Effectiveness of live health professional-led group eHealth interventions for adult mental health: systematic review of randomized controlled trials

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dc.contributor.authorCurrie, Cheryl L.
dc.contributor.authorLarouche, Richard
dc.contributor.authorVoss, Lauren
dc.contributor.authorTrottier, Maegan
dc.contributor.authorSpiwak, Rae
dc.contributor.authorHiga, Erin
dc.contributor.authorScott, David R.
dc.contributor.authorTallow, Treena
dc.date.accessioned2022-01-14T17:32:22Z
dc.date.available2022-01-14T17:32:22Z
dc.date.issued2022
dc.descriptionOpen access article. Creative Commons Attribution 4.0 License (CC BY 4.0) appliesen_US
dc.description.abstractBackground: The COVID-19 pandemic has had adverse impacts on mental health and substance use worldwide. Systematic reviews suggest eHealth interventions can be effective at addressing these problems. However, strong positive eHealth outcomes are often tied to the intensity of web-based therapist guidance, which has time and cost implications that can make the population scale-up of more effective interventions difficult. A way to offset cost while maintaining the intensity of therapist guidance is to offer eHealth programs to groups rather than more standard one-on-one formats. Objective: This systematic review aims to assess experimental evidence for the effectiveness of live health professional–led group eHealth interventions on mental health, substance use, or bereavement among community-dwelling adults. Within the articles selected for our primary aim, we also seek to examine the impact of interventions that encourage physical activity compared with those that do not. Methods: Overall, 4 databases (MEDLINE, CINAHL, PsycINFO, and the Cochrane Library) were searched in July 2020. Eligible studies were randomized controlled trials (RCTs) of eHealth interventions led by health professionals and delivered entirely to adult groups by videoconference, teleconference, or webchat. Eligible studies reported mental health, substance use, or bereavement as primary outcomes. The results were examined by outcome, eHealth platform, and intervention length. Postintervention data were used to calculate effect size by study. The findings were summarized using the Synthesis Without Meta-Analysis guidelines. Risk of bias was assessed using the Cochrane Collaboration Tool. Results: Of the 4099 identified studies, 21 (0.51%) RCTs representing 20 interventions met the inclusion criteria. These studies examined mental health outcomes among 2438 participants (sample size range: 47-361 participants per study) across 7 countries. When effect sizes were pooled, live health professional–led group eHealth interventions had a medium effect on reducing anxiety compared with inactive (Cohen d=0.57) or active control (Cohen d=0.48), a medium to small effect on reducing depression compared with inactive (Cohen d=0.61) or active control (Cohen d=0.21), and mixed effects on mental distress and coping. Interventions led by videoconference, and those that provided 8-12 hours of live health professional–led group contact had more robust effects on adult mental health. Risk of bias was high in 91% (19/21) of the studies. Heterogeneity across interventions was significant, resulting in low to very low quality of evidence. No eligible RCT was found that examined substance use, bereavement, or physical activity. Conclusions: Live eHealth group interventions led by health professionals can foster moderate improvements in anxiety and moderate to small improvements in depression among community-based adults, particularly those delivered by videoconference and those providing 8-12 hours of synchronous engagement.en_US
dc.description.peer-reviewYesen_US
dc.identifier.citationCurrie, C. L., Larouche, R., Voss, L., Trottier, M., Spiwak, R., Higa, E., Scott, D. R., & Tallow, T. (2022). Effectiveness of live health professional-led group eHealth interventions for adult mental health: Systematic review of randomized controlled trials. Journal of Medical Internet Research, 24(1), E27939. https://www.jmir.org/2022/1/e27939/en_US
dc.identifier.urihttps://hdl.handle.net/10133/6133
dc.language.isoen_USen_US
dc.publisherJMIR Publicationsen_US
dc.publisher.departmentLibraryen_US
dc.publisher.facultyHealth Sciencesen_US
dc.publisher.facultyArts and Scienceen_US
dc.publisher.institutionUniversity of Lethbridgeen_US
dc.publisher.institutionUniversity of Manitobaen_US
dc.publisher.institutionAlberta Health Servicesen_US
dc.publisher.urlhttps://www.jmir.org/2022/1/e27939/en_US
dc.subjectSystematic reviewen_US
dc.subjectTelemedicineen_US
dc.subjecteHealthen_US
dc.subjectmHealthen_US
dc.subjecte-therapyen_US
dc.subjectMobile interventionsen_US
dc.subjectAdulten_US
dc.subjectDepressionen_US
dc.subjectSubstance useen_US
dc.subjectPhysical activityen_US
dc.subjectCBTen_US
dc.subjectGroupen_US
dc.subjectSynchronousen_US
dc.subjectVideoconferenceen_US
dc.subjectTeleconferenceen_US
dc.subject.lcshTelecommunication in medicine
dc.subject.lcshWireless communication systems in medical care
dc.subject.lcshInternet
dc.subject.lcshMental health
dc.subject.lcshAnxiety
dc.subject.lcshBereavement
dc.subject.lcshExercise
dc.subject.lcshPsychotherapy
dc.subject.lcshVideoconferencing
dc.subject.lcshTeleconferencing
dc.titleEffectiveness of live health professional-led group eHealth interventions for adult mental health: systematic review of randomized controlled trialsen_US
dc.typeArticleen_US
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Currie, Cheryl
Larouche, Richard
Scott, David