Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
Gen Psychiatr. 2024 Jul 18;37(4):e101355. doi: 10.1136/gpsych-2023-101355. eCollection 2024.
ABSTRACT
Internet-based interventions (IBIs) for behavioural health have been prevalent for over two decades, and a growing proportion of individuals with mental health concerns prefer these emerging digital alternatives. However, the effectiveness and acceptability of IBIs for various mental health disorders continue to be subject to scholarly debate. We performed an umbrella review of meta-analyses (MAs), conducting literature searches in PubMed, Web of Science, Embase, Cochrane and Ovid Medline from their inception to 17 January 2023. A total of 87 MAs, reporting on 1683 randomised controlled trials and 295 589 patients, were included. The results indicated that IBIs had a moderate effect on anxiety disorder (standardised mean difference (SMD)=0.53, 95% CI 0.44 to 0.62) and post-traumatic stress disorder (PTSD) (SMD=0.63, 95% CI 0.38 to 0.89). In contrast, the efficacy on depression (SMD=0.45, 95% CI 0.39 to 0.52), addiction (SMD=0.23, 95% CI 0.16 to 0.31), suicidal ideation (SMD=0.23, 95% CI 0.16 to 0.30), stress (SMD=0.41, 95% CI 0.33 to 0.48) and obsessive-compulsive disorder (SMD=0.47, 95% CI 0.22 to 0.73) was relatively small. However, no significant effects were observed for personality disorders (SMD=0.07, 95% CI -0.13 to 0.26). Our findings suggest a significant association between IBIs and improved mental health outcomes, with particular effectiveness noted in treating anxiety disorders and PTSD. However, it is noteworthy that the effectiveness of IBIs was impacted by high dropout rates during treatment. Furthermore, our results indicated that guided IBIs proved to be more effective than unguided ones, playing a positive role in reducing dropout rates and enhancing patient adherence rates. PROSPERO registration number: CRD42023417366.
PMID:39040128 | PMC:PMC11261690 | DOI:10.1136/gpsych-2023-101355
![Google](https://www.google.com/images/branding/googlelogo/2x/googlelogo_light_color_92x30dp.png)
![Google Keep](https://www.gstatic.com/images/branding/product/1x/keep_48dp.png)
![Share on Linkedin](https://psychiatryai.com/wp-content/uploads/2023/10/linkedin-logo-png-2048-1.png)
Estimated reading time: 5 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Cool Evidence: Engaging Young People and Students in Real-World Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Real-Time Evidence Search [Psychiatry]
![](/wp-content/uploads/2024/04/pubmed.png)
AI Research
![](/wp-content/uploads/2024/05/Il5nR_nf_400x400-modified-1.png)
Assessing the effectiveness of internet-based interventions for mental health outcomes: an umbrella review
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
🌐 90 Days
AI Virtual Reality Related Evidence Matrix
Efficacy of technology-based mental health interventions in minimizing mental health symptoms among in immigrants, asylum seekers or refugees; systematic review Placebo effects in randomized trials of pharmacological and neurostimulation interventions for mental disorders: An umbrella review Placebo effects in randomized trials of pharmacological and neurostimulation interventions for mental disorders: An umbrella review Placebo effects in randomized trials of pharmacological and neurostimulation interventions for mental disorders: An umbrella review Characteristics of quality improvement interventions to improve physical healthcare in mental health settings: a scoping review protocol Family-centred care interventions in neonatal intensive care units: a scoping review of randomised controlled trials providing a menu of interventions, outcomes and measurement methods Patient-reported outcomes of psychiatric and/or mental health nursing in hospitals: a systematic review protocol Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review Physical activity interventions for the promotion of mental health outcomes in at-risk children and adolescents: a systematic review Effectiveness of Web-Based Mindfulness-Based Interventions for Patients With Cancer: Systematic Review and Meta-Analyses Commercial determinants of mental ill health: An umbrella review Approaches to improving mental healthcare for autistic people: systematic review Protocol for the development of a reporting guideline for umbrella reviews on epidemiological associations using cross-sectional, case-control and cohort studies: the Preferred Reporting Items for Umbrella Reviews of Cross-sectional,… Cultural Adaptations, Efficacy, and Acceptability of Psychological Interventions for Mental Health in Adults? with Refugees and Asylum-Seeker Status: A Systematic Review Interventions for intimate partner violence during the perinatal period: A scoping review: A systematic review Cultural Adaptations, Efficacy, and