Background: The COVID-19 pandemic has shifted mental health care delivery to digital platforms, videoconferencing, and other mobile communications. However, existing reviews of digital health interventions are narrow in scope and focus on a limited number of mental health conditions. Objective: To address this gap, we conducted a comprehensive systematic meta-review of the literature to assess the state of digital health interventions for the treatment of mental health conditions. Methods: We searched MEDLINE for secondary literature published between 2010 and 2021 on the use, efficacy, and appropriateness of digital health interventions for the delivery of mental health care. Results: Of the 3022 records identified, 466 proceeded to full-text review and 304 met the criteria for inclusion in this study. A majority (52%) of research involved the treatment of substance use disorders, 29% focused on mood, anxiety, and traumatic stress disorders, and >5% for each remaining mental health conditions. Synchronous and asynchronous communication, computerized therapy, and cognitive training appear to be effective but require further examination in understudied mental health conditions. Similarly, virtual reality, mobile apps, social media platforms, and web-based forums are novel technologies that have the potential to improve mental health but require higher quality evidence. Conclusions: Digital health interventions offer promise in the treatment of mental health conditions. In the context of the COVID-19 pandemic, digital health interventions provide a safer alternative to face-to-face treatment. However, further research on the applications of digital interventions in understudied mental health conditions is needed. Additionally, evidence is needed on the effectiveness and appropriateness of digital health tools for patients who are marginalized and may lack access to digital health interventions.

中文翻译：

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提供精神卫生保健的数字健康干预：系统和全面的元回顾

背景： COVID-19 大流行已将精神保健服务转移到数字平台、视频会议和其他移动通信。然而，现有的数字健康干预审查范围很窄，只关注有限数量的心理健康状况。目的：为了解决这一差距，我们对文献进行了全面系统的元回顾，以评估用于治疗心理健康状况的数字健康干预的状态。方法：我们在 MEDLINE 中搜索了 2010 年至 2021 年间发表的关于数字健康干预在提供精神卫生保健方面的使用、有效性和适当性的二手文献。结果：在确定的 3022 条记录中，466 条进行了全文审查，304 条符合纳入本研究的标准。大多数 (52%) 的研究涉及物质使用障碍的治疗，29% 的研究关注情绪、焦虑和创伤性压力障碍，其余的每种心理健康状况都超过 5%。同步和异步交流、计算机治疗和认知训练似乎是有效的，但需要在未充分研究的心理健康状况下进行进一步检查。同样，虚拟现实、移动应用程序、社交媒体平台和基于网络的论坛是具有改善心理健康潜力但需要更高质量证据的新技术。结论：数字健康干预措施为治疗心理健康状况提供了希望。在 COVID-19 大流行的背景下，数字健康干预措施为面对面治疗提供了一种更安全的替代方案。然而，需要进一步研究数字干预在未充分研究的心理健康状况中的应用。此外，需要有证据证明数字健康工具对边缘化和可能无法获得数字健康干预的患者的有效性和适当性。