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Review
. 2021 Mar 10;23(3):e23365.
doi: 10.2196/23365.

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

Christian Rauschenberg #  1   2 , Anita Schick #  1 , Dusan Hirjak  3 , Andreas Seidler  4 , Isabell Paetzold  1 , Christian Apfelbacher  5 , Steffi G Riedel-Heller  6 , Ulrich Reininghaus  1   7   8
Affiliations
Review

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

Christian Rauschenberg et al. J Med Internet Res. .

Abstract

Background: Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking.

Objective: The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic.

Methods: A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic.

Results: Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited.

Conclusions: There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.

Keywords: COVID-19; digital intervention; digital mental health; eHealth; intervention; mHealth; mental health promotion; prevention; public mental health; telemedicine.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Study selection.
See this image and copyright information in PMC

References

    1. Röhr Susanne, Müller Felix, Jung F, Apfelbacher C, Seidler A, Riedel-Heller SG. [Psychosocial Impact of Quarantine Measures During Serious Coronavirus Outbreaks: A Rapid Review] Psychiatr Prax. 2020 May;47(4):179–189. doi: 10.1055/a-1159-5562. http://www.thieme-connect.com/DOI/DOI?10.1055/a-1159-5562 - DOI - PMC - PubMed
    1. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020 Mar 14;395(10227):912–920. doi: 10.1016/S0140-6736(20)30460-8. - DOI - PMC - PubMed
    1. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, Ballard C, Christensen H, Cohen Silver R, Everall I, Ford T, John A, Kabir T, King K, Madan I, Michie S, Przybylski AK, Shafran R, Sweeney A, Worthman CM, Yardley L, Cowan K, Cope C, Hotopf M, Bullmore E. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry. 2020 Jun 15;7(6):547–560. doi: 10.1016/S2215-0366(20)30168-1. http://europepmc.org/abstract/MED/32304649 - DOI - PMC - PubMed
    1. McKibbin WJ, Fernando R. The Global Macroeconomic Impacts of COVID-19: Seven Scenarios. SSRN Journal. doi: 10.2139/ssrn.3547729. Preprint posted online Mar 4, 2020. - DOI
    1. Luykx JJ, Vinkers CH, Tijdink JK. Psychiatry in Times of the Coronavirus Disease 2019 (COVID-19) Pandemic: An Imperative for Psychiatrists to Act Now. JAMA Psychiatry. 2020 May 27;77(11):1097–98. doi: 10.1001/jamapsychiatry.2020.1225. - DOI - PubMed