Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review

Chronic diseases represent one of the main causes of death worldwide. The integration of digital solutions in clinical interventions is broadly diffused today; however, evidence on their efficacy in addressing psychological comorbidities of chronic diseases is sparse. This systematic review analyzes...

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Main Authors: Marta Maisto, Barbara Diana, Sonia Di Tella, Marta Matamala-Gomez, Jessica Isbely Montana, Federica Rossetto, Petar Aleksandrov Mavrodiev, Cesare Cavalera, Valeria Blasi, Fabrizia Mantovani, Francesca Baglio, Olivia Realdon
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/1/30
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spelling doaj-24545193b4804ac1a1572ea8405e8de02021-01-07T00:02:14ZengMDPI AGJournal of Personalized Medicine2075-44262021-01-0111303010.3390/jpm11010030Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic ReviewMarta Maisto0Barbara Diana1Sonia Di Tella2Marta Matamala-Gomez3Jessica Isbely Montana4Federica Rossetto5Petar Aleksandrov Mavrodiev6Cesare Cavalera7Valeria Blasi8Fabrizia Mantovani9Francesca Baglio10Olivia Realdon11Center for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyCenter for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyIRCCS Fondazione don Carlo Gnocchi ONLUS, Via Capecelatro 66, 20148 Milan, ItalyCenter for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyCenter for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyIRCCS Fondazione don Carlo Gnocchi ONLUS, Via Capecelatro 66, 20148 Milan, ItalyCenter for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyDepartment of Psychology, Catholic University of the Sacred Heart, Via Nirone 15, 20123 Milan, ItalyIRCCS Fondazione don Carlo Gnocchi ONLUS, Via Capecelatro 66, 20148 Milan, ItalyCenter for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyIRCCS Fondazione don Carlo Gnocchi ONLUS, Via Capecelatro 66, 20148 Milan, ItalyCenter for Studies in Communication Sciences “Luigi Anolli”, Department of Human Sciences for Education “Riccardo Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, ItalyChronic diseases represent one of the main causes of death worldwide. The integration of digital solutions in clinical interventions is broadly diffused today; however, evidence on their efficacy in addressing psychological comorbidities of chronic diseases is sparse. This systematic review analyzes and synthesizes the evidence about the efficacy of digital interventions on psychological comorbidities outcomes of specific chronic diseases. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search of PubMed, PsycInfo, Scopus and Web of Science databases was conducted. Only Randomized Controlled Trials (RCTs) were considered and either depression or anxiety had to be assessed to match the selection criteria. Of the 7636 identified records, 17 matched the inclusion criteria: 9 digital interventions on diabetes, 4 on cardiovascular diseases, 3 on Chronic Obstructive Pulmonary Disease (COPD) and one on stroke. Of the 17 studies reviewed, 14 found digital interventions to be effective. Quantitative synthesis highlighted a moderate and significant overall effect of interventions on depression, while the effect on anxiety was small and non-significant. Design elements making digital interventions effective for psychological comorbidities of chronic diseases were singled out: (a) implementing a communication loop with patients and (b) providing disease-specific digital contents. This focus on “how” to design technologies can facilitate the translation of evidence into practice.https://www.mdpi.com/2075-4426/11/1/30telemedicinedigital healthchronic diseasesmental healthpsychological comorbiditiesdepression
collection DOAJ
language English
format Article
sources DOAJ
author Marta Maisto
Barbara Diana
Sonia Di Tella
Marta Matamala-Gomez
Jessica Isbely Montana
Federica Rossetto
Petar Aleksandrov Mavrodiev
Cesare Cavalera
Valeria Blasi
Fabrizia Mantovani
Francesca Baglio
Olivia Realdon
spellingShingle Marta Maisto
Barbara Diana
Sonia Di Tella
Marta Matamala-Gomez
Jessica Isbely Montana
Federica Rossetto
Petar Aleksandrov Mavrodiev
Cesare Cavalera
Valeria Blasi
Fabrizia Mantovani
Francesca Baglio
Olivia Realdon
Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review
Journal of Personalized Medicine
telemedicine
digital health
chronic diseases
mental health
psychological comorbidities
depression
author_facet Marta Maisto
Barbara Diana
Sonia Di Tella
Marta Matamala-Gomez
Jessica Isbely Montana
Federica Rossetto
Petar Aleksandrov Mavrodiev
Cesare Cavalera
Valeria Blasi
Fabrizia Mantovani
Francesca Baglio
Olivia Realdon
author_sort Marta Maisto
title Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review
title_short Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review
title_full Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review
title_fullStr Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review
title_full_unstemmed Digital Interventions for Psychological Comorbidities in Chronic Diseases—A Systematic Review
title_sort digital interventions for psychological comorbidities in chronic diseases—a systematic review
publisher MDPI AG
series Journal of Personalized Medicine
issn 2075-4426
publishDate 2021-01-01
description Chronic diseases represent one of the main causes of death worldwide. The integration of digital solutions in clinical interventions is broadly diffused today; however, evidence on their efficacy in addressing psychological comorbidities of chronic diseases is sparse. This systematic review analyzes and synthesizes the evidence about the efficacy of digital interventions on psychological comorbidities outcomes of specific chronic diseases. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search of PubMed, PsycInfo, Scopus and Web of Science databases was conducted. Only Randomized Controlled Trials (RCTs) were considered and either depression or anxiety had to be assessed to match the selection criteria. Of the 7636 identified records, 17 matched the inclusion criteria: 9 digital interventions on diabetes, 4 on cardiovascular diseases, 3 on Chronic Obstructive Pulmonary Disease (COPD) and one on stroke. Of the 17 studies reviewed, 14 found digital interventions to be effective. Quantitative synthesis highlighted a moderate and significant overall effect of interventions on depression, while the effect on anxiety was small and non-significant. Design elements making digital interventions effective for psychological comorbidities of chronic diseases were singled out: (a) implementing a communication loop with patients and (b) providing disease-specific digital contents. This focus on “how” to design technologies can facilitate the translation of evidence into practice.
topic telemedicine
digital health
chronic diseases
mental health
psychological comorbidities
depression
url https://www.mdpi.com/2075-4426/11/1/30
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