Web-Based Interventions Supporting Adolescents and Young People With Depressive Symptoms : Systematic Review and Meta-Analysis

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dc.contributor.author Välimäki, Maritta
dc.contributor.author Anttila, Katriina
dc.contributor.author Anttila, Minna
dc.contributor.author Lahti, Mari
dc.date.accessioned 2018-01-25T08:50:03Z
dc.date.available 2018-01-25T08:50:03Z
dc.date.issued 2017-12
dc.identifier.citation Välimäki , M , Anttila , K , Anttila , M & Lahti , M 2017 , ' Web-Based Interventions Supporting Adolescents and Young People With Depressive Symptoms : Systematic Review and Meta-Analysis ' , JMIR mhealth and uhealth , vol. 5 , no. 12 , 180 . https://doi.org/10.2196/mhealth.8624
dc.identifier.other PURE: 97579300
dc.identifier.other PURE UUID: 4b69b43d-4ab8-44a1-9e5f-7925e542c864
dc.identifier.other WOS: 000419159800008
dc.identifier.uri http://hdl.handle.net/10138/231545
dc.description.abstract Background: Although previous studies on information and communication technology (ICT)-based intervention on mental health among adolescents with depressive symptoms have already been combined in a number of systematic reviews, coherent information is still missing about interventions used, participants' engagement of these interventions, and how these interventions work. Objective: We conducted a systematic review and meta-analysis of trials to describe the effectiveness of Web-based interventions to support adolescents with depression or depressive symptoms, anxiety, and stress. We also explored the content of the interventions, as there has previously been a lack of coherent understanding of the detailed content of the Web-based interventions for these purposes. Methods: We included parallel randomized controlled trials targeted at adolescents, or young people in the age range of 10 and 24 years, with symptoms or diagnoses of depression and anxiety. The interventions were from original studies aimed to support mental health among adolescents, and they were delivered via Web-based information and communication technology. Results: Out of 2087 records identified, 27 papers (22 studies) met the inclusion criteria. On the basis of a narrative analysis of 22 studies, a variety of Web-based interventions were found; the most commonly used intervention was based on cognitive behavioral therapy. Meta-analysis was further conducted with 15 studies (4979 participants). At the end of the intervention, a statistically significant improvement was found in the intervention group (10 studies) regarding depressive symptoms (P=.02, median 1.68, 95% CI 3.11-0.25) and after 6 months (3 studies; P=.01, median 1.78, 95% CI 3.20-0.37). Anxiety symptoms (8 studies; P Conclusions: Despite widely reported promises that information technology use is beneficial to adolescents with depression, the results of our review show only short-term effects on adolescents' mental well-being, whereas long-term effects remain questionable because of the limited number of studies reviewed. Information about the economic benefits of Web-based interventions is still lacking. The quality of the studies, especially biases related to attrition rates and selective reporting, still needs serious attention. en
dc.format.extent 16
dc.language.iso eng
dc.relation.ispartof JMIR mhealth and uhealth
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Internet
dc.subject adolescent
dc.subject depression
dc.subject meta-analysis
dc.subject information and communication technology
dc.subject intervention
dc.subject systematic review
dc.subject treatment as usual
dc.subject RANDOMIZED CONTROLLED-TRIAL
dc.subject COGNITIVE-BEHAVIOR THERAPY
dc.subject MENTAL-HEALTH
dc.subject PRIMARY-CARE
dc.subject PREVENTION PROGRAM
dc.subject CLINICAL-TRIAL
dc.subject COST-EFFECTIVENESS
dc.subject COLLEGE-STUDENTS
dc.subject BRIEF ADVICE
dc.subject OUTCOMES
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Web-Based Interventions Supporting Adolescents and Young People With Depressive Symptoms : Systematic Review and Meta-Analysis en
dc.type Review Article
dc.contributor.organization Lastenpsykiatria
dc.contributor.organization Clinicum
dc.contributor.organization HUS Children and Adolescents
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.2196/mhealth.8624
dc.relation.issn 2291-5222
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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