Table 4.
|
Total number of effect sizes reported | Human-supported interventions had significantly greater effects, n (%) | No significant differences between human-supported and unsupported interventions, n (%) | Unsupported interventions had significantly greater effects, n (%) | ||||||
Outcome domains | ||||||||||
|
Anxiety | 12 | 4 (33) | 7 (58) | 1 (8) | |||||
|
Depression | 19 | 9 (47) | 8 (42) | 2 (10) | |||||
|
PTSDa | 2 | 1 (50) | 1 (50) | 0 (0) | |||||
|
Stress | 3 | 2 (66) | 0 (0) | 1 (33) | |||||
|
Multiple | 9 | 6 (66) | 3 (33) | 0 (0) | |||||
Sample characteristics | ||||||||||
|
Clinical or subclinical | 21 | 12 (57) | 9 (42) | 0 (0) | |||||
|
|
Anxiety disorders | 1 | 1 (100) | 0 (0) | 0 (0) | ||||
|
|
Social anxiety | 2 | 0 (0) | 2 (100) | 0 (0) | ||||
|
|
Depression | 6 | 3 (50) | 3 (50) | 0 (0) | ||||
|
|
Anxiety disorders or depression | 4 | 3 (75) | 1 (25) | 0 (0) | ||||
|
|
PTSD | 3 | 1 (33) | 2 (66) | 0 (0) | ||||
|
|
Unrestricted mental health conditions | 5 | 4 (80) | 1 (20) | 0 (0) | ||||
|
Unrestricted samples | 24 | 10 (41) | 10 (41) | 4 (16) | |||||
Quality of RCTb | ||||||||||
|
High | 2 | 1 (50) | 1 (50) | 0 (0) | |||||
|
Medium | 19 | 9 (47) | 8 (42) | 2 (10) | |||||
|
Low | 24 | 12 (50) | 10 (41) | 2 (8) | |||||
Type of human support | ||||||||||
|
Clinically trainedc | 17 | 8 (47) | 8 (47) | 1 (5) | |||||
|
Mixedd | 9 | 7 (77) | 2 (22) | 0 (0) | |||||
|
Uncleare | 19 | 7 (36) | 9 (47) | 3 (15) |
aPTSD: posttraumatic stress disorder.
bRCT: randomized controlled trial.
cClinically trained is defined as a therapist, clinical psychologist, or clinical psychology trainee.
dMixed support providers included both clinically trained individuals and individuals who did not have clinical training providing support for DMHIs.
eUnclear means that the authors did not provide information about the type of support provider in the meta-analysis.