Systematic review and meta-analysis of adverse events in clinical trials of mental health apps

被引：7

作者：

Linardon, Jake ^{[1
,2
]}

Fuller-Tyszkiewicz, Matthew ^{[1
,2
]}

Firth, Joseph ^{[3
,4
]}

Goldberg, Simon B. ^{[5
,6
]}

Anderson, Cleo ^{[1
]}

Mcclure, Zoe ^{[1
]}

Torous, John ^{[7
]}

机构：

[1] Deakin Univ, Sch Psychol, Geelong, Vic, Australia

[2] Deakin Univ, Ctr Social & Early Emot Dev, Burwood, Vic, Australia

[3] Univ Manchester, Manchester Acad Hlth Sci Ctr, Div Psychol & Mental Hlth, Manchester, England

[4] Greater Manchester Mental Hlth NHS Fdn Trust, Manchester Acad Hlth Sci Ctr, Manchester, England

[5] Univ Wisconsin, Dept Counselling Psychol, Madison, WI USA

[6] Univ Wisconsin, Ctr Hlth Minds, Madison, WI USA

[7] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Psychiat, Div Digital Psychiat, Boston, MA USA

来源：

NPJ DIGITAL MEDICINE | 2024年 / 7卷 / 01期

基金：

美国国家卫生研究院; 英国科研创新办公室; 英国医学研究理事会;

关键词：

RANDOMIZED CONTROLLED-TRIAL; GUIDED SELF-HELP; SMARTPHONE APP; DEPRESSIVE SYMPTOMS; SUICIDE-PREVENTION; MOBILE APPLICATION; YOUNG-ADULTS; PTSD COACH; INTERVENTION; DISORDER;

D O I：

10.1038/s41746-024-01388-y

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Mental health apps are efficacious, yet they may pose risks in some. This review (CRD42024506486) examined adverse events (AEs) from mental health apps. We searched (May 2024) the Medline, PsycINFO, Web of Science, and ProQuest databases to identify clinical trials of mental health apps. The risk of bias was assessed using the Cochrane Risk of Bias tool. Only 55 of 171 identified clinical trials reported AEs. AEs were more likely to be reported in trials sampling schizophrenia and delivering apps with symptom monitoring technology. The meta-analytic deterioration rate from 13 app conditions was 6.7% (95% CI = 4.3, 10.1, I2 = 75%). Deterioration rates did not differ between app and control groups (OR = 0.79, 95% CI = 0.62-1.01, I2 = 0%). Reporting of AEs was heterogeneous, in terms of assessments used, events recorded, and detail provided. Overall, few clinical trials of mental health apps report AEs. Those that do often provide insufficient information to properly judge risks related to app use.

引用

页数：22

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