Abstract:
Digital health technologies may offer an alternate approach to augmenting the established mental health care delivery systems for migrants and promoting their mental well-being. This review aims to provide a broad examination of literature, to determine the impact of technology-based interventions on outcomes of immigrants and refugees experiencing mental health symptoms associated with pre-and postmigration stress (depression, anxiety, psychological stress, PTSD). We searched five electronic databases (PubMed, Embase, PsycINFO, Web of Science, and the ACM digital library). We included studies that looked at the effectiveness of any technologybased intervention (internet or phone-based, telepsychiatry, telemedicine, digital technology, videoconferencing, or tele video). We limited our search to articles written in English and published up until January 2202. Two reviewers independently extracted article data and evaluated the quality of studies using the Cochrane risk-of-bias criteria and ROBINS-I risk of bias evaluation tool. We found scant evidence that the use of digital interventions, such as mobile-based therapies, video conferencing, and digital platforms, is associated with a statistically significant reduction in depressive and anxious symptoms among immigrants and refugees. In the included trials, no evidence of a substantial decrease in PTSD symptoms was found following the use of a self-help mobile app. Our systematic review revealed intriguing but limited evidence that digital psychological therapies can reduce depression in immigrants and refugees. Future study with a randomized experimental design is required to examine the effectiveness of digital treatments in lowering the impacts of mental health outcomes among immigrants.
摘要:
数字卫生技术可以提供一种替代方法,以增强为移民建立的精神卫生保健提供系统并促进他们的心理健康。这篇综述旨在提供广泛的文献审查,确定基于技术的干预措施对移民和难民的结果的影响,这些移民和难民经历了与移民前后压力相关的心理健康症状(抑郁症,焦虑,心理压力,PTSD)。我们搜索了五个电子数据库(PubMed,Embase,PsycINFO,WebofScience,和ACM数字图书馆)。我们纳入了研究,研究了任何基于技术的干预(基于互联网或电话,心灵感应,远程医疗,数字技术,视频会议,或电视视频)。我们的搜索仅限于英文文章,直到2202年1月才发表。两名评审员独立提取文章数据,并使用Cochrane偏差风险标准和ROBINS-I偏差风险评估工具评估研究质量。我们发现很少的证据表明使用数字干预措施,例如基于移动的疗法,视频会议,数字平台,与移民和难民中抑郁和焦虑症状的统计显着减少有关。在包括的审判中,在使用自助移动应用程序后,没有发现PTSD症状显著减轻的证据.我们的系统评价揭示了数字心理治疗可以减少移民和难民抑郁的有趣但有限的证据。未来需要进行随机实验设计的研究,以检查数字治疗在降低移民心理健康结果影响方面的有效性。