Acceptability of Psychological Interventions for Mental Health in Adults? with Refugees and Asylum-Seeker Status: A Systematic Review Cultural Adaptations, Efficacy, and Acceptability of Psychological Interventions for Mental Health in Adults? with Refugees and Asylum-Seeker Status: A Systematic Review Design of Digital Mental Health Platforms for Family Member Cocompletion: Scoping Review Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature Psychosocial treatment options for adolescents and young adults with alcohol use disorder: systematic review and meta-analysis Effectiveness of telerehabilitation in patients with post-COVID-19: a systematic review and meta-analysis of randomised controlled trials What is the association between the microbiome and cognition? An umbrella review protocol Characteristics associated with effectiveness in postoperative delirium research: a systematic review of randomised controlled trials with meta-regression and meta-analysis Hybrid approaches to allied health services for children and young people: a scoping review Digital health interventions to support women with opioid use disorder: A scoping review Self-Administered Interventions Based on Natural Language Processing Models for Reducing Depressive and Anxiety Symptoms: Systematic Review and Meta-Analysis Effect of Music-Based Interventions on Maternal and Fetal Parameters During Pregnancy: A Systematic Review Effect of Music-Based Interventions on Maternal and Fetal Parameters During Pregnancy: A Systematic Review Effect of Music-Based Interventions on Maternal and Fetal Parameters During Pregnancy: A Systematic Review Application of Positive Psychology in Digital Interventions for Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Controlled Trials Effectiveness of interventions to prevent abuse in people living with dementia in community settings: A systematic review Delivery of Allied Health Interventions Using Telehealth Modalities: A Rapid Systematic Review of Randomized Controlled Trials Living with mesothelioma: a systematic review of mental health and well-being impacts and interventions for patients and their informal carers Living with mesothelioma: a systematic review of mental health and well-being impacts and interventions for patients and their informal carers Effects of Digital Psychotherapy on Suicide: A Systematic Review and Meta-Analysis Engagement With Conversational Agent-Enabled Interventions in Cardiometabolic Disease Management: Protocol for a Systematic Review Insights Derived From Text-Based Digital Media, in Relation to Mental Health and Suicide Prevention, Using Data Analysis and Machine Learning: Systematic Review Effectiveness of interventions for the prevention or management of workplace violence in student nurses during clinical placement: A systematic review Effectiveness of interventions for the prevention or management of workplace violence in student nurses during clinical placement: A systematic review The Effectiveness of Virtual and Augmented Reality in Surgical Pain Management: A Systematic Review of Randomized Controlled Trials The Effects of mHealth Interventions on Quality of Life, Anxiety, and Depression in Patients With Coronary Heart Disease: Meta-Analysis of Randomized Controlled Trials Universal Child Mental Health Screening for Parents: a Systematic Review of the Evidence A Systematic Review of the Effect of Stigmatization on Psychiatric Illness Outcomes Digital education about delirium for health care professional students: a mixed methods systematic review Self-help interventions for the prevention of relapse in mood disorder: a systematic review and meta-analysis Psychological well-being and needs of parents and carers of children and young people with mental health difficulties: a quantitative systematic review with meta-analyses Más estadounidenses dicen que el cambio climático está teniendo un impacto en la salud mental ahora Psychoeducational group interventions for adults diagnosed with attention-deficit/ hyperactivity disorder: a scoping review of feasibility, acceptability, and outcome measures Effectiveness of decision aids on critically ill patients' outcomes and family members' knowledge, anxiety, depression and decisional conflict: A systematic review and meta-analysis An Umbrella Review of Cognitive Behavioural and Dialectical Behavioural Therapies to Treat Self-Harm and Suicidal Behaviour in Adolescents Just-in-time adaptive interventions for adolescent and young adult health and well-being: protocol for a systematic review Digital and Hybrid Pediatric and Youth Mental Health Program Implementation Challenges During the Pandemic: Literature Review With a Knowledge Translation and Theoretical Lens Analysis eHealth-Integrated Psychosocial and Physical Interventions for Chronic Pain in Older Adults: Scoping Review