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Digital Shared Decision-Making Interventions in Mental Healthcare: A Systematic Review and Meta-Analysis.
Tobias Vitger1, Lisa Korsbek2, Stephen F Austin3
1Competence Center for Rehabilitation and Recovery, Mental Health Center Ballerup, Mental Health Services - Capital Region of Denmark, Copenhagen, Denmark.
Digital interventions enhance shared decision-making (SDM) in mental healthcare, improving patient activation and reducing symptom severity. However, limited research quality necessitates further investigation into their effectiveness and optimal features.
Area of Science:
- Mental Health Research
- Digital Health Interventions
- Shared Decision-Making (SDM)
Background:
- Shared decision-making (SDM) is crucial for person-centered mental healthcare.
- Digital health technology offers potential for supporting SDM in mental health.
- The effectiveness of digital SDM interventions in mental healthcare requires evaluation.
Approach:
- Systematic review and meta-analysis of randomized controlled trials.
- Searched major databases (MEDLINE, PsycINFO, EMBASE, CINAHL, Cochrane).
- Included studies on digital SDM interventions for mental health conditions.
Key Points:
- Digital SDM interventions showed moderate positive effects on patient activation (SMD = 0.56) and working alliance (SMD = 0.21).
- Small positive effects were observed on general symptom severity (SMD = -0.17) and decisional conflict (SMD = -0.37).
- No significant effects were found for self-efficacy, satisfaction, or adverse events; evidence quality was low to very low.
Conclusions:
- Digital interventions show promise for supporting SDM in mental healthcare.
- Limited research quality and quantity necessitate more high-quality studies.
- Further research should identify effective digital intervention features for SDM.
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