Accepted for/Published in: JMIR Mental Health
Date Submitted: Feb 16, 2022
Date Accepted: Aug 3, 2022
Guided internet-delivered treatment for depression: a scoping review
ABSTRACT
Background:
Studies on guided internet-delivered treatment have demonstrated promising results for patients suffering from depressive disorder.
Objective:
The aim of this study was to provide an overview over this research area, and identify potential gaps in the research.
Methods:
In this scoping review online databases were used to identify research papers published between 2010 and 2021, where guided internet-delivered treatment was delivered to participants suffering from depressive disorder, and a standardized rating scale of depressive symptoms were used as the primary outcome measure.
Results:
One hundred and five studies were included, and an overview over the studies is provided. Several gaps in research were identified regarding the design of the studies, the treatments delivered, participant representation and treatment completion. Limitations The comprehensiveness of the scoping review was limited to inclusion of studies published in Scandinavian or English language, and exclusion of publications published before 2010 as well as grey literature. Only studies with a guided treatment format were included, but there were large variations in frequency, modality and content of the guidance, and comparisons might be somewhat problematic.
Conclusions:
The review provides a comprehensive overview over the research area and several research gaps were identified. Use of other designs, and active control conditions is recommended. Future studies should provide access to treatment manuals, and more replications should be conducted. Researchers should aim to include underrepresented populations, and provide reports of comorbidity. Definitions of adequate dosage, reports of completion rate, and reasons for treatment drop-out is recommended in future studies
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