Table 1.
Article | Number of studies included | Treatment target(s) | Population | Digital mental health intervention | Contrast | Effect size |
---|---|---|---|---|---|---|
Andrews et al., 2018 (REF.63) | 53 | Depression and anxiety | Adults | iCBT | iCBT vs treatment as usual | g = 0.38* |
iCBT vs waiting list control | g = 0.90* | |||||
iCBT vs face- to- face CBT | g = 0.14 | |||||
Guo et al., 2020 (REF.166) | 20 | Social anxiety disorder (SAD) | Adults | iCBT | iCBT vs control groups | g = −0.55* |
iCBT vs face- to- face CBT | g = −0.18 | |||||
Soh et al., 2020 (REF.167) | 33 | Insomnia | Adults | iCBT | iCBT vs control groups | d = 0.392* |
Wootten, 2016 (REF.168) | 18 | Obsessive- compulsive symptoms | Adults | Remote CBT (delivered by computer, telephone and videoconference) | Remote CBT vs control | g = 1.06* |
Remote CBT vs face- to- face CBT | g = −0.21 | |||||
Cervin and Lundgren, 2021 (REF.169) | 9 | Anxiety disorders | Children and adolescents | Technology- delivered CBT (tCBT; delivered by Internet, app, mobile phone or tablet computer) | tCBT vs control | OR = 4.73* |
Thompson et al., 2021 (REF.48) | 25 | Anxiety, depression, quality of life and psychological flexibility | Adults | iACT | iACT vs control groups on anxiety | g = 0.24* |
iACT vs control groups on depression | g = 0.38* | |||||
iACT vs control groups on quality of life | g = 0.27* | |||||
iACT vs control groups on psychological flexibility | g = 0.32* | |||||
Lindegaard et al., 2020 (REF.55) | 7 | Depression, anxiety and quality of life | Adults | iPDT | iPDT vs controls on depression (g = 0.46), anxiety (g = 0.20) and quality of life (g = 0.40) | g = 0.46* |
iPDT vs controls on anxiety | g = 0.20* | |||||
iPDT versus controls on quality of life | g = 0.40* | |||||
Linardon et al., 2019 (REF.80) | 66 | Depression, anxiety, stress, quality of life | Adults | Other: mobile apps | Smartphone apps vs controls on depressive symptoms | g = 0.28* |
Smartphone apps vs controls on generalized anxiety | g = 0.30* | |||||
Smartphone apps vs controls on stress | g = 0.35* | |||||
Smartphone apps vs controls on quality of life | g = 0.35* | |||||
Linardon et al., 2020 (REF.170) | 36 | Eating disorders | Adolescents and adults | Other: Internet- based, app- based and CD- ROM- based interventions | Digital interventions vs control conditions in reducing established risk factors and symptoms in prevention- focused trials | g values range from 0.19* to 0.43* |
Digital interventions vs control conditions in reducing established risk factors and symptoms in treatment- focused trials | g values range from 0.29* to 0.69* |
Hedge’s g effect sizes can be interpreted as 0.2 is a small effect, 0.5 is a medium effect and 0.8 is a large effect. Linardon et al.170 presented meta- analytic results for 35 outcomes; for brevity, results are summarized in ranges. Cervin and Lundgren169 presented an odds ratio (OR) rather than a Hedge’s g value in their published meta- analyses; the OR indicated that participants who received tCBT were approximately four times as likely as control participants to achieve remission from their primary anxiety disorder. CBT, cognitive behavioural therapy; DMHI, digital mental health intervention; iACT, Internet- based acceptance and commitment therapy; iCBT, Internet- based cognitive behavioural therapy; iPDT, Internet- based psychodynamic therapy.
Statistically significant result.