Evidence map›Paper›PMID 37197797›Full record

ReviewBMJ mental health2023

Digital mental health: challenges and next steps.

Katharine A Smith, Charlotte Blease, Maria Faurholt-Jepsen, Joseph Firth, Tom Van Daele, Carmen Moreno, Per Carlbring, Ulrich W Ebner-Priemer, Nikolaos Koutsouleris, Heleen Riper and 3 more

Abstract readReview
In one paragraph

Review in BMJ mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 7 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.

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

113 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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53 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

13 authors.

Katharine A SmithDepartment of Psychiatry, University of Oxford, Oxford, UK katharine.smith@psych.ox.ac.uk.ORCID 0000-0003-2679-1472
Charlotte BleaseDivision of Digital Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Maria Faurholt-JepsenCopenhagen Affective Disorder Research Center (CADIC), Psychiatric Center Copenhagen, Frederiksberg, Denmark.ORCID 0000-0002-0462-6444
Joseph FirthDivision of Psychology and Mental Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Tom Van DaeleExpertise Unit Psychology, Technology and Society, Thomas More University of Applied Sciences, Mechelen, Belgium.ORCID 0000-0001-9237-9297
Carmen MorenoDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, ISCIII, Universidad Complutense de Madrid Facultad de Medicina, Madrid, Spain.ORCID 0000-0003-0541-4846
Per CarlbringDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-2172-8813
Ulrich W Ebner-PriemerMental mHealth Lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Nikolaos KoutsoulerisDepartment of Psychiatry and Psychotherapy, Ludwig Maximilian University of Munich, München, Germany.
Heleen RiperDepartment of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Stephane MouchabacDepartment of Psychiatry, Hôpital Saint-Antoine, Sorbonne Université, Paris, France.
John TorousDivision of Digital Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-5362-7937
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0001-5179-8321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Digital innovations in mental health offer great potential, but present unique challenges. Using a consensus development panel approach, an expert, international, cross-disciplinary panel met to provide a framework to conceptualise digital mental health innovations, research into mechanisms and effectiveness and approaches for clinical implementation. Key questions and outputs from the group were agreed by consensus, and are presented and discussed in the text and supported by case examples in an accompanying appendix. A number of key themes emerged. (1) Digital approaches may work best across traditional diagnostic systems: we do not have effective ontologies of mental illness and transdiagnostic/symptom-based approaches may be more fruitful. (2) Approaches in clinical implementation of digital tools/interventions need to be creative and require organisational change: not only do clinicians and patients need training and education to be more confident and skilled in using digital technologies to support shared care decision-making, but traditional roles need to be extended, with clinicians working alongside digital navigators and non-clinicians who are delivering protocolised treatments. (3) Designing appropriate studies to measure the effectiveness of implementation is also key: including digital data raises unique ethical issues, and measurement of potential harms is only just beginning. (4) Accessibility and codesign are needed to ensure innovations are long lasting. (5) Standardised guidelines for reporting would ensure effective synthesis of the evidence to inform clinical implementation. COVID-19 and the transition to virtual consultations have shown us the potential for digital innovations to improve access and quality of care in mental health: now is the ideal time to act.

Indexed as

COVID-19Mental DisordersHumansMental Health

Identifiers

PMID37197797
PMCPMC10231442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.