数字心理健康干预措施在工作场所的有效性：系统评价的伞状综述

Effectiveness of Digital Mental Health Interventions in the Workplace: Umbrella Review of Systematic Reviews.

作者信息

Cameron Gillian, Mulvenna Maurice, Ennis Edel, O'Neill Siobhan, Bond Raymond, Cameron David, Bunting Alex

机构信息

School of Computing, Ulster University, Belfast, United Kingdom.

School of Psychology, Ulster University, Coleraine, United Kingdom.

出版信息

JMIR Ment Health. 2025 Jan 24;12:e67785. doi: 10.2196/67785.

DOI:10.2196/67785

PMID:39854722

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11806266/

Abstract

BACKGROUND

There is potential for digital mental health interventions to provide affordable, efficient, and scalable support to individuals. Digital interventions, including cognitive behavioral therapy, stress management, and mindfulness programs, have shown promise when applied in workplace settings.

OBJECTIVE

The aim of this study is to conduct an umbrella review of systematic reviews in order to critically evaluate, synthesize, and summarize evidence of various digital mental health interventions available within a workplace setting.

METHODS

A systematic search was conducted to identify systematic reviews relating to digital interventions for the workplace, using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). The review protocol was registered in the Open Science Framework. The following databases were searched: PubMed, Web of Science, MEDLINE, PsycINFO, and Cochrane Library. Data were extracted using a predefined extraction table. To assess the methodological quality of a study, the AMSTAR-2 tool was used to critically appraise systematic reviews of health care interventions.

RESULTS

The literature search resulted in 11,875 records, which was reduced to 14 full-text systematic literature reviews with the use of Covidence to remove duplicates and screen titles and abstracts. The 14 included reviews were published between 2014 and 2023, comprising 9 systematic reviews and 5 systematic reviews and meta-analyses. AMSTAR-2 was used to complete a quality assessment of the reviews, and the results were critically low for 7 literature reviews and low for the other 7 literature reviews. The most common types of digital intervention studied were cognitive behavioral therapy, mindfulness/meditation, and stress management followed by other self-help interventions. Effectiveness of digital interventions was found for many mental health symptoms and conditions in employee populations, such as stress, anxiety, depression, burnout, and psychological well-being. Factors such as type of technology, guidance, recruitment, tailoring, and demographics were found to impact effectiveness.

CONCLUSIONS

This umbrella review aimed to critically evaluate, synthesize, and summarize evidence of various digital mental health interventions available within a workplace setting. Despite the low quality of the reviews, best practice guidelines can be derived from factors that impact the effectiveness of digital interventions in the workplace.

TRIAL REGISTRATION

OSF Registries osf.io/rc6ds; https://doi.org/10.17605/OSF.IO/RC6DS.

摘要

背景

数字心理健康干预措施有潜力为个人提供经济实惠、高效且可扩展的支持。包括认知行为疗法、压力管理和正念计划在内的数字干预措施在应用于工作场所时已显示出前景。

目的

本研究的目的是对系统评价进行伞状综述，以便严格评估、综合和总结工作场所环境中可用的各种数字心理健康干预措施的证据。

方法

使用PRISMA（系统评价和Meta分析的首选报告项目）进行系统检索，以识别与工作场所数字干预措施相关的系统评价。综述方案已在开放科学框架中注册。检索了以下数据库：PubMed、科学网、MEDLINE、PsycINFO和Cochrane图书馆。使用预定义的提取表提取数据。为评估研究的方法学质量，使用AMSTAR-2工具对医疗保健干预措施的系统评价进行严格评估。

结果

文献检索共获得11,875条记录，通过使用Covidence去除重复记录并筛选标题和摘要后，减少至14篇全文系统文献综述。纳入的14篇综述发表于2014年至2023年之间，包括9篇系统评价和5篇系统评价及Meta分析。使用AMSTAR-2对这些综述进行质量评估，结果显示7篇文献综述的质量极低，另外7篇文献综述的质量较低。研究中最常见的数字干预类型是认知行为疗法、正念/冥想和压力管理，其次是其他自助干预措施。在员工群体中，发现数字干预措施对许多心理健康症状和状况有效，如压力、焦虑、抑郁、倦怠和心理健康。发现技术类型、指导、招募、定制和人口统计学等因素会影响有效性。