Table 1.
Characteristics of Included Trials.
Author Dates Country(ies) Registration | Participants | Intervention Comparator | COVID-19-specific and Scalability Aspects: Delivery Format Individual/Group/Self-admin Professional/Lay/No personnel | N Analyzed: Intervention/Comparator | Outcome Time to Follow-up Post-Randomization and Domain(s)a | Mean (SD) Age | % Female or Women |
---|---|---|---|---|---|---|---|
Kahlon et al. 30 07/2020 to 09/2020 USA NCT04595708 (retrospective) | Homebound older adults receiving services through a Meals on Wheels organization | Volunteers trained in empathetic conversational techniques called participants over 4 weeks, daily for the first 5 days then 2–5 calls per week. Calls were targeted to be less than 10 min; however, callers reported that calls could run longer No calls |
Designed to address loneliness in homebound meal recipients isolated due to COVID-19 Telephone Individual Lay volunteer delivery | 120/120 |
4 weeks Anxiety; Depression; Mental Health Function; Loneliness |
69 (12) | 79% |
Thombs et al. 31 04/2020 to 07/2020 Canada, USA, France, UK, Australia, 7 others NCT04335279 | Adults with systemic sclerosis and at least mild anxiety (PROMIS Anxiety 4a v1.0 ≥ 55) recruited from a multinational cohort | 4-week, 3× per week, 90-min videoconference group sessions focusing on leisure activities, mental health coping, and social support Waitlist |
Designed with patients to target COVID-19 anxiety through evidence-based strategies and social support Videoconference Group Mixed professional and peer volunteer delivery | 86/86 |
4 weeks and 10 weeks Anxiety; Depression; Loneliness; Fear |
55 (11) | 94% |
Wahlund et al. 32 05/2020 to 07/2020 Sweden NCT04341922 | Swedish adults with difficulty controlling worry about COVID-19, excluding those with moderate to severe depression or suicide risk, recruited via media from general population | 3 weeks of self-directed, established online cognitive behavioural intervention for worry-related problems plus additional modules adapted specifically for dysfunctional COVID-19 worry Waitlist | Evidence-based cognitive behavioural strategies to address worry adapted for dysfunctional COVID-19 worry Internet Self-administered No personnel to deliver | 335/335 |
3 weeks COVID-19 Anxiety; Depression |
46 (14) | 82% |
Al-Alawi et al. 33 04/2020 to 07/2020 Oman NCT04378257 | Adults aged 18–65 from Oman with PHQ-9 ≥ 12 or GAD-7 ≥ 10 and no pre-existing mental health or substance use disorders or suicide ideation, recruited from a list of online survey respondents | 6 weekly videoconference-based individual therapy sessions based on principles of cognitive behavioural therapy and acceptance and commitment therapy Minimal: weekly newsletter with self-help tips |
No COVID-19 adaptations reported Videoconference Individual Professional | 22/24 |
6 weeks Anxiety; Depression |
29 (9) | 78% |
Pheh et al. 34 NR Malaysia Not registered | Adults recruited from social media | Single ultra-brief online mindfulness-based journaling exercise Single ultra-brief online journaling exercise not based on mindfulness |
Standard mindfulness journaling minimally adapted to reflect on movement restrictions Internet Self-administered No personnel to deliver | 33/28b |
3 weeks Anxiety; Mental Health Function; Fear |
NR | NR |
Pizarro-Ruiz et al. 35 04/2020 to 05/2020 Spain Not registered | Students in social education or nursing from a single university, recruited via email | Daily app-based 15-min mindfulness sessions for 2 weeks using publicly available app Daily app-based 15-min mind training (e.g., attention, memory) sessions for 2 weeks using publicly available app |
No COVID-19 adaptations reported Internet Self-administered No personnel to deliver | 89/75 |
2 weeks Mental Health Function |
22 (6) | 83% |
Shabahang 36 NR Iran Not registered | Students from a single university with significant coronavirus anxiety who were not receiving active psychological treatments; recruitment method not provided | Group-based 90-min cognitive behavioural therapy sessions focused on health anxiety delivered 5 days per week for 2 weeks Waitlist |
Included lecture by virologist on COVID-19 but no other COVID-19 adaptations reported Not reported Group Professional | 75/75 |
2 weeks Anxiety; Depression |
NR | NR |
Vukčević Marković et al. 37 NR Serbia ISRCTN17898730 (retrospective) | Serbian adults recruited via social media | 5 online 20-min expressive writing sessions over 2 weeks (3 days between sessions), during which participants were instructed to write anything that came to mind regarding COVID-19 No intervention |
Minimal adaptation of expressive writing by using COVID-19 theme Internet Self-administered No personnel to deliver |
2 weeks 48/56 4 weeks 36/38 |
2 weeks and 6 weeks Anxiety; Depression; Mental Health Function; Stress |
32 (10) | 74% |
Yang et al. 38 NR China Not registered | Chinese students from a single university at home due to COVID lockdown; recruitment method not provided |
Audio-recorded 30-min mindfulness-based stress reduction session once every 2 days for 10 days No intervention |
Minimal adaptation by including mindfulness exercise on accepting COVID-19-related negative thoughts and affect Internet Self-administered No personnel to deliver | 53/51 |
2 weeks Anxiety; Depression; Mental Health Function; Stress |
19 (1) | 53% |
GAD-7 = Generalized Anxiety Disorder scale; NR = not reported; PHQ-9 = Patient Health Questionnaire-9.
Specific scales used in each trial are shown in Table 3.
Only follow-up data (N = 61), but not results from assessment immediately following the single-session intervention, were eligible for inclusion and are reported here.