selective interventions were similar (0.29 and 0.25 respectively). However, there was inadequate evidence to suggest that such interventions have an effect on long-term disorder incidence rates.

conclusionsEvidence suggests that eHealth prevention interventions for anxiety and depression are associated with small but positive effects on symptom reduction. However, there is inadequate evidence on the medium to long-term effect of such interventions, and importantly, on the reduction of incidence of disorders. Further work to explore the impact of eHealth psychological interventions on long-term incidence rates.

Indexed as

Health PromotionTelemedicineAnxiety DisordersDepressive DisorderHumansAnxietyDepressioneHealthMental disorderPreventionResilienceSubclinical

Identifiers

PMID28851342
PMCPMC5576307

What OpenQuestion holds

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Registered trials

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.