The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

Maher, Alicia Ruelaz; Apaydin, Eric; Raaen, Laura; Shanman, Roberta; Hempel, Susanne

doi:10.7249/rr2177

Cited by 2 publications

(2 citation statements)

References 72 publications

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“…All but one of the studies included in this review reported a significant reduction in symptoms, which is similar to the vast majority observed by Ruelaz Maher et al (2019). One explanation for this overwhelmingly positive result is that technology was always added to clinical practice, which can already be expected to reduce symptoms to some degree.…”

Section: Symptom Changessupporting

confidence: 78%

“…Second, what can researchers do to strengthen the evidence base for implementation? One recent evidence map examined the use of technology in randomized controlled trials (RCTs) targeting depression and anxiety among adults (Ruelaz Maher et al, 2019). Computer-based self-help was the most common intervention found, and the vast majority of studies included in the review had reported symptom improvement from baseline.…”

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confidence: 99%

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How technology can enhance treatment: A scoping review of clinical interventions for anxiety and obsessive‐compulsive spectrum disorders

Cooper

Champion

Stavropoulos

et al. 2021

British J Clinic Psychol

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Objectives. Researchers are increasingly investigating how technology could be used to improve the efficacy of treatment for anxiety and obsessive-compulsive (OC) spectrum disorders. A broad range of technologies, disorders and therapeutic processes have been examined in the literature. This review summarizes the evidence for using technology in clinical interventions for anxiety and OC-spectrum disorders and highlights research gaps that should be addressed to improve the evidence base.Methods. A scoping review was conducted based on systematic searches of three databases. Broadly, the criteria included interventions that had integrated technology into clinical contexts to enhance treatment for anxiety and OC-spectrum disorders. All records were double-screened by two reviewers, and data were extracted on the characteristics of interventions, symptom outcomes, and implementation factors.Results. Searches returned 2,475 studies, of which 117 were eligible for inclusion in this review. Although almost all studies reported pre-post-symptom reductions, only one quarter of the controlled studies demonstrated additive effect of technology-based interventions in between-group analyses. We noted a trend in underreporting implementation factors. Conclusions. Technology-based interventions can improve the efficacy of treatmentfor anxiety and OC-spectrum disorders, but there are challenges to achieving this goal. Based on a review of the included studies, we provide four specific recommendations to improve the quality and likelihood of success of future research projects. Practitioner pointsTechnology-based adjuvants are unlikely to improve the efficacy of treatment for anxiety or OCspectrum disorders based on their novelty or convenience alone. A subset of studies gives hope that specific innovations can improve treatment when targeting a therapeutic process that has been problematic. Clinicians seeking to improve the efficacy of their treatment should first define client-specific therapeutic factors (e.g., homework compliance) that could be leveraged, then apply a specific innovation to address this factor.

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Section: Symptom Changessupporting

confidence: 78%

mentioning

confidence: 99%

How technology can enhance treatment: A scoping review of clinical interventions for anxiety and obsessive‐compulsive spectrum disorders

Cooper

Champion

Stavropoulos

et al. 2021

British J Clinic Psychol

View full text Add to dashboard Cite

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Rapid Review on the Effectiveness of Telehealth Interventions for the Treatment of Behavioral Health Disorders

Kelber

Workman

et al. 2021

Military Medicine

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Introduction The Psychological Health Center of Excellence conducted a rapid review of the literature to investigate the effectiveness of behavioral health treatments (i.e., evidence-based psychotherapy and psychiatry) delivered in person compared to telehealth (TH; i.e., video teleconference and telephone). Materials and Methods The rapid review methods included a systematic search of a single database (PubMed), hand-searching of relevant systematic reviews, dual screening, single-person data abstraction verified by a second person, and dual risk of bias assessment. Due to heterogeneity across studies, no quantitative analyses were conducted. Results Twenty-two randomized controlled trials (RCTs), eight of which were non-inferiority trials, evaluated the effectiveness of TH via telephone or video teleconferencing compared to in-person (IP) delivery for patient populations with posttraumatic stress disorder, depression, and mixed diagnoses. The majority of RCTs and all but one of the eight non-inferiority trials found that clinical outcomes did not differ between TH and IP treatment delivery. Two studies found that subgroups with higher symptom severity (hopelessness and anxiety disorders, respectively) in the TH group had worse treatment-related outcomes than IP participants with similar symptom profiles. The majority of studies found no significant differences in satisfaction with care, quality of the therapeutic alliance, or study discontinuation between TH and IP groups. Conclusion Based on evidence from 22 RCTs, the use of TH platforms, including video conference and telephone modalities, generally produces similar outcomes as face-to-face provision of psychotherapy and psychiatry services.

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The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

Cited by 2 publications

References 72 publications

How technology can enhance treatment: A scoping review of clinical interventions for anxiety and obsessive‐compulsive spectrum disorders

How technology can enhance treatment: A scoping review of clinical interventions for anxiety and obsessive‐compulsive spectrum disorders

Rapid Review on the Effectiveness of Telehealth Interventions for the Treatment of Behavioral Health Disorders

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