Abuwalla Zach, Clark Maureen D, Burke Brendan, Tannenbaum Viktorya, Patel Sarvanand, Mitacek Ryan, Gladstone Tracy, Van Voorhees Benjamin
Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA.
Library of the Health Sciences, Department of Medical Education, University of Illinois at Chicago, Chicago, IL, USA.
Internet Interv. 2017 Nov 26;11:20-29. doi: 10.1016/j.invent.2017.11.006. eCollection 2018 Mar.
This rapid review identifies and summarizes the effectiveness of preventative telemental health interventions. It investigates studies conducted between 2010 and 2016 that improve mood and anxiety with long-term follow-up.
A literature search of three major databases was performed by four reviewers. After citation tracing, 3604 studies were discovered, and twenty of these met the inclusion criteria. Data from the papers were abstracted, assessed for quality, and effect sizes were calculated.
Salient information was discussed using the Behavioural Vaccine Model of mental illness prevention. This included key concepts such as efficacy, duration of benefits, sociocultural relevance, professional guidance, peer-to-peer support, adherence, delivery and safety.
This review suggests there are clear prolonged benefits to using technology in youth mental illness prevention. Although this is a rapidly growing area of investigation in countries around the globe, there is still a dearth of research with long-term follow-up. Future studies should aim to boost engagement by increasing motivational guidance in order to recruit at-risk youth of all demographics into these promising intervention programs.
本快速综述识别并总结了预防性远程心理健康干预措施的有效性。它调查了2010年至2016年间进行的、具有长期随访且能改善情绪和焦虑状况的研究。
由四位评审人员对三个主要数据库进行文献检索。在进行引文追踪后，共发现3604项研究，其中20项符合纳入标准。提取了论文中的数据，评估了质量，并计算了效应量。
使用精神疾病预防的行为疫苗模型对重要信息进行了讨论。这包括疗效、益处持续时间、社会文化相关性、专业指导、同伴支持、依从性、实施方式和安全性等关键概念。
本综述表明，在青少年精神疾病预防中使用技术有明显的长期益处。尽管这是全球各国一个快速发展的研究领域，但仍缺乏长期随访研究。未来的研究应旨在通过增加动机指导来提高参与度，以便将所有人口统计学特征的高危青少年纳入这些有前景的干预项目。
