Trial Registration: PROSPERO CRD42022307695 JMIR Public Health Surveill 2023 9:e43730 doi:10.2196/43730 KeywordsĪs of October 5, 2022, there were 624.4 million confirmed cases of COVID-19 spread over 228 countries and territories, and COVID-19 has claimed the lives of 6.6 million individuals. An expanded research agenda is needed to apply different strategies for addressing diverse psychological needs and develop integrated mental health services in the post–COVID-19 era. The results of the meta-analysis showed that digital mental health interventions were associated with a small reduction in depressive symptoms (standardized mean difference=−0.49 95% CI −0.74 to −0.24 P<.001) and a moderate reduction in anxiety symptoms (standardized mean difference=−0.66 95% CI −1.23 to −1.0 P=.02) significantly.Ĭonclusions: The findings suggest that digital mental health interventions may be practical and helpful for the general population, at-risk individuals, and patients with preexisting mental disorders across high-income and middle-income countries. Psychotherapy (44/65, 67.7%) followed by psychoeducation (6/65, 9.2%) and psychological support (5/65, 7.7%) were commonly used. A total of 15 (23.1%) studies measured the usability 31 (47.7%) studies evaluated the feasibility 29 (44.6%) studies assessed the acceptability and 51 (78.5%) studies assessed the efficacy. Of the 65 studies, 16 (24.6%) were included in the meta-analysis. In total, 65 (0.9%) studies from 18 countries with 67,884 participants were eligible for the scoping review. Results: This review identified 7506 articles through database searching. The protocol was registered on the International Prospective Register of Systematic Reviews. Two review authors screened, assessed, and extracted studies independently. We implemented searches in PubMed (MEDLINE), Embase, PsycINFO, and Cochrane databases for studies that were published between December 2019 and November 2021 and that involved the use of digital mental health services. Methods: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guideline. Objective: In this study, we aimed to understand what mental health services are offered, whether they are practical or acceptable, and to what extent digital mental health services are effective in response to the COVID-19 pandemic across high-income and low- and middle-income countries. Although digital mental health services expand accessibility while removing many barriers to in-person therapy, their usability, feasibility, acceptability, and efficacy require continued monitoring during the initial phase of the pandemic and its aftermath. The Affiliated Brain Hospital of Guangzhou Medical Universityīackground: After the rapid spread of the novel SARS-CoV-2, the short-term and long-term mental health impacts of the pandemic on the public, in particular on susceptible individuals, have been reported worldwide. JMIR Bioinformatics and Biotechnology 31 articles.JMIR Biomedical Engineering 66 articles.Journal of Participatory Medicine 76 articles.JMIR Perioperative Medicine 86 articles.JMIR Rehabilitation and Assistive Technologies 189 articles.JMIR Pediatrics and Parenting 266 articles.Interactive Journal of Medical Research 286 articles.JMIR Public Health and Surveillance 1071 articles.Journal of Medical Internet Research 7222 articles.
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