Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis

Digital mental health interventions (DMHIs) present a promising way to address gaps in mental health service provision. However, the relationship between user engagement and outcomes in the context of these interventions has not been established. This study addressed the current state of evidence on...

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Autores principales:	Daniel Z. Q. Gan, Lauren McGillivray, Jin Han, Helen Christensen, Michelle Torok
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	digital mental health eHealth mHealth systematic review meta-analysis Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95
Acceso en línea:	https://doaj.org/article/5ae4c60f126644f096736d58ed407648
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spelling	oai:doaj.org-article:5ae4c60f126644f096736d58ed4076482021-11-04T04:56:25ZEffect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis2673-253X10.3389/fdgth.2021.764079https://doaj.org/article/5ae4c60f126644f096736d58ed4076482021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fdgth.2021.764079/fullhttps://doaj.org/toc/2673-253XDigital mental health interventions (DMHIs) present a promising way to address gaps in mental health service provision. However, the relationship between user engagement and outcomes in the context of these interventions has not been established. This study addressed the current state of evidence on the relationship between engagement with DMHIs and mental health outcomes. MEDLINE, PsycINFO, and EmBASE databases were searched from inception to August 1, 2021. Original or secondary analyses of randomized controlled trials (RCTs) were included if they examined the relationship between DMHI engagement and post-intervention outcome(s). Thirty-five studies were eligible for inclusion in the narrative review and 25 studies had sufficient data for meta-analysis. Random-effects meta-analyses indicated that greater engagement was significantly associated with post-intervention mental health improvements, regardless of whether this relationship was explored using correlational [r = 0.24, 95% CI (0.17, 0.32), Z = 6.29, p < 0.001] or between-groups designs [Hedges' g = 0.40, 95% CI (0.097, 0.705), p = 0.010]. This association was also consistent regardless of intervention type (unguided/guided), diagnostic status, or mental health condition targeted. This is the first review providing empirical evidence that engagement with DMHIs is associated with therapeutic gains. Implications and future directions are discussed.Systematic Review Registration: PROSPERO, identifier: CRD 42020184706.Daniel Z. Q. GanLauren McGillivrayJin HanHelen ChristensenMichelle TorokFrontiers Media S.A.articledigital mental healtheHealthmHealthsystematic reviewmeta-analysisMedicineRPublic aspects of medicineRA1-1270Electronic computers. Computer scienceQA75.5-76.95ENFrontiers in Digital Health, Vol 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	digital mental health eHealth mHealth systematic review meta-analysis Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95
spellingShingle	digital mental health eHealth mHealth systematic review meta-analysis Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95 Daniel Z. Q. Gan Lauren McGillivray Jin Han Helen Christensen Michelle Torok Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
description	Digital mental health interventions (DMHIs) present a promising way to address gaps in mental health service provision. However, the relationship between user engagement and outcomes in the context of these interventions has not been established. This study addressed the current state of evidence on the relationship between engagement with DMHIs and mental health outcomes. MEDLINE, PsycINFO, and EmBASE databases were searched from inception to August 1, 2021. Original or secondary analyses of randomized controlled trials (RCTs) were included if they examined the relationship between DMHI engagement and post-intervention outcome(s). Thirty-five studies were eligible for inclusion in the narrative review and 25 studies had sufficient data for meta-analysis. Random-effects meta-analyses indicated that greater engagement was significantly associated with post-intervention mental health improvements, regardless of whether this relationship was explored using correlational [r = 0.24, 95% CI (0.17, 0.32), Z = 6.29, p < 0.001] or between-groups designs [Hedges' g = 0.40, 95% CI (0.097, 0.705), p = 0.010]. This association was also consistent regardless of intervention type (unguided/guided), diagnostic status, or mental health condition targeted. This is the first review providing empirical evidence that engagement with DMHIs is associated with therapeutic gains. Implications and future directions are discussed.Systematic Review Registration: PROSPERO, identifier: CRD 42020184706.
format	article
author	Daniel Z. Q. Gan Lauren McGillivray Jin Han Helen Christensen Michelle Torok
author_facet	Daniel Z. Q. Gan Lauren McGillivray Jin Han Helen Christensen Michelle Torok
author_sort	Daniel Z. Q. Gan
title	Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
title_short	Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
title_full	Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
title_fullStr	Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
title_full_unstemmed	Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis
title_sort	effect of engagement with digital interventions on mental health outcomes: a systematic review and meta-analysis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/5ae4c60f126644f096736d58ed407648
work_keys_str_mv	AT danielzqgan effectofengagementwithdigitalinterventionsonmentalhealthoutcomesasystematicreviewandmetaanalysis AT laurenmcgillivray effectofengagementwithdigitalinterventionsonmentalhealthoutcomesasystematicreviewandmetaanalysis AT jinhan effectofengagementwithdigitalinterventionsonmentalhealthoutcomesasystematicreviewandmetaanalysis AT helenchristensen effectofengagementwithdigitalinterventionsonmentalhealthoutcomesasystematicreviewandmetaanalysis AT michelletorok effectofengagementwithdigitalinterventionsonmentalhealthoutcomesasystematicreviewandmetaanalysis
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Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis

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