Mobile Applications in Mental Health: A Systematic Review of Efficacy

Yıl 2019, Cilt: 11 Sayı: 4, 519 - 530, 25.12.2019

Başak Durdu Akgün , Ayça Aktaç , Orçun Yorulmaz

https://doi.org/10.18863/pgy.441765

Cited By: 5

Öz

In recent years, the number of smart phone applications developed for physical and mental health has been rapidly increasing. The rapid growth in the use of smart phone applications provides an alternative and supportive option for the treatment of mental illnesses. The aim of this systematic review is to investigate the effectiveness of mobile applications related to mental health by using randomized controlled trials (RCTs). Within the scope of the study, English articles published in several databases were searched using specific terms. Twelve eligible studies fulfilling the research criteria were evaluated in terms of contents, sampling, study method and findings of the applications. The findings of the current studies revealed that mobile applications are generally effective in reducing the symptoms of the mental illness and feasibility and usability of smart phone applications were reported by participants. 

Anahtar Kelimeler

Smart phone, Mobile applications, App

Ruh Sağlığında Mobil Uygulamalar: Etkinliğe Yönelik Sistematik Bir Gözden Geçirme

Öz

Son yıllarda fiziksel ve ruhsal sağlığa yönelik geliştirilen akıllı telefon uygulamalarının sayısı hızla artmaktadır. Kullanımı hızla yaygınlaşan uygulamalar ruhsal rahatsızlıkların tedavisine alternatif ve destekleyici bir seçenek sunmaktadır.  Bu derlemenin amacı, ruh sağlığı ile ilgili mobil uygulamaların etkinliğini randomize kontrollü çalışmalar (RKÇ) ile değerlendiren alanyazındaki çalışmaları sistematik olarak gözden geçirerek incelemektir. Çalışma kapsamında çeşitli veritabanlarında yayınlanan İngilizce makaleler belirlenen anahtar kelimeler kullanılarak taranmıştır. Yapılan tarama sonucunda dahil etme kriterlerine uygun 12 araştırma bu çalışmaya dahil edilmiştir; bu çalışmalar ise uygulamaların içeriği, örneklem, çalışma yöntemi ve bulgular açısından değerlendirilmiştir. Çalışmalardan elde edilen bulgular ışığında mobil uygulamaların genel olarak hedeflenen ruhsal bozukluk belirtilerini azaltmada etkili olduğu ve katılımcılar tarafından uygulamaların benimsendiği ve kullanımının kolay olduğunu rapor ettikleri görülmüştür. 

