scholarly journals The use of eHealth to promote physical activity in patients with mental health conditions: a systematic review

2018 ◽  
Vol 1 ◽  
pp. 5
Author(s):  
Jonathan Moran ◽  
Grainne Kelly ◽  
Ciarán Haberlin ◽  
David Mockler ◽  
Julie Broderick
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Health Outcomes ◽  
Mobile Application ◽  
Mental Health Outcomes ◽  
Health Conditions ◽  
Web Based ◽  
Mental Health Conditions ◽  
Ehealth Intervention

Background: Achieving adequate amounts of physical activity (PA) confers important physical and mental health benefits. Despite this, individuals with mental health conditions often do not meet recommended levels of PA. eHealth, the delivery of health information through internet and mobile technologies, is an emerging concept in healthcare which presents opportunities to improve PA in people with mental conditions. The aim of this systematic review is to explore if eHealth interventions increase PA levels among individuals with mental health conditions. Methods: Databases searched included OVID Medline, EMBASE, PsychInfo and Web of Science using a combination of key-words and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in individuals with mental health conditions. Two reviewers screened articles for inclusion. Results: In total 2,994 articles were identified. Seven studies met the eligibility criteria. A variety of eHealth platforms designed to increase PA were described in these studies; web-based (n=4), web and mobile application (n=3) and e-mail-based (n=1), one study used both a web-based and mobile application. Three studies reported eHealth intervention significantly increased PA levels. Four studies reported that higher levels of PA resulted in improvements in mental health outcomes.  Conclusion: eHealth interventions may be an innovative low cost method to increase PA levels which may have knock-on effects on mental health outcomes. Although some of the included studies in this review demonstrated promising results, methodological restrictions and potential biases from using subjective measures of PA limit the interpretability of these results.  Future research should evaluate this nascent technology using well designed trials.

scholarly journals The use of eHealth to promote physical activity in people with mental health conditions: a systematic review

2018 ◽  
Vol 1 ◽  
pp. 5 ◽  
Author(s):  
Jonathan Moran ◽  
Grainne Kelly ◽  
Ciarán Haberlin ◽  
David Mockler ◽  
Julie Broderick
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Mobile Application ◽  
Experimental Studies ◽  
Risk Of Bias ◽  
Mobile Technologies ◽  
Health Conditions ◽  
Web Based ◽  
Mental Health Conditions

Background: Achieving adequate amounts of physical activity (PA) confers important physical and mental health benefits. Despite this, people with mental health conditions often do not meet recommended levels of PA. eHealth, the delivery of health information through internet and mobile technologies, is an emerging concept in healthcare which presents opportunities to improve PA. The aim of this systematic review is to describe the use of eHealth to increase or monitor PA levels in people with mental health conditions. Methods: Databases searched included OVID Medline, EMBASE, PsychInfo and Web of Science using a combination of key-words and medical subject headings. Articles were included if they described an eHealth technology designed to improve or monitor PA in people with mental health conditions. Two reviewers screened articles. Articles included in the qualitative synthesis were screened for risk of bias using the Cochrane Risk of Bias Tool for experimental studies and Downs and Black Checklist for non-experimental studies. Results: Seven studies met the eligibility criteria. A variety of eHealth platforms designed to promote or monitor PA were described in these studies; web-based (n=4), web and mobile application (n=3) and e-mail-based (n=1), one study used both a web-based and mobile application. Three studies reported eHealth interventions significantly increased PA levels, however it is unclear if eHealth interventions are superior at promoting PA compared to conventional interventions. Four studies reported that higher levels of PA, measured using eHealth, were associated with better mental health profiles.  Conclusion: eHealth interventions may be an innovative low-cost method to increase PA levels which may have knock-on effects on mental health outcomes. Although some of the included studies in this review demonstrated promising results, methodological restrictions and potential biases from using subjective measures of PA limit the interpretability of these results. Future research should evaluate this promising technology using well-designed trials.

scholarly journals The use of eHealth to promote physical activity in people with mental health conditions: a systematic review

2018 ◽  
Vol 1 ◽  
pp. 5 ◽  
Author(s):  
Jonathan Moran ◽  
Grainne Kelly ◽  
Ciarán Haberlin ◽  
David Mockler ◽  
Julie Broderick
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Mobile Application ◽  
Experimental Studies ◽  
Risk Of Bias ◽  
Mobile Technologies ◽  
Health Conditions ◽  
Web Based ◽  
Mental Health Conditions

