Smartphone apps for depression and anxiety: a systematic review and meta-analysis of techniques to increase engagement

Autor: Ashley Wu, Matthew A. Scult, Emily D. Barnes, Jessica A. Betancourt, Avital Falk, Faith M. Gunning
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: npj Digital Medicine, Vol 4, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 2398-6352
DOI: 10.1038/s41746-021-00386-8
Popis: Abstract Meta-analyses have shown that digital mental health apps can be efficacious in reducing symptoms of depression and anxiety. However, real-world usage of apps is typically not sustained over time, and no studies systematically examine which features increase sustained engagement with apps or the relationship between engagement features and clinical efficacy. We conducted a systematic search of the literature to identify empirical studies that (1) investigate standalone apps for depression and/or anxiety in symptomatic participants and (2) report at least one measure of engagement. Features intended to increase engagement were categorized using the persuasive system design (PSD) framework and principles of behavioral economics. Twenty-five studies with 4159 participants were included in the analysis. PSD features were commonly used, whereas behavioral economics techniques were not. Smartphone apps were efficacious in treating symptoms of anxiety and depression in randomized controlled trials, with overall small-to-medium effects (g = 0.2888, SE = 0.0999, z(15) = 2.89, p = 0.0119, Q(df = 14) = 41.93, p
Databáze: Directory of Open Access Journals