Digital Interventions for Psychological Comorbidities in Chronic Diseases-A Systematic Review

被引:19
作者
Maisto, Marta [1 ]
Diana, Barbara [1 ]
Di Tella, Sonia [2 ]
Matamala-Gomez, Marta [1 ]
Montana, Jessica Isbely [1 ]
Rossetto, Federica [2 ]
Mavrodiev, Petar Aleksandrov [1 ]
Cavalera, Cesare [3 ]
Blasi, Valeria [2 ]
Mantovani, Fabrizia [1 ]
Baglio, Francesca [2 ]
Realdon, Olivia [1 ]
机构
[1] Univ Milano Bicocca, Ctr Studies Commun Sci Luigi Anolli, Dept Human Sci Educ Riccardo Massa, Piazza dellAteneo Nuovo 1, I-20126 Milan, Italy
[2] IRCCS Fdn Don Carlo Gnocchi ONLUS, Via Capecelatro 66, I-20148 Milan, Italy
[3] Univ Cattolica Sacro Cuore, Dept Psychol, Via Nirone 15, I-20123 Milan, Italy
关键词
telemedicine; digital health; chronic diseases; mental health; psychological comorbidities; depression; anxiety; OBSTRUCTIVE PULMONARY-DISEASE; COGNITIVE-BEHAVIORAL THERAPY; QUALITY-OF-LIFE; MENTAL-HEALTH; CARDIOVASCULAR-DISEASE; DIABETIC-PATIENTS; DEPRESSION; PREVALENCE; ANXIETY; TELEPHONE;
D O I
10.3390/jpm11010030
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
Chronic diseases represent one of the main causes of death worldwide. The integration of digital solutions in clinical interventions is broadly diffused today; however, evidence on their efficacy in addressing psychological comorbidities of chronic diseases is sparse. This systematic review analyzes and synthesizes the evidence about the efficacy of digital interventions on psychological comorbidities outcomes of specific chronic diseases. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search of PubMed, PsycInfo, Scopus and Web of Science databases was conducted. Only Randomized Controlled Trials (RCTs) were considered and either depression or anxiety had to be assessed to match the selection criteria. Of the 7636 identified records, 17 matched the inclusion criteria: 9 digital interventions on diabetes, 4 on cardiovascular diseases, 3 on Chronic Obstructive Pulmonary Disease (COPD) and one on stroke. Of the 17 studies reviewed, 14 found digital interventions to be effective. Quantitative synthesis highlighted a moderate and significant overall effect of interventions on depression, while the effect on anxiety was small and non-significant. Design elements making digital interventions effective for psychological comorbidities of chronic diseases were singled out: (a) implementing a communication loop with patients and (b) providing disease-specific digital contents. This focus on "how" to design technologies can facilitate the translation of evidence into practice.
引用
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页码:1 / 14
页数:14
相关论文
共 86 条
[1]   The Biopsychosocial-Digital Approach to Health and Disease: Call for a Paradigm Expansion [J].
Ahmadvand, Alireza ;
Gatchel, Robert ;
Brownstein, John ;
Nissen, Lisa .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2018, 20 (05)
[2]   Co-occurrence of diabetes and depression in the US [J].
Alva, Maria L. .
PLOS ONE, 2020, 15 (06)
[3]   The prevalence of comorbid depression in adults with diabetes - A meta-analysis [J].
Anderson, RJ ;
Freedland, KE ;
Clouse, RE ;
Lustman, PJ .
DIABETES CARE, 2001, 24 (06) :1069-1078
[4]  
[Anonymous], 2019, WHO guideline Recommendations on Digital Interventions for Health System Strengthening
[5]   An Internet- and Mobile-Based Tailored Intervention to Enhance Maintenance of Physical Activity After Cardiac Rehabilitation: Short-Term Results of a Randomized Controlled Trial [J].
Antypas, Konstantinos ;
Wangberg, Silje C. .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2014, 16 (03) :78-95
[6]   COVID-19 Pandemic and Burden of Non-Communicable Diseases: An Ecological Study on Data of 185 Countries [J].
Azarpazhooh, M. Reza ;
Morovatdar, Negar ;
Avan, Abolfazl ;
Phan, Thanh G. ;
Divani, Afshin A. ;
Yassi, Nawaf ;
Stranges, Saverio ;
Silver, Brian ;
Biller, Jose ;
Belasi, Masoud Tokazebani ;
Neya, Sepideh Kazemi ;
Khorram, Bita ;
Frydman, Asher ;
Nilanont, Yongchai ;
Onorati, Elisa ;
Di Napoli, Mario .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2020, 29 (09)
[7]   A randomised, controlled trial of the effects of a mobile telehealth intervention on clinical and patient-reported outcomes in people with poorly controlled diabetes [J].
Baron, Justine S. ;
Hirani, Shashivadan ;
Newman, Stanton P. .
JOURNAL OF TELEMEDICINE AND TELECARE, 2017, 23 (02) :207-216
[8]   The potential of mobile health clinics in chronic disease prevention and health promotion in universal healthcare systems. An on-field experiment [J].
Bertoncello, Chiara ;
Cocchio, Silvia ;
Fonzo, Marco ;
Bennici, Silvia Eugenia ;
Russo, Francesca ;
Putoto, Giovanni .
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 2020, 19 (01)
[9]   The Effects of a Web-Based Intervention on Psychosocial Well-Being Among Adults Aged 60 and Older With Diabetes A Randomized Trial [J].
Bond, Gail E. ;
Burr, Robert L. ;
Wolf, Fredric M. ;
Feldt, Karen .
DIABETES EDUCATOR, 2010, 36 (03) :446-456
[10]   Depression and cardiovascular disease: The deep blue sea of women's heart [J].
Bucciarelli, Valentina ;
Caterino, Anna Laura ;
Bianco, Francesco ;
Caputi, Cristiano Giovanni ;
Salerni, Sara ;
Sciomer, Susanna ;
Maffei, Silvia ;
Gallina, Sabina .
TRENDS IN CARDIOVASCULAR MEDICINE, 2020, 30 (03) :170-176