Evidence map›Paper›PMID 39525561›Full record

ReviewDigital health

Effective elements of eHealth interventions for mental health and well-being in children and adolescents: A systematic review.

Evelien Dietvorst, Lianne P de Vries, Stephanie van Eijl, Esther Mesman, Jeroen S Legerstee, Loes Keijsers, Manon H J Hillegers, Annabel Vreeker

Abstract readReview
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
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

8 authors.

Evelien DietvorstDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-7353-9539
Lianne P de VriesDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
Stephanie van EijlDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
Esther MesmanDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jeroen S LegersteeDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
Loes KeijsersDepartment of Psychology, Education & Child Studies, Erasmus School of Social and Behavioural Sciences, Rotterdam, The Netherlands.
Manon H J HillegersDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
Annabel VreekerDepartment of Child and Adolescents Psychiatry/Psychology Erasmus MC Sophia Children's Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mental health problems among children and adolescents increased in recent years, while mental health services are overburdened with long waiting lists. eHealth interventions, that is, interventions delivered digitally via apps or websites, offer a promising approach to prevent and efficiently treat emerging mental health problems in youth. Over the past years, rapid technological progress has led to diverse eHealth interventions for youth mental health. However, a structured overview of effective eHealth elements and mechanisms through which interventions aim to improve mental health is lacking. The aim of this pre-registered systematic review is to identify elements of eHealth interventions that improve mental health and well-being in children and adolescents aged 10-25 from both clinical and general populations. Methods: This systematic review conducted in April 2023 in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines identified 108 studies and 103 distinct interventions between 2011-2023. The overall sample size was 33,435 participants (30.7% male, mean age = 18.4 years, Results: The interventions were heterogeneous in design, method of delivery, target group and outcome measures. Overall, 77.7% of the studies showed a positive significant association between eHealth intervention and mental health or well-being. Elements that were often related to improved mental health and well-being were cognitive behavioural therapy (CBT) or self-monitoring as therapeutic principles, blended approaches combining eHealth with traditional therapy, peer/parental involvement and technological gamification elements, such as rewards. Conclusions: Elements of youth eHealth interventions that appear to positively impact mental health or well-being are (a) CBT-based, (b) self-monitoring (c) blended interventions, (d) peer or parental involvement or (e) gamification. Future directions for the development and implementation of eHealth interventions for youth are discussed.

Indexed as

adolescentschildreneffective elementsEHealth interventionmental healthsystematic reviewwell-being

Identifiers

PMID39525561
PMCPMC11544686

What OpenQuestion holds

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Registered trials

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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.