老年人抑郁和焦虑的数字干预措施：系统评价方案

Digital Interventions for Depression and Anxiety in Older Adults: Protocol for a Systematic Review.

作者信息

Riadi Indira, Kervin Lucy, Teo Kelly, Churchill Ryan, Cosco Theodore D

机构信息

Gerontology Research Centre, Simon Fraser University, Vancouver, BC, Canada.

Oxford Institute of Population Ageing, University of Oxford, Oxford, United Kingdom.

出版信息

JMIR Res Protoc. 2020 Dec 23;9(12):e22738. doi: 10.2196/22738.

DOI:10.2196/22738

PMID:33355095

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7787887/

Abstract

BACKGROUND

There is a high prevalence of older adults experiencing depression and anxiety. In response to heightened demands for mental health interventions that are accessible and affordable, there has been a recent rise in the number of digital mental health interventions (DMHIs) that have been developed and incorporated into mental health treatments. Digital interventions are promising in their ability to provide researchers, medical practitioners, and patients with personalized tools for assessing behavior, consultation, treatment, and care that can be used remotely. Reviews and meta-analyses have shown the benefits of DMHIs for the treatment and prevention of depression, anxiety, and other mental illnesses, but there is still a lack of studies that focus on the benefits and use of DMHIs in the older population.

OBJECTIVE

The aim of this systematic review is to investigate the current evidence for the effect of technology-delivered interventions, such as smartphone/tablet applications, remote monitoring and tracking devices, and wearable technology, for the treatment and prevention of depression and anxiety in adults older than 50 years.

METHODS

The academic databases SCOPUS, PsycINFO, AgeLine (EBSCO), and Medline (PubMed) will be searched from January 1, 2010, to the date of search commencement to provide a review of existing randomized controlled trial studies. The search will include 3 key concepts: "older adults," "digital intervention," and "depression/anxiety." A set of inclusion criteria will be followed during screening by two reviewers. Data will be extracted to address aims and objectives of the review. The risk of bias for each study will be determined using appropriate tools. If possible, a random-effects meta-analysis will be performed, and the heterogeneity of effect sizes will be calculated.

RESULTS

Preliminary searches were conducted in September 2020. The review is anticipated to be completed by April 2021.

CONCLUSIONS

The data accumulated in this systematic review will demonstrate the potential benefits of technology-delivered interventions for the treatment of depression and anxiety disorders in older adults. This review will also identify any gaps in current studies of aging and mental health interventions, thereby navigating a way to move forward and paving the path to more accessible and user-friendly digital health interventions for the diverse population of older adults.

TRIAL REGISTRATION

PROSPERO International Prospective Register of Systematic Reviews CRD42020192532; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020192532.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/22738.

摘要

背景

老年成年人中抑郁症和焦虑症的患病率很高。为了应对对可及且负担得起的心理健康干预措施的更高需求，最近开发并纳入心理健康治疗的数字心理健康干预措施（DMHI）数量有所增加。数字干预措施有望为研究人员、医生和患者提供可远程使用的个性化工具，用于评估行为、咨询、治疗和护理。综述和荟萃分析表明，DMHI对抑郁症、焦虑症和其他精神疾病的治疗和预防有益，但仍缺乏关注DMHI在老年人群中的益处和使用情况的研究。

目的

本系统综述的目的是调查技术提供的干预措施，如智能手机/平板电脑应用程序、远程监测和跟踪设备以及可穿戴技术，对50岁以上成年人抑郁症和焦虑症治疗和预防效果的现有证据。

方法

将检索学术数据库SCOPUS、PsycINFO、AgeLine（EBSCO）和Medline（PubMed），检索时间从2010年1月1日至检索开始日期，以对现有的随机对照试验研究进行综述。检索将包括3个关键概念：“老年人”、“数字干预”和“抑郁症/焦虑症”。两名评审员在筛选过程中将遵循一套纳入标准。将提取数据以实现综述的目的。将使用适当的工具确定每项研究的偏倚风险。如果可能，将进行随机效应荟萃分析，并计算效应大小的异质性。