eHealth-Integrated Psychosocial and Physical Interventions for Chronic Pain in Older Adults: Scoping Review Evaluating EHR-Integrated Digital Technologies for Medication-Related Outcomes and Health Equity in Hospitalised Adults: A Scoping Review Effect of exercise on cravings levels in individuals with drug dependency: A systematic review The Acceptability, Engagement, and Feasibility of Mental Health Apps for Marginalized and Underserved Young People: Systematic Review and Qualitative Study A systematic review of the association between parent-child communication and adolescent mental health Stepped, evidence-based and integrated care service model vs. usual care for mental disorders: A randomized controlled trial (RECOVER) A systematic review and meta-analysis of pediatric integrated primary care for the prevention and treatment of physical and behavioral health conditions Mental health clinical pathways for children and young people with long-term health conditions: A systematic review
Evidence Blueprint
Assessing the effectiveness of internet-based interventions for mental health outcomes: an umbrella review
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
Assessing the effectiveness of internet-based interventions for mental health outcomes: an umbrella review
🌐 365 Days
AI Virtual Reality Related Evidence Matrix
Efficacy of technology-based mental health interventions in minimizing mental health symptoms among in immigrants, asylum seekers or refugees; systematic review An umbrella review of effectiveness and efficacy trials for app-based health interventions Effectiveness of combining prevention psychological interventions with interventions that address the social determinants of mental health in low and middle-income countries: protocol of a systematic review and meta-analysis The effectiveness of virtual reality training on knowledge, skills and attitudes of health care professionals and students in assessing and treating mental health disorders: a systematic review Placebo effects in randomized trials of pharmacological and neurostimulation interventions for mental disorders: An umbrella review Placebo effects in randomized trials of pharmacological and neurostimulation interventions for mental disorders: An umbrella review Placebo effects in randomized trials of pharmacological and neurostimulation interventions for mental disorders: An umbrella review Effectiveness, acceptability, and completeness and quality of intervention reporting of psychological interventions for people with dementia or mild cognitive impairment: protocol for a mixed-methods systematic review Characteristics of quality improvement interventions to improve physical healthcare in mental health settings: a scoping review protocol The Use of Mobile Assessments for Monitoring Mental Health in Youth: Umbrella Review Mental health interventions for individuals with serious mental illness in the criminal legal system: a systematic review Effectiveness of mindfulness-based intervention in schizophrenia: A meta-analysis of randomized controlled trials Assessment and treatment of mental health conditions in children and adolescents: A systematic scoping review of how virtual reality environments have been used Family-centred care interventions in neonatal intensive care units: a scoping review of randomised controlled trials providing a menu of interventions, outcomes and measurement methods Effectiveness of educational and psychological survivorship interventions to improve health-related quality of life outcomes for men with prostate cancer on androgen deprivation therapy: a systematic review Effectiveness of applied and casual games for young people's mental health: A systematic review of randomised controlled studies Waiting-list interventions for children and young people using child and adolescent mental health services: a systematic review Patient-reported outcomes of psychiatric and/or mental health nursing in hospitals: a systematic review protocol Effectiveness of mindfulness-based interventions on the well-being of healthcare workers: a systematic review and meta-analysis Effects of different exercise interventions on chemotherapy-related cognitive impairment in patients with breast cancer: a study protocol for systematic review and network meta-analysis Effectiveness of Mental Health and Wellbeing Interventions for Children and Young People in Foster, Kinship, and Residential Care: Systematic Review and Meta-Analysis Self-directed digital interventions for the improvement of emotion regulation-effectiveness for mental health and functioning in adolescents: protocol for a systematic review Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review Collaborative care approaches for people with severe mental illness Collaborative care approaches for people with severe