Digital Interventions for Depression and Anxiety in Older Adults: Protocol for a Systematic Review.
anxiety
depression
digital intervention
mental health
older adults
systematic review
Journal
JMIR research protocols
ISSN: 1929-0748
Titre abrégé: JMIR Res Protoc
Pays: Canada
ID NLM: 101599504
Informations de publication
Date de publication:
23 Dec 2020
23 Dec 2020
Historique:
received:
05
08
2020
accepted:
27
10
2020
revised:
14
10
2020
entrez:
23
12
2020
pubmed:
24
12
2020
medline:
24
12
2020
Statut:
epublish
Résumé
There is a high prevalence of older adults experiencing depression and anxiety. In response to heightened demands for mental health interventions that are accessible and affordable, there has been a recent rise in the number of digital mental health interventions (DMHIs) that have been developed and incorporated into mental health treatments. Digital interventions are promising in their ability to provide researchers, medical practitioners, and patients with personalized tools for assessing behavior, consultation, treatment, and care that can be used remotely. Reviews and meta-analyses have shown the benefits of DMHIs for the treatment and prevention of depression, anxiety, and other mental illnesses, but there is still a lack of studies that focus on the benefits and use of DMHIs in the older population. The aim of this systematic review is to investigate the current evidence for the effect of technology-delivered interventions, such as smartphone/tablet applications, remote monitoring and tracking devices, and wearable technology, for the treatment and prevention of depression and anxiety in adults older than 50 years. The academic databases SCOPUS, PsycINFO, AgeLine (EBSCO), and Medline (PubMed) will be searched from January 1, 2010, to the date of search commencement to provide a review of existing randomized controlled trial studies. The search will include 3 key concepts: "older adults," "digital intervention," and "depression/anxiety." A set of inclusion criteria will be followed during screening by two reviewers. Data will be extracted to address aims and objectives of the review. The risk of bias for each study will be determined using appropriate tools. If possible, a random-effects meta-analysis will be performed, and the heterogeneity of effect sizes will be calculated. Preliminary searches were conducted in September 2020. The review is anticipated to be completed by April 2021. The data accumulated in this systematic review will demonstrate the potential benefits of technology-delivered interventions for the treatment of depression and anxiety disorders in older adults. This review will also identify any gaps in current studies of aging and mental health interventions, thereby navigating a way to move forward and paving the path to more accessible and user-friendly digital health interventions for the diverse population of older adults. PROSPERO International Prospective Register of Systematic Reviews CRD42020192532; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020192532. PRR1-10.2196/22738.
Sections du résumé
BACKGROUND
BACKGROUND
There is a high prevalence of older adults experiencing depression and anxiety. In response to heightened demands for mental health interventions that are accessible and affordable, there has been a recent rise in the number of digital mental health interventions (DMHIs) that have been developed and incorporated into mental health treatments. Digital interventions are promising in their ability to provide researchers, medical practitioners, and patients with personalized tools for assessing behavior, consultation, treatment, and care that can be used remotely. Reviews and meta-analyses have shown the benefits of DMHIs for the treatment and prevention of depression, anxiety, and other mental illnesses, but there is still a lack of studies that focus on the benefits and use of DMHIs in the older population.
OBJECTIVE
OBJECTIVE
The aim of this systematic review is to investigate the current evidence for the effect of technology-delivered interventions, such as smartphone/tablet applications, remote monitoring and tracking devices, and wearable technology, for the treatment and prevention of depression and anxiety in adults older than 50 years.
METHODS
METHODS
The academic databases SCOPUS, PsycINFO, AgeLine (EBSCO), and Medline (PubMed) will be searched from January 1, 2010, to the date of search commencement to provide a review of existing randomized controlled trial studies. The search will include 3 key concepts: "older adults," "digital intervention," and "depression/anxiety." A set of inclusion criteria will be followed during screening by two reviewers. Data will be extracted to address aims and objectives of the review. The risk of bias for each study will be determined using appropriate tools. If possible, a random-effects meta-analysis will be performed, and the heterogeneity of effect sizes will be calculated.
RESULTS
RESULTS
Preliminary searches were conducted in September 2020. The review is anticipated to be completed by April 2021.
CONCLUSIONS
CONCLUSIONS
The data accumulated in this systematic review will demonstrate the potential benefits of technology-delivered interventions for the treatment of depression and anxiety disorders in older adults. This review will also identify any gaps in current studies of aging and mental health interventions, thereby navigating a way to move forward and paving the path to more accessible and user-friendly digital health interventions for the diverse population of older adults.
TRIAL REGISTRATION
BACKGROUND
PROSPERO International Prospective Register of Systematic Reviews CRD42020192532; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020192532.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)
UNASSIGNED
PRR1-10.2196/22738.
Identifiants
pubmed: 33355095
pii: v9i12e22738
doi: 10.2196/22738
pmc: PMC7787887
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e22738Informations de copyright
©Indira Riadi, Lucy Kervin, Kelly Teo, Ryan Churchill, Theodore D Cosco. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 23.12.2020.
Références
BMC Geriatr. 2020 Jan 28;20(1):27
pubmed: 31992217
Stat Med. 2002 Jun 15;21(11):1539-58
pubmed: 12111919
Annu Int Conf IEEE Eng Med Biol Soc. 2010;2010:1759-62
pubmed: 21096415
J Child Psychol Psychiatry. 2017 Apr;58(4):474-503
pubmed: 27943285
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
J Med Internet Res. 2019 Feb 13;21(2):e11694
pubmed: 30758292
Aging Ment Health. 2009 Sep;13(5):769-77
pubmed: 19882416
Arch Gen Psychiatry. 2010 May;67(5):489-96
pubmed: 20439830
Mhealth. 2018 Mar 23;4:6
pubmed: 29682510
Age Ageing. 2010 Jan;39(1):23-30
pubmed: 19903775
J Med Internet Res. 2009 Oct 27;11(4):e44
pubmed: 19861298
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
BMC Public Health. 2008 Apr 20;8:125
pubmed: 18423049
Am J Geriatr Psychiatry. 2019 Nov;27(11):1277-1285
pubmed: 31196619
Psychol Sci Public Interest. 2014 Oct;15(2):37-70
pubmed: 26171956
Am J Geriatr Psychiatry. 2017 Aug;25(8):819-828
pubmed: 28169129
Rural Remote Health. 2012;12:2199
pubmed: 23145784
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
Ageing Res Rev. 2011 Sep;10(4):430-9
pubmed: 21402176
BMJ. 2019 Aug 28;366:l4898
pubmed: 31462531
Scand J Occup Ther. 2014 Jul;21(4):305-12
pubmed: 24524680
Am J Geriatr Psychiatry. 2010 Mar;18(3):221-6
pubmed: 20173423
Br J Psychiatry. 2015 Apr;206(4):263-5
pubmed: 25833865
Am J Geriatr Psychiatry. 2007 Jun;15(6):530-40
pubmed: 17545452
J Aging Phys Act. 2014 Jul;22(3):364-71
pubmed: 23945726