低收入和中等收入国家老年人常见心理健康问题的数字干预措施：一项范围综述
Digital interventions for common mental health problems among older adults in low- and middle-income countries: a scoping review.
作者信息
Saha Indranil, Sundström Christopher, Kandasamy Arun, Kraepelien Martin, Dayia Neha, Saha Asim, Jayaram-Lindström Nitya, Chakrabarti Amit, Benegal Vivek
机构信息
Centre for Ageing and Mental Health, Indian Council of Medical Research, Kolkata, West Bengal, India.
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
出版信息
BMJ Glob Health. 2025 Jun 24;10(6):e017836. doi: 10.1136/bmjgh-2024-017836.
BACKGROUND
The proportion of older adults is projected to rise dramatically in most parts of the world, and in 2050, 80% of all older adults (≥65 years) will reside in low- and middle-income countries. Developing digital interventions tailored to this population will be a crucial part in appropriately addressing the challenges associated with the upcoming demographic changes. The objective of this scoping review was to map all published research on digital interventions for common mental health problems among older adults conducted in low- and middle-income countries.
METHODS
We conducted a literature search in four databases (PubMed, Embase, Scopus and Cochrane Library) and conducted hand searches of existing reviews and reference lists of included studies. Eligibility criteria were that (1) the study investigated or discussed digital interventions for common mental health problems (depression, anxiety, sleep problems and/or substance use problems), (2) the study concerned older adults (at least 60 years or older), (3) the study was conducted in a low- or middle-income country and (4) the study was published in English in a peer-reviewed academic journal. Two reviewers independently screened, reviewed and extracted data.
RESULTS
Out of 1344 identified studies, 6 were included. The hand searches rendered no additional studies, leaving a total of six included studies. Four of these studies included quantitative data: of these, three were randomised controlled trials and one was a feasibility study. All focused on depression/loneliness and were published in middle-income countries (South Africa, Brazil and Turkey), and showed promising results in terms of reductions in social isolation and depression. In addition, two expert opinions had been published, both also conducted in a middle-income country (India).
CONCLUSION
Despite the projected demographic transition, surprisingly little research appears to have been conducted on digital interventions for common mental health disorders among older adults in low- and middle-income countries.
REGISTRATION
https://osf.io/bmdnv Open Science Framework.
背景
预计在世界大部分地区，老年人的比例将急剧上升，到2050年，所有老年人（≥65岁）中有80%将居住在低收入和中等收入国家。开发适合这一人群的数字干预措施将是妥善应对即将到来的人口结构变化所带来挑战的关键部分。本范围综述的目的是梳理在低收入和中等收入国家开展的、关于针对老年人常见心理健康问题的数字干预措施的所有已发表研究。
方法
我们在四个数据库（PubMed、Embase、Scopus和Cochrane图书馆）中进行了文献检索，并对现有综述以及纳入研究的参考文献列表进行了手工检索。纳入标准为：（1）研究调查或讨论了针对常见心理健康问题（抑郁症、焦虑症、睡眠问题和/或物质使用问题）的数字干预措施；（2）研究涉及老年人（至少60岁及以上）；（3）研究在低收入或中等收入国家进行；（4）研究以英文发表在同行评审的学术期刊上。两名评审员独立筛选、评审并提取数据。
结果
在1344项识别出的研究中，纳入了6项。手工检索未发现其他研究，总共纳入6项研究。其中4项研究包含定量数据：其中3项为随机对照试验，1项为可行性研究。所有研究都聚焦于抑郁症/孤独感，且发表于中等收入国家（南非、巴西和土耳其），在减少社会隔离和抑郁症方面显示出有前景的结果。此外，还发表了两篇专家意见，均也在中等收入国家（印度）进行。
结论
尽管预计会出现人口结构转变，但令人惊讶的是，针对低收入和中等收入国家老年人常见心理健康障碍的数字干预措施的研究似乎很少。
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