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Standalone smartphone CBT-based Ecological Momentary Interventions to increase mental health - a narrative review
Marta Anna Marciniak;
Lilly Shanahan;
Judith Rohde;
Ava Schulz;
Carolin Wackerhagen;
Dorota Kobylińska;
Oliver Tuescher;
Harald Binder;
Henrik Walter;
Raffael Kalisch;
Birgit Kleim
ABSTRACT
Background:
A growing number of psychological interventions are delivered via smartphone with the aim to increase efficacy and effectiveness of these treatments and provide scalable access to interventions for improving mental health. Most of the scientifically tested apps are based on cognitive behavioural therapy (CBT) principles which is considered as a gold standard for the treatment of many mental health problems.
Objective:
Aim of the review was to investigate standalone ‘ecological momentary interventions’ (EMIs), that were built on concepts derived from cognitive behavioural therapy and delivered via smartphones.
Methods:
We searched MEDLINE, PsycINFO, Embase and PubMed databases for studies published between 1st January 2010 and 15th January 2020. Blended interventions, e.g., psychotherapy in combination with an app, were excluded from the review. A total of 26 studies were selected.
Results:
EMIs based on CBT principles can be successfully delivered, significantly increase well-being among users, and reduce mental health symptoms. Standalone EMIs were rated as helpful (m=70.8%) and outcomes as satisfying by users (m=72.6%).
Conclusions:
These findings are relevant for promoting global mental health in times of crises, such as the current COVID-19 pandemic.
Citation
Please cite as:
Marciniak MA, Shanahan L, Rohde J, Schulz A, Wackerhagen C, Kobylińska D, Tuescher O, Binder H, Walter H, Kalisch R, Kleim B