Battistotti Vieira Bárbara, Savoy Léa, Acuña Luna Kathya, Flahault Antoine, Hasselgard-Rowe Jennifer
Global Studies Institute, University of Geneva, 1205 Geneva, Switzerland.
Faculty of Medicine, Institute of Global Health, University of Geneva, 1211 Geneva, Switzerland.
Int J Environ Res Public Health. 2025 Apr 17;22(4):628. doi: 10.3390/ijerph22040628.
Mental health disorders have a high prevalence in Latin America (LATAM), with an estimated 6.7% of the population suffering from anxiety and 4% from depression. Digital mental health interventions (DMHIs) have been implemented to address these issues. However, there has yet to be a clear picture of these interventions in the region. This scoping review aims to analyze DMHIs' characteristics and the barriers and facilitators for their implementation in five LATAM countries (Brazil, Chile, Colombia, Mexico, and Peru). To achieve this goal, four databases (PubMed, APA PsycNet, Scielo, and LILACS) were searched using relevant search terms in English, Spanish, and Portuguese. A total of 484 references were identified and narrowed down to 15 articles included in the final analysis. The studies mostly consisted of RCTs and mixed-methods studies. Most of the DMHIs were designed for individuals, with a focus on targeted communication and personal health tracking. Interventions targeting healthcare professionals were less common, primarily focusing on decisional support. The most prominent barriers to the successful implementation of DMHIs included insufficient healthcare professional training (40%) and resistance from clinicians and organizational culture (40%), while common facilitators included easy access to the interventions (46.7%) and increased training and support for clinical teams (46.7%). Positive outcomes were reported in terms of both effectiveness (33.3%), with many interventions showing results equal to or better than traditional methods (33.3%), and patient satisfaction (33.3%).
心理健康障碍在拉丁美洲（LATAM）的患病率很高，估计有6.7%的人口患有焦虑症，4%患有抑郁症。为解决这些问题，已实施了数字心理健康干预措施（DMHIs）。然而，该地区这些干预措施的情况仍不清晰。本范围综述旨在分析五个拉丁美洲国家（巴西、智利、哥伦比亚、墨西哥和秘鲁）数字心理健康干预措施的特点及其实施的障碍和促进因素。为实现这一目标，使用英语、西班牙语和葡萄牙语的相关检索词在四个数据库（PubMed、APA PsycNet、Scielo和LILACS）中进行了检索。共识别出484篇参考文献，并筛选出15篇纳入最终分析的文章。这些研究大多包括随机对照试验和混合方法研究。大多数数字心理健康干预措施是针对个人设计的，重点是定向沟通和个人健康跟踪。针对医疗保健专业人员的干预措施较少见，主要侧重于决策支持。数字心理健康干预措施成功实施的最突出障碍包括医疗保健专业人员培训不足（40%）以及临床医生和组织文化的抵制（40%），而常见的促进因素包括干预措施易于获取（46.7%）以及对临床团队的培训和支持增加（46.7%）。在有效性（33.3%）方面报告了积极结果，许多干预措施显示出与传统方法相当或更好的效果（33.3%），在患者满意度方面也有积极结果（33.3%）。
