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Chat-based hotlines for health promotion: a systematic review
Carinne Brody1, Alaina Star1, Jasmine Tran1
1Public Health Program, Touro University California, Vallejo, CA, USA.
Chat-based hotlines effectively deliver crisis support, showing positive mental health outcomes. These services are preferred for real-time communication and may expand mental health access globally.
Area of Science:
- Digital Health
- Mental Health Services
- Telemedicine
Background:
- Chat-based hotlines utilize messaging apps for real-time health provider-user communication.
- These services connect individuals with trained health professionals for support.
Purpose of the Study:
- To systematically review the evidence on chat-based hotlines for health promotion.
- To evaluate their effectiveness in delivering crisis and mental health support.
Main Methods:
- A systematic literature search was conducted across PubMed, Cochrane Database, and Google Scholar (2009-2020).
- Included studies were in English and reported original research.
- The review was registered with Prospero (ID: CRD42020156670).
Main Results:
- Twelve publications were included, analyzing user characteristics, support modes, health outcomes, and satisfaction.
- Chat-based hotlines are primarily used for crisis support in high-income countries.
- Studies indicated positive effects on anxiety, depression, well-being, and suicidality, with high user satisfaction.
Conclusions:
- Chat-based hotlines show potential as effective crisis support tools in high-income settings.
- Further evaluation is needed to confirm their effectiveness in low- and middle-income countries for expanding mental health services.
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