Anahtar Kelimeler

Akıllı Telefon, Mobil Uygulamalar, App, Ruh Sağlığı

Kaynakça

• Arean PA, Hallgren, KA, Jordan, JT, Gazzaley A, Atkins, DC, Heagerty, PJ, Anguera, JA (2016) The Use and Effectiveness of Mobile Apps for Depression: Results From a Fully Remote Clinical Trial. J Med Internet Res, 18(12):e330
• Bucci S, Barrowclough C, Ainsworth J, Machin M, Morris R, Berry K, Emsley R, Lewis S. Edge D, Buchan L, Haddock G (2018). Actissist: Proof-of-Concept Trial of a Theory-Driven Digital Intervention for Psychosis. Schizophrenia Bulletin, 44: 933- 1-11
• Burns MN, Begale M, Duffecy J, Gergle D, Karr CJ, Giangrande E, Mohr DC (2011) Harnessing context sensing to develop a mobile intervention for depression. J Med Internet Res. 13(3):e55. doi: 10.2196/jmir.1838
• Cheat Sheet Business & Technology App Benchmarks H1 2017 Schedule Demo. (2017). 18.12.2017 tarihinde erişildi. https://www.localytics.com
• Christoforou M, Sáez Fonseca JA, Tsakanikos E (2017) Two Novel Cognitive Behavioral Therapy–Based Mobile Apps for Agoraphobia: Randomized Controlled Trial. JMed Internet Res. 19(11).
• Donker T, Petrie K, Proudfoot J, Clarke J, Birch M, Christensen H. Smartphones for smarter delivery of mental health programs: A systematic review (2013) J Med Internet Res, 15(11):e247
• Ehrenreich B, Righter B, Rocke DA, Dixon L, Himelhoch, S (2011) Are mobile phones and handheld computers being used to enhance delivery of psychiatric treatment? A systematic review. J Nerv Ment Dis. 199:886-91 doi: 10.1097/NMD.0b013e39182349e90
• Gavrilovic JJ, Schützwohl M, Fazel M, Priebe S (2005) Who seeks treatment after a traumatic event and who does not? A review offindings on mental health service utilization. Journal of Traumatic Stress, 18:595–605
• Global App Downloads & Consumer Spend Hit Record Levels: Q3 2017 Recap. (2017) 18.12.2017 tarihinde erişildi. www.appannie.com .
• Global Mobile Penetration Reached 91 Percent in Q3 2012; 6.4 Billion Mobile Subscribers Worldwide. (2012). 18.12.2017 tarihinde erişildi. http://sourcedigit.com/1264-global
• Hildebrandt T, Michaelides A, Mackinnon D, Greif R, DeBar L, Sysko R (2017) Randomized controlled trial comparing smartphone assisted versus traditional guided self‐help for adults with binge eating. International Journal of Eating Disorders, 50: 1313-1322.
• Kazdin, AE, Rabbitt, SM (2013). Novel models for delivering mental health services and reducing the burdens of mental illness. Clinical Psychological Science, 1:170 –191.
• Kendall, PC, Comer, JS, Chow, C (2013). The Randomized Controlled Trial: Basics and Beyond. The Oxford Handbook of Research Strategies for Clinical Psychology. Kessler, RC, Berglund P, Demler O, Jin R, Merikangas KR, & Walters EE. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62:593–602.
• Kuhn E, Kanuri N, Hoffman JE, Garvert DW, Ruzek JI, Taylor CB. (2017) A randomized controlled trial of a smartphone app for posttraumatic stress disorder symptoms. Jornal of Consult Clinical Psychology, 85:267 73.
• Luxton DD, McCann RA, Bush NE, Mishkind MC, Reger GM (2011) mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Prof Psychol: Res Pract. 42:505–512.
• Ly KH, Trüschel A, Jarl L, Magnusson S, Windahl T, Johansson R. et al. (2014) Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial. BMJ open, 4(1),e003440.
• Ly KH, Trüschel A, Jarl L, Magnusson S, Windahl,T., Johansson, R. Carlbring, P., Andersson, G (2017) Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial. BMJ Open, 4:1-14.
• Mantani A, Kato T, Furukawa T A, Horikoshi M, Imai H, Hiroe T, et al. (2017) Smartphone Cognitive Behavioral Therapy as an Adjunct to Pharmacotherapy for Refractory Depression: Randomized Controlled Trial. J Med Internet Res, 19:e373.
• Meeker M., Wu L. Internet trends D11 conference. 2014. URL: http://www.slideshare.net/kleinerperkins/kpcb-internet-trends-2013 WebCite Cache] Mental disorders. 18.12.2017 tarihinde erişildi. ww.who.int/mediacentre/factsheets/fs396/en/.
• Miner A, Kuhn E, Hoffman JE, Owen JE, Ruzek JI, ve Taylor CB (2016) Feasibility, Acceptability, and Potential Efficacy of the PTSD Coach App:A Pilot Randomized Controlled Trial With Community Trauma Survivors. Psychological Trauma: Theory, Research, Practice, and Policy, 8:384-392.
• Misra S. New report finds more than 165,000 mobile health apps now available, takes close look at characteristics & use. 2015. 18.12.2017 tarihinde erişildi. http://www.imedicalapps.com/2015/09/ims-health-apps-report/#.
• Possemato K, Kuhn E, Johnson EM, Hoffman JE, Brooks E (2016) Development and refinement of a clinician intervention to facilitate primary care patient use of the PTSD Coach app. Translational Behavioral Medicine. https://doi.org/10.1007/s13142‐016‐0393‐9
• Proudfoot J, ParkerG, Hadzi Pavlovic D, Manicavasagar V, Adler E, Whitton A (2010) Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress. J Med Internet Res. 12(5)
• Regier DA, Kaelber CT, Rae DS, Farmer MA, Kanuper M, Kessler RC, Norquist GS (1998) Limitations of Diagnostic Criteria and Assessment Instruments for Mental Disorders. Implications for Research and Policy. Arch Gen Psychiatry. 55: 109–115.
• Riley WT, Rivera DE, Atienza AA, Nilsen W, Allison SM, Mermelstein R (2011) Health behavior models in the age of mobile interventions: are our theories up to the task?. Translational behavioral medicine, 1:53-71.
• Tighe J, Shand F, Ridani R, Mackinnon A, De La Mata N, Christensen H (2017) Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial. BMJ Open, 7:1-11.
• Vogt D (2011) Mental health-related beliefs as a barrier to service use for military personnel and veterans: A review. Psychiatric Services, 62:135–142.
• Watts S, Mackenzie A, Thomas C, Griskaitis A, Mewton L, Williams A, Andrews, G (2013) CBT for depression: a pilot RCT comparing mobile phone vs. Computer. BMC Psychiatry, 13:49.
• Winslow BD Chadderdon GL, Dechmerowski SJ, Jones DL, Kalkstein S, Greene JL. Gehrman P (2016) Development and Clinical Evaluation of an mHealth Application or Stress Management. Front Psychiatry, 7: 130.