Evidence map›Paper›PMID 37756042›Full record

ReviewJMIR mental health2023

Efficacy, Safety, and Evaluation Criteria of mHealth Interventions for Depression: Systematic Review.

Andrea Duarte-Díaz, Lilisbeth Perestelo-Pérez, Estel Gelabert, Noemí Robles, Antoni Pérez-Navarro, Josep Vidal-Alaball, Oriol Solà-Morales, Ariadna Sales Masnou, Carme Carrion

Open access · goldAbstract readReview
In one paragraph

Review in JMIR mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.3field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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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

9 authors at 5 institutions in 2 countries.

Andrea Duarte-DíazCanary Islands Health Research Institute Foundation (FIISC), El Rosario, Spain.ORCID https://orcid.org/0000-0003-1171-9945
Lilisbeth Perestelo-PérezNetwork for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Madrid, Spain.ORCID https://orcid.org/0000-0002-6113-7313
Estel GelabertDepartment of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Bellatera (Barcelona), Spain.ORCID https://orcid.org/0000-0001-5897-1932
Noemí RoblesNetwork for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Madrid, Spain.ORCID https://orcid.org/0000-0003-0740-9098
Antoni Pérez-NavarroFaculty of Computer Sciences, Multimedia and Telecommunication, Universitat Oberta de Catalunya (UOC), Barcelona, Spain.ORCID https://orcid.org/0000-0002-7037-0635
Josep Vidal-AlaballUnitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Sant Fruitós de Bages, Spain.ORCID https://orcid.org/0000-0002-3527-4242
Oriol Solà-MoralesFundació HiTT, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8312-8178
Ariadna Sales MasnouEstudis de Ciències de la Salut, Universitat Oberta de Catalunya (UOC), Barcelona, Spain.ORCID https://orcid.org/0009-0002-3602-7216
Carme CarrionNetwork for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Madrid, Spain.ORCID https://orcid.org/0000-0003-1479-7551
Universitat Oberta de Catalunya · ESRed de Investigación en Actividades Preventivas y Promoción de la Salud · ESUniversitat Autònoma de Barcelona · ESUniversitat de Vic - Universitat Central de Catalunya · ESUniversitat Internacional de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is a significant public health issue that can lead to considerable disability and reduced quality of life. With the rise of technology, mobile health (mHealth) interventions, particularly smartphone apps, are emerging as a promising approach for addressing depression. However, the lack of standardized evaluation tools and evidence-based principles for these interventions remains a concern.

objectiveIn this systematic review and meta-analysis, we aimed to evaluate the efficacy and safety of mHealth interventions for depression and identify the criteria and evaluation tools used for their assessment.

methodsA systematic review and meta-analysis of the literature was carried out following the recommendations of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Studies that recruited adult patients exhibiting elevated depressive symptoms or those diagnosed with depressive disorders and aimed to assess the effectiveness or safety of mHealth interventions were eligible for consideration. The primary outcome of interest was the reduction of depressive symptoms, and only randomized controlled trials (RCTs) were included in the analysis. The risk of bias in the original RCTs was assessed using version 2 of the Cochrane risk-of-bias tool for randomized trials.

resultsA total of 29 RCTs were included in the analysis after a comprehensive search of electronic databases and manual searches. The efficacy of mHealth interventions in reducing depressive symptoms was assessed using a random effects meta-analysis. In total, 20 RCTs had an unclear risk of bias and 9 were assessed as having a high risk of bias. The most common element in mHealth interventions was psychoeducation, followed by goal setting and gamification strategies. The meta-analysis revealed a significant effect for mHealth interventions in reducing depressive symptoms compared with nonactive control (Hedges g=-0.62, 95% CI -0.87 to -0.37, I

conclusionsThis review suggests that mHealth interventions can be effective in reducing depressive symptoms, with hybrid interventions achieving the best results. However, the high level of heterogeneity in the characteristics and components of mHealth interventions indicates the need for personalized approaches that consider individual differences, preferences, and needs. It is also important to prioritize evidence-based principles and standardized evaluation tools for mHealth interventions to ensure their efficacy and safety in the treatment of depression. Overall, the findings of this study support the use of mHealth interventions as a viable method for delivering mental health care.

trial registrationPROSPERO CRD42022304684; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=304684.

Indexed as

appsdepressionmeta-analysismHealthmobile healthsystematic review

Identifiers

PMID37756042
PMCPMC10568392
OpenAlexW4387077107

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.