NDLI: Digital mental health interventions as stand-alone vs. augmented treatment as usual

Content Provider	Springer Nature : BioMed Central
Author	Nelson, Benjamin W. Peiper, Nicholas C. Forman-Hoffman, Valerie L.
Abstract	Background Smartphone-based digital mental health interventions (DMHI) have been described as a purported solution to meet growing healthcare demands and lack of providers, but studies often don’t account for whether patients are concurrently in another treatment modality. Methods This preregistered quasi-experimental intent-to-treat study with 354 patients enrolled in a therapist-supported DMHI examined the treatment effectiveness of the Meru Health Program (MHP) as a stand-alone treatment as compared to the MHP in combination with any other form of treatment, including (1) in-person therapy, (2) psychotropic medication use, and (3) in-person therapy and psychotropic medication use. Results Patients with higher baseline depressive and anxiety symptoms were more likely to self-select into multiple forms of treatment, an effect driven by patients in the MHP as adjunctive treatment to in-person therapy and psychotropic medication. Patients in combined treatments had significantly higher depressive and anxiety symptoms across treatment, but all treatment groups had similar decreasing depressive and anxiety symptom trajectories. Exploratory analyses revealed differential treatment outcomes across treatment combinations. Patients in the MHP in combination with another treatment had higher rates of major depressive episodes, psychiatric hospitalization, and attempted death by suicide at baseline. Conclusions Patients with higher depressive and anxiety symptoms tend to self-select into using DMHI in addition to more traditional types of treatment, rather than as a stand-alone intervention, and have more severe clinical characteristics. The use the MHP alone was associated with improvement at a similar rate to those with higher baseline symptoms who are in traditional treatments and use MHP adjunctively.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-024-18412-1.pdf
Ending Page	11
Page Count	11
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-024-18412-1
Journal	BMC Public Health
Issue Number	1
Volume Number	24
Language	English
Publisher	BioMed Central
Publisher Date	2024-04-05
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Anxiety Depression Digital mental health Smartphone Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Smartphone addiction and depression among health sciences students during COVID-19 pandemic

Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review

A survey of depression and anxiety disorders in urban and rural Suriname

Effects of psychosocial interventions on children affected by parental HIV/AIDS: a meta-analysis on depression and anxiety

Symptoms of Anxiety and Depression within the UNiversity community: the cross-sectional UN-SAD study

Soft computing analysis of the factors associated with stress, anxiety, and depression

How environmental perception influence depression and anxiety: the mediating role of social interaction

Plant and animal protein intake and its association with depression, anxiety, and stress among Iranian women

Status and epidemiological characteristics of depression and anxiety among Chinese university students in 2023

Digital mental health interventions as stand-alone vs. augmented treatment as usual

Similar Documents

Smartphone addiction and depression among health sciences students during COVID-19 pandemic

Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review

A survey of depression and anxiety disorders in urban and rural Suriname

Effects of psychosocial interventions on children affected by parental HIV/AIDS: a meta-analysis on depression and anxiety

Symptoms of Anxiety and Depression within the UNiversity community: the cross-sectional UN-SAD study

Soft computing analysis of the factors associated with stress, anxiety, and depression

How environmental perception influence depression and anxiety: the mediating role of social interaction

Plant and animal protein intake and its association with depression, anxiety, and stress among Iranian women

Status and epidemiological characteristics of depression and anxiety among Chinese university students in 2023

Digital mental health interventions as stand-alone vs. augmented treatment as usual