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  11. Digital Mental Health Interventions For Adolescents In Low- And Middle-income Countries: Scoping Review

Digital Mental Health Interventions for Adolescents in Low- and Middle-Income Countries: Scoping Review

Carolina Wani1, Lisa McCann1, Marilyn Lennon1

  • 1Department of Computer and Information Sciences, University of Strathclyde, Glasgow, United Kingdom.

Journal of Medical Internet Research
|October 29, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Digital mental health interventions show promise for adolescents in low- and middle-income countries (LMICs). However, more research is needed on long-term benefits, infrastructure, and cultural fit to ensure effective implementation.

Area of Science:

  • Global Mental Health
  • Digital Health
  • Adolescent Health

Background:

  • Digital mental health interventions (DMHIs) are crucial for addressing adolescent mental health challenges, especially in low- and middle-income countries (LMICs).
  • The Sustainable Development Goals and universal health coverage emphasize the need for accessible mental health solutions.
  • Understanding engagement factors for DMHIs in adolescents within LMICs is essential.

Purpose of the Study:

  • To conduct a scoping review of digital mental health interventions (DMHIs) for adolescents in low- and middle-income countries (LMICs).
  • To identify the current landscape, including design, evaluation, barriers, and facilitators of DMHIs for adolescent mental health in LMICs.

Main Methods:

  • Utilized Joanna Briggs Institute scoping review methodology and PRISMA-ScR guidelines.
Keywords:
DMHIsLMICsadolescentscultural appropriateness

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  • Conducted a comprehensive search across multiple databases (e.g., PubMed, Scopus, Web of Science, Google Scholar) for literature published between January 2019 and March 2024.
  • Included studies focusing on adolescents, digital mental health interventions, and low- and middle-income country contexts.

    • Main Results:

    • Analyzed 20 papers on DMHIs for adolescent mental health conditions like depression, anxiety, and suicide ideation.
    • Interventions varied in format (group, self-guided) and delivery support (professional, lay professionals).
    • Study designs included randomized controlled trials, mixed methods, and feasibility studies.

    Conclusions:

    • The research on DMHIs for adolescents in LMICs is advancing but remains limited.
    • Knowledge gaps exist regarding long-term clinical benefits, digital infrastructure readiness, cultural appropriateness, and cost-effectiveness.
    • Future research should prioritize large-scale, co-designed, and culturally sensitive DMHI trials in LMICs.
    design
    digital mental health interventions
    evaluation
    implementation
    low- and middle-income countries
    mental health
    mobile phone