Evidence map›Paper›PMID 40921068›Full record

ArticleJournal of medical Internet research2025

Concepts for the Integration and Implementation of mHealth Apps for Patients With Mental Disorders: Scoping Review.

Felix Plescher, Klemens Höfer, Jürgen Wasem, Anna Bußmann, Stefanie Solar, Michael Minor, Sarah Schlierenkamp, Dieter Best, Josepha Katzmann, Enno Maaß and 4 more

Abstract readScoping Review
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Felix PlescherInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID 0009-0008-1739-9931
Klemens HöferInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID 0009-0009-5028-9184
Jürgen WasemInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0001-9653-168X
Anna BußmannEssen Institute for Health Care Management and Research (EsFoMed), Essen, Germany.ORCID 0000-0002-9827-9083
Stefanie SolarEssen Institute for Health Care Management and Research (EsFoMed), Essen, Germany.ORCID 0009-0003-9551-3115
Michael MinorEssen Institute for Health Care Management and Research (EsFoMed), Essen, Germany.ORCID 0009-0007-2138-0304
Sarah SchlierenkampEssen Institute for Health Care Management and Research (EsFoMed), Essen, Germany.ORCID 0009-0008-9297-9020
Dieter BestGerman Psychotherapists Association (DPtV), Berlin, Germany.ORCID 0009-0008-5777-2251
Josepha KatzmannGerman Psychotherapists Association (DPtV), Berlin, Germany.ORCID 0000-0002-8328-092X
Enno MaaßGerman Psychotherapists Association (DPtV), Berlin, Germany.ORCID 0009-0005-4433-4138
Udo SchneiderTechniker Krankenkasse, Hamburg, Germany.ORCID 0000-0001-7079-4721
Anja WadeckTechniker Krankenkasse, Hamburg, Germany.ORCID 0009-0002-8204-2038
Sophia ZanderTechniker Krankenkasse, Hamburg, Germany.ORCID 0009-0006-2486-4630
Carina AbelsInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0003-2138-2944

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental and behavioral disorders affect approximately 28% of the adult population in Germany per year, with treatment being provided through a diverse health care system. Yet there are access and capacity problems in outpatient mental health care. One innovation that could help reduce these barriers and improve the current state of care is the use of mobile health (mHealth) apps, known in Germany as Digitale Gesundheitsanwendungen (DiGA). DiGA are certified apps reimbursed by statutory health insurance funds. They are evaluated before use, for example, by proving their medical benefit in clinical studies, or approved for use according to the concept of "coverage with evidence development." Most DiGA currently included in the DiGA directory are approved for use by people with mental disorders. However, the low and stagnant use numbers point to barriers to their uptake and integration in the German health care system. The analysis of concepts for implementation and integration is important to find effective ways to realize the potential of these apps in mental health care.

objectiveThis scoping review aimed to identify concepts and frameworks for the successful integration of mHealth apps into international health care systems and how they can be adapted and transferred to DiGA used in the German health care system.

methodsThe scoping review followed the methodological framework for scoping reviews proposed by Arksey and O'Malley. The scientific databases PubMed, Embase, and PsycINFO were searched. A 2-stage (title and abstract, followed by full text) screening process was conducted by 2 different reviewers independently.

resultsA total of 3710 publications were identified. Of these, 20 were included in the review, with 3 additional studies identified through a targeted search. Results are presented in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist. The literature identified through this scoping review provides an overview of a variety of aspects of mHealth apps for mental disorders and their integration into health care systems. There are different general, organizational, legal, and technical requirements to create a suitable environment, therefore specific concepts for integration and implementation of mHealth apps are necessary. We identified regulatory concepts, for example, directories for mHealth apps, and care-related concepts, for example, training and support of medical professionals. The generated evidence contributes to improved and user-oriented structures and processes, potentially leading to better patient support through mHealth apps.

conclusionsEvidence already shows that mHealth apps can effectively support patients with mental health disorders. To realize this potential, mHealth apps need to work within the structures and processes of health care systems. Therefore, this scoping review provides insights on the integration of mHealth apps into (outpatient) mental health care.

Indexed as

Mental DisordersMobile ApplicationsTelemedicineGermanyHumansDiGADigitale Gesundheitsanwendungendigital healthimplementationintegrationmental disordersmental illnessmHealth appsmobile healthmobile health appsscoping review

Identifiers

PMID40921068
PMCPMC12455162

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.