Accepted for/Published in: JMIR Mental Health
Date Submitted: Oct 29, 2022
Open Peer Review Period: Oct 27, 2022 - Dec 22, 2022
Date Accepted: Oct 29, 2023
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Blended psychotherapy for severe mental illnesses: A Scoping review into feasibility, adherence and effectiveness
ABSTRACT
Background:
Blended psychotherapy (bPT) augments face-to-face psychotherapy with digital intervention components to improve effectiveness and cost-effectiveness of mental health treatment. Feasibility and effectiveness of bPT have been shown for various mental health problems, but mostly for patient groups with higher levels of functioning.
Objective:
We aim to conduct a scoping review on feasibility, adherence and effectiveness of bPT for the treatment of patients with severe mental illnesses (SMI).
Methods:
Following PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines PubMed, PsycInfo, PsycArticle and Google Scholar were searched for articles published until October 10, 2022. Also, reference lists of retrieved reviews were hand-searched for further eligible articles.
Results:
Out of 684 identified articles and 557 screened by title and abstract 19 relevant studies, covering data from 17 interventions were included in the synthesis. BPT for SMI mainly comprised of CBT-based psychotherapy programs for outpatients and was feasible in all but one studies, with varying levels of patient adherence and promising attrition rates overall. Studies investigated various bPT contents and structures. There was evidence for bPT effectiveness, although studies were heterogenous and often reported on bPT efficacy without adequate control groups.
Conclusions:
Overall, bPT can be considered as a promising feasible, effective, adherence-supporting and potentially cost-effective option for the enhancement of evidence-based psychotherapy treatment of SMI patients. Challenges and further research as well as clinical implementation directions are discussed for the bPT treatment of SMI.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.