Background: Achieving adequate amounts of physical activity (PA) confers important physical and mental health benefits. Despite this, people with mental health conditions often do not meet recommended levels of PA. eHealth, the delivery of health information through internet and mobile technologies, is an emerging concept in healthcare which presents opportunities to improve PA. The aim of this systematic review is to describe the use of eHealth to increase or monitor PA levels in people with mental health conditions. Methods: Databases searched included OVID Medline, EMBASE, PsychInfo and Web of Science using a combination of key-words and medical subject headings. Articles were included if they described an eHealth technology designed to improve or monitor PA in people with mental health conditions. Two reviewers screened articles. Articles included in the qualitative synthesis were screened for risk of bias using the Cochrane Risk of Bias Tool for experimental studies and Downs and Black Checklist for non-experimental studies. Results: Seven studies met the eligibility criteria. A variety of eHealth platforms designed to promote or monitor PA were described in these studies; web-based (n=4), web and mobile application (n=3) and e-mail-based (n=1), one study used both a web-based and mobile application. Three studies reported eHealth interventions significantly increased PA levels, however it is unclear if eHealth interventions are superior at promoting PA compared to conventional interventions. Four studies reported that higher levels of PA, measured using eHealth, were associated with better mental health profiles.  Conclusion: eHealth interventions may be an innovative low-cost method to increase PA levels which may have knock-on effects on mental health outcomes. Although some of the included studies in this review demonstrated promising results, methodological restrictions and potential biases from using subjective measures of PA limit the interpretability of these results. Future research should evaluate this promising technology using well-designed trials.

Mental health benefits from lifestyle physical activity interventions: A systematic review

2020 ◽  
Vol 84 (4) ◽  
pp. 337-372
Author(s):  
Samantha G. Farris ◽  
Ana M. Abrantes
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Health Outcomes ◽  
Perceived Stress ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Outcomes ◽  
Promising Alternative ◽  
Lifestyle Physical Activity

Lifestyle physical activity (LPA) interventions are a promising alternative to structured exercise interventions for addressing mental health problems. The authors conducted a systematic review of the literature on LPA interventions in any population in order to determine (a) the extent to which mental health outcomes were examined and (b) whether benefits in mental health outcomes were observed. Mental health outcomes were defined as depression, anxiety, perceived stress, health-related quality of life, and psychological well-being. A total of 73 articles were identified as LPA intervention, of which 24.7% (n = 18) reported the effect of LPA intervention on mental health outcomes. The most commonly evaluated mental health outcome was depression, and to a lesser extent anxiety and perceived stress. Overall, findings point to promising effects of LPA interventions across common mental health problems. Key areas for future research are discussed in light of emergent limitations in existing published studies.

scholarly journals A systematic review and meta-analysis of the Endometriosis and Mental-Health Sequelae; The ELEMI Project

2021 ◽  
Vol 17 ◽  
pp. 174550652110197
Author(s):  
Gayathri Delanerolle ◽  
Rema Ramakrishnan ◽  
Dharani Hapangama ◽  
Yutian Zeng ◽  
Ashish Shetty ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Outcomes ◽  
Chronic Pelvic Pain ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Mental Health Disorders ◽  
Mental Health Outcomes ◽  
Health Conditions ◽  
Health Disorders

Background: It is important to evaluate sequalae for complex chronic health conditions such as endometriosis and mental health disorders. Endometriosis impacts 1 in 10 women. Mental health outcomes can be a primary determinant in many physical health conditions although this is an area not well researched particularly in women’s health. This has been problematic for endometriosis patients in particular, who report mental health issues as well as other key comorbidities such as chronic pelvic pain and infertility. This could be partly due to the complexities associated with comprehensively exploring overlaps between physical and mental health disorders in the presence of multiple comorbidities and their potential mechanistic relationship. Methods: In this evidence synthesis, a systematic methodology and mixed-methods approaches were used to synthesize both qualitative and quantitative data to examine the prevalence of the overlapping sequalae between endometriosis and psychiatric symptoms and disorders. As part of this, an evidence synthesis protocol was developed which included a systematic review protocol that was published on PROSPERO (CRD42020181495). The aim was to identify and evaluate mental health reported outcomes and prevalence of symptoms and psychiatric disorders associated with endometriosis. Findings: A total of 34 papers were included in the systematic review and 15 were included in the meta-analysis. Anxiety and depression symptoms were the most commonly reported mental health outcomes while a pooled analysis also revealed high prevalence of chronic pelvic pain and dyspareunia. Interpretation: It is evident that small-scale cross-sectional studies have been conducted in a variety of settings to determine mental health outcomes among endometriosis patients. Further research is required to comprehensively evaluate the mental health sequalae with endometriosis.

