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Digital health interventions for the management of mental health in people with chronic diseases: a rapid review

Sasseville Maxime, LeBlanc Annie, Boucher Mylène, Dugas Michèle, Mbemba Gisele, Tchuente Jack, Chouinard Maud-Christine, Beaulieu Marianne, Beaudet Nicolas, Skidmore Becky, Cholette Pascale, Aspiros Christine, Larouche Alain, Chabot Guylaine et Gagnon Marie-Pierre. (2021). Digital health interventions for the management of mental health in people with chronic diseases: a rapid review. BMJ Open, 11, (4), e044437.

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Objective: Determine the effectiveness of digital mental health interventions for individuals with a concomitant chronic disease.

Design: We conducted a rapid review of systematic reviews. Two reviewers independently conducted study selection and risk of bias evaluation. A standardised extraction form was used. Data are reported narratively.

Interventions: We included systematic reviews of digital health interventions aiming to prevent, detect or manage mental health problems in individuals with a pre-existing chronic disease, including chronic mental health illnesses, published in 2010 or after.

Main outcome measure: Reports on mental health outcomes (eg, anxiety symptoms and depression symptoms).

Results: We included 35 reviews, totalling 702 primary studies with a total sample of 50 692 participants. We structured the results in four population clusters: (1) chronic diseases, (2) cancer, (3) mental health and (4) children and youth. For populations presenting a chronic disease or cancer, health provider directed digital interventions (eg, web-based consultation, internet cognitive–behavioural therapy) are effective and safe. Further analyses are required in order to provide stronger recommendations regarding relevance for specific population (such as children and youth). Web-based interventions and email were the modes of administration that had the most reports of improvement. Virtual reality, smartphone applications and patient portal had limited reports of improvement.

Conclusions: Digital technologies could be used to prevent and manage mental health problems in people living with chronic conditions, with consideration for the age group and type of technology used.

Type de document:Article publié dans une revue avec comité d'évaluation
Version évaluée par les pairs:Oui
Identifiant unique:10.1136/bmjopen-2020-044437
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:general medicine, health informatics, mental health, general practice, chronic disease, médecine générale, informatique médicale, santé mentale, maladie chronique.
Déposé le:06 avr. 2021 17:23
Dernière modification:06 avr. 2021 17:23
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Creative Commons LicenseSauf indication contraire, les documents archivés dans Constellation sont rendus disponibles selon les termes de la licence Creative Commons "Paternité, pas d'utilisation commerciale, pas de modification" 2.5 Canada.

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