mental illness Feasibility, Adherence, and Effectiveness of Blended Psychotherapy for Severe Mental Illnesses: Scoping Review Physical activity interventions for the promotion of mental health outcomes in at-risk children and adolescents: a systematic review Associations between constructs related to social relationships and mental health conditions and symptoms: an umbrella review Effectiveness of Web-Based Mindfulness-Based Interventions for Patients With Cancer: Systematic Review and Meta-Analyses The effectiveness of digital health technologies for reducing substance use among young people: a systematic review & meta-analysis Digital methods towards Generation Z spiritual and mental health: a scoping review Commercial determinants of mental ill health: An umbrella review Are couple-based psychological interventions beneficial for the mental health of prostate cancer patients and their spouses? A systematic review and meta-analysis Evaluating outcomes following adolescent and youth mental health inpatient admissions: A systematic review Approaches to improving mental healthcare for autistic people: systematic review Scoping Review: Digital Mental Health Interventions for Children and Adolescents Affected by War Trends in outcomes used to measure the effectiveness of UK-based support interventions and services targeted at adults with experience of domestic and sexual violence and abuse: a scoping review The Effects of Music-Based Interventions for Pain and Anxiety Management during Vaginal Labour and Caesarean Delivery: A Systematic Review and Narrative Synthesis of Randomised Controlled Trials Perioperative mental health intervention for depression and anxiety symptoms in older adults study protocol: design and methods for three linked randomised controlled trials The impact of integrating behavioral health services into pediatric subspecialty care: A systematic review Protocol for the development of a reporting guideline for umbrella reviews on epidemiological associations using cross-sectional, case-control and cohort studies: the Preferred Reporting Items for Umbrella Reviews of Cross-sectional,… Approaches to improving mental health care for autistic children and young people: a systematic review and meta-analysis Screening for depression in children and adolescents in primary care or non-mental health settings: a systematic review update Effect of digital technology interventions for cognitive function improvement in mild cognitive impairment and dementia: A systematic review and meta-analysis Cognitive behavioural therapy for the treatment of schizophrenia spectrum disorders: an umbrella review of meta-analyses of randomised controlled trials Cultural Adaptations, Efficacy, and Acceptability of Psychological Interventions for Mental Health in Adults? with Refugees and Asylum-Seeker Status: A Systematic Review Interventions for intimate partner violence during the perinatal period: A scoping review: A systematic review Interventions to promote medical student well-being: an overview of systematic reviews Dismantling and personalising task-sharing psychosocial interventions for common mental disorders: a study protocol for an individual participant data component network meta-analysis Cultural Adaptations, Efficacy, and Acceptability of Psychological Interventions for Mental Health in Adults? with Refugees and Asylum-Seeker Status: A Systematic Review Cultural Adaptations, Efficacy, and Acceptability of Psychological Interventions for Mental Health in Adults? with Refugees and Asylum-Seeker Status: A Systematic Review Effects of elastic band resistance training on the physical and mental health of elderly individuals: A mixed methods systematic review What works for whom and why? Treatment effects and their moderators among forcibly displaced people receiving psychological and psychosocial interventions: study protocol for an individual patient data meta-analysis Diagnostic error in mental health: a review Palliative care interventions for patients with head and neck cancer: protocol for a scoping review Design of Digital Mental Health Platforms for Family Member Cocompletion: Scoping Review Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature Effectiveness of psychoeducational interventions on psychological distress and health-related quality of life among patients with maintenance hemodialysis: a systematic review and meta-analysis Non-pharmacological interventions on quality of life in stroke survivors: A systematic review and meta-analysis Telehealth as a Psychological Intervention for Caregivers of Children with Neurodevelopmental Disorders: A Systematic Review with Effect Sizes Effectiveness and cost-effectiveness of community-based mental health services for individuals with severe mental illness in Iran: a systematic review and meta-analysis