Psychopathological effects of the Coronavirus (Sars-CoV-2) imposed lockdown on vulnerable patients in treatment in a mental health outpatient department for migrants and individuals in poor socioeconomic conditions

2021 ◽  
pp. 002076402098857
Author(s):  
Massimiliano Aragona ◽  
Maria Cristina Tumiati ◽  
Federica Ferrari ◽  
Sonia Viale ◽  
Gianluca Nicolella ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Problems ◽  
Treatment Discontinuation ◽  
Outpatient Department ◽  
Health Conditions ◽  
Phone Call ◽  
Web Based ◽  
Mental Health Conditions ◽  
Life Problems ◽  
Mental Symptoms

Background: The effects of Sars-Cov-2 pandemic may increase vulnerability of migrants. Aims: To investigate the effects of the governmental lockdown on the mental health of vulnerable migrants in treatment at an outpatient department. Method: In a telephone survey post-migration living difficulties and psychopathological symptoms were investigated, particularly post-traumatic thoughts and nightmares, anxiety, depression, feelings of tension and irritability, other sleep problems, as well as COVID-19 related fears. Psychopathological changes during the lockdown were detected and rated by clinicians. Rates of treatment discontinuation and reasons why were also recorded. Results: Of 103 eligible patients, 81 answered the phone call and were included in the study. Mental symptoms were frequent but not as severe as expected. About 32% of patients in psychopharmacological treatment and almost 52% of patients in psychotherapy had discontinued treatment. Patients who were globally considered to have worsened if compared to their pre-coronavirus mental health conditions had in fact higher scores on several mental symptoms but mild specific fears about coronavirus issues, similar to those of patients improved or stable. Worsening was significantly associated with unemployment, lack of VISA, and treatment discontinuation. Shifting the way of providing psychotherapy into a web-based modality was significantly more frequent in stable/improved patients. Conclusion: Findings suggest that concrete life problems and treatment discontinuation more than the coronavirus fear, have predominantly affected the mental health conditions of our patients.

Mental health outcomes of balneotherapy: a systematic review

2021 ◽  
Vol 4 (1) ◽  
pp. 69-92
Author(s):  
James Clark-Kennedy ◽  
Gerard Kennedy ◽  
Marc Cohen ◽  
Russell Conduit
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Outcomes ◽  
Mental Health Outcomes

The Impact of Mobile Application Systems Use on Mental Health Outcomes: A Secondary Analysis of the Effect of Systems Usage on Anxiety, Worry, & Emotional Reactivity Among Participants in the Unwinding Anxiety Program (Preprint)

2021 ◽  
Author(s):  
William Nardi ◽  
Alexandra Roy ◽  
Shira Dunsiger ◽  
Judson Brewer
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Emotional Regulation ◽  
Mobile Application ◽  
Secondary Analysis ◽  
Health Behavior Change ◽  
Mental Health Outcomes ◽  
Interoceptive Awareness ◽  
Point Increase ◽  
The Impact

BACKGROUND Mobile health applications provide a promising avenue to help mitigate the burden on mental health services by complimenting therapist-led treatments for anxiety. However, it remains unclear how specific systems' use of application components (i.e., tools) may be associated with changes in clinical symptomatology (i.e., anxiety, worry). OBJECTIVE This study was a secondary analysis of systems usage data from the Stage I randomized controlled trial testing the impact of the Unwinding Anxiety mobile application among adults with GAD. This secondary analysis was conducted to assess how using specific application tools may be associated with improvements in anxiety, worry, emotional regulation, and interoceptive awareness. METHODS We present analyses of the intervention group (i.e., those who received the Unwinding Anxiety program) during the Stage 1 trial. Total use of specific mobile application tools (i.e., ecological tools, meditation practices, educational modules) as well use specific to each tool (e.g., stress meter, lovingkindness meditation practice) were calculated. We utilized multivariate linear models to investigate the effect of total use of these tools on anxiety, worry, interoceptive awareness, emotional regulation at 2-months post-program initiation controlling for baseline scores, age, and education level. In addition, associations between systems usage metrics and baseline participant characteristics were assessed for differences in usage groupings. RESULTS The sample was primarily female (n=25; 92.6%) and the average age was 42.9 years old (SD=15.6) and educational module completion, the central intervention component, averaged 20.2 + 11.4 modules out of XXX for the total sample. Multivariate models revealed that completing >75% of the program was associated with an average 22.6-point increase in interoceptive awareness (SE=8.32, p=0.013) and an 11.6-point decrease in worry (SE=4.12, p=0.009). In addition, a single log unit change in total number of meditations was associated with a 0.95-point reduction in GAD-7 scores (SE=0.27, p=0.005) while a single log unit use of the stress meter was associated with an average of a 0.5-point increase in emotional regulation scores (FFMQ) (SE=0.21, p=0.027). CONCLUSIONS The work presented offers a clearer understanding of the impact of specific mobile app systems use on mental health outcomes. In addition, this research lays the groundwork for future comprehensive investigations of systems usage in dosing studies for health behavior change. CLINICALTRIAL Developing a Novel Digital Therapeutic for the Treatment of Generalized Anxiety Disorder (NCT03683472).

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