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Digital Interventions to Support Population Mental Health in Canada During the COVID-19 Pandemic: Rapid Review
JMIR Mental Health ( IF 4.8 ) Pub Date : 2021-03-02 , DOI: 10.2196/26550
Gillian Strudwick 1, 2 , Sanjeev Sockalingam 1, 2, 3 , Iman Kassam 1 , Lydia Sequeira 1, 2 , Sarah Bonato 1 , Alaa Youssef 2, 3 , Rohan Mehta 1 , Nadia Green 4 , Branka Agic 1 , Sophie Soklaridis 1, 2 , Danielle Impey 5 , David Wiljer 1, 2, 3 , Allison Crawford 1, 2
Affiliation  

Background: The COVID-19 pandemic has resulted in a number of negative health related consequences, including impacts on mental health. More than 22% of Canadians reported that they had felt depressed in the last week, in response to a December 2020 national survey. Given the need to physically distance during the pandemic, and the increase in demand for mental health services, digital interventions that support mental health and wellness may be beneficial. Objective: The purpose of this research was to identify digital interventions that could be used to support the mental health of the Canadian general population during the COVID-19 pandemic. The objectives were to identify (1) the populations these interventions were developed for, inclusive of exploring areas of equity such as socioeconomic status, sex/gender, race/ethnicity and culture, and relevance to Indigenous peoples and communities; (2) the effect of the interventions; and (3) any barriers or facilitators to the use of the intervention. Methods: This study was completed using a Cochrane Rapid Review methodology. A search of Embase, PsycInfo, Medline, and Web of Science, along with Google, Million Short, and popular mobile app libraries, was conducted. Two screeners were involved in applying inclusion criteria using Covidence software. Academic articles and mobile apps identified were screened using the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields resource, the American Psychiatric Association App Evaluation Framework, and the Mental Health Commission of Canada’s guidance on app assessment and selection. Results: A total of 31 mobile apps and 114 web-based resources (eg, telemedicine, virtual peer support groups, discussion forums, etc) that could be used to support the mental health of the Canadian population during the pandemic were identified. These resources have been listed on a publicly available website along with search tags that may help an individual make a suitable selection. Variability exists in the populations that the interventions were developed for, and little assessment has been done with regard to areas of equity. The effect of the interventions was not reported for all those identified in this synthesis; however, for those that did report the effect, it was shown that they were effective in the context that they were used. A number of barriers and facilitators to using these interventions were identified, such as access, cost, and connectivity. Conclusions: A number of digital interventions that could support population mental health in Canada during the global COVID-19 pandemic were identified, indicating that individuals have several options to choose from. These interventions vary in their purpose, approach, design, cost, and targeted user group. While some research and digital interventions addressed equity-related considerations, more research and focused attention should be given to this area. Trial Registration:

中文翻译:


COVID-19 大流行期间支持加拿大人口心理健康的数字干预措施:快速审查



背景: COVID-19 大流行造成了许多与健康相关的负面后果,包括对心理健康的影响。根据 2020 年 12 月的一项全国调查,超过 22% 的加拿大人表示,他们在上周感到沮丧。鉴于大流行期间需要保持身体距离,以及对心理健康服务需求的增加,支持心理健康和保健的数字干预措施可能是有益的。目的:本研究的目的是确定可用于在 COVID-19 大流行期间支持加拿大普通民众心理健康的数字干预措施。目标是确定 (1) 这些干预措施是针对哪些人群制定的,包括探索公平领域,例如社会经济地位、性/性别、种族/民族和文化,以及与土著人民和社区的相关性; (2)干预措施的效果; (3) 使用干预措施的任何障碍或促进因素。方法:本研究是使用 Cochrane 快速审查方法完成的。我们对 Embase、PsycInfo、Medline 和 Web of Science,以及 Google、Million Short 和流行的移动应用程序库进行了搜索。两名筛选人员使用 Covidence 软件参与了纳入标准的应用。确定的学术文章和移动应用程序均使用评估各个领域资源的主要研究论文的标准质量评估标准、美国精神病学协会应用程序评估框架以及加拿大心理健康委员会关于应用程序评估和选择的指南进行筛选。 结果:总共确定了 31 个移动应用程序和 114 个网络资源(例如远程医疗、虚拟同伴支持小组、讨论论坛等),可用于在大流行期间支持加拿大民众的心理健康。这些资源已与可帮助个人做出合适选择的搜索标签一起列在公开网站上。干预措施针对的人群存在差异,并且在公平领域几乎没有进行评估。对于本综述中确定的所有干预措施的效果均未报告;然而,对于那些确实报告了效果的人来说,事实证明它们在使用的环境中是有效的。确定了使用这些干预措施的许多障碍和促进因素,例如访问、成本和连通性。结论:在全球 COVID-19 大流行期间,确定了许多可以支持加拿大人口心理健康的数字干预措施,这表明个人有多种选择可供选择。这些干预措施的目的、方法、设计、成本和目标用户群体各不相同。虽然一些研究和数字干预措施涉及与公平相关的考虑因素,但应该对这一领域给予更多的研究和重点关注。试用注册:
更新日期:2021-03-02
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