Scoping Review: Digital Mental Health Interventions for Children and Adolescents Affected by War - 29/01/25
, Dmytro Martsenkovskyi, MD, PhD c, d, e, Barbara Remberk, MD, PhD f, Monika Youssef Khalil, MD f, Emma Diggins, MB BChir g, h, Eleanor Keiller, MA i, j, Saba Masood, MSc i, j, Isang Awah, PhD k, Corrado Barbui, MD l, Renée Beer, MSc m, Rachel Calam, MClinPsychol, PhD n, Marcio Gagliato, PhD o, Tine K. Jensen, PhD p, q, Zlatina Kostova, PhD r, James F. Leckman, MD, PhD s, Stephanie J. Lewis, MBBS, PhD a, b, Boris Lorberg, MD r, Olha Myshakivska, MD, PhD t, Elisa Pfeiffer, PhD u, Rita Rosner, PhD v, Jessica L. Schleider, PhD w, Yulia Shenderovich, MPhil, PhD x, y, Norbert Skokauskas, MD, PhD z, Patrick H. Tolan, PhD aa, Ernesto Caffo, MD ab, ac, Marit Sijbrandij, PhD ad, Dennis Ougrin, PhD i, j, Bennett L. Leventhal, MD ae, John R. Weisz, PhD af, agthe
Global Resources fOr War-affected youth (GROW) Network
Abstract |
Objective |
More than 200 million children and adolescents live in countries affected by violent conflict, are likely to have complex mental health needs, and struggle to access traditional mental health services. Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support. We performed a scoping review to map existing digital mental health interventions relevant for children and adolescents affected by war, to examine the strength of the evidence base, and to inform the development of future interventions.
Method |
Based on a pre-registered strategy, we systematically searched MEDLINE, Embase, Global Health, APA PsychInfo, and Google Scholar from the creation of each database to September 30, 2022, identifying k = 6,843 studies. Our systematic search was complemented by extensive consultation with experts from the GROW Network.
Results |
The systematic search identified 6 relevant studies: 1 study evaluating digital mental health interventions for children and adolescents affected by war, and 5 studies for those affected by disasters. Experts identified 35 interventions of possible relevance. The interventions spanned from universal prevention to specialist-guided treatment. Most interventions directly targeted young people and parents or carers/caregivers and were self-guided. A quarter of the interventions were tested through randomized controlled trials. Because most interventions were not culturally or linguistically adapted to relevant contexts, their implementation potential was unclear.
Conclusion |
There is very limited evidence for the use of digital mental health interventions for children and adolescents affected by war at present. The review provides a framework to inform the development of new interventions.
Plain language summary |
Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support for children and adolescents living in war affected regions. In this scoping review, the authors identified 1 study evaluating digital mental health interventions for children and adolescents affected by war and 5 for those affected by disasters. In addition, 35 interventions were identified through expert consultation as of possible relevance. The authors found very limited evidence for the use of digital mental health interventions for children and adolescents affected by war, and given this provide a framework to inform the development of new interventions.
Diversity & Inclusion Statement |
We actively worked to promote sex and gender balance in our author group.
Study preregistration information |
Digital mental health interventions for children and young people affected by war: a scoping review; osf.io/; hrny9.
Le texte complet de cet article est disponible en PDF.Key words : war, mental health, children, adolescents, digital intervention
Plan
| Drs. Leventhal and Weisz are joint last authors of this work. |
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| The authors have reported funding for this work by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley National Health Service Foundation Trust and King’s College London (NIHR203318 to Andrea Danese). |
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| This work has been prospectively registered: hrny9/. |
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| Disclosure: Dr. Diggins has received funding from an NIHR Doctoral Fellowship. Dr. Awah has received funding from the Global Parenting Initiative at Department of Social Policy and Intervention, University of Oxford, UK. Prof. Calam has reported being a Developer for the United Nations Office on Drugs and Crime (UNODC) and The University of Manchester resources. Dr. Lewis has received funding from the South London and Maudsley NHS Foundation Trust and King’s College London. Prof. Rosner has received funding from the German Research Foundation, Federal Ministry of Education and Research Germany, Bavarian State Ministry of Labour and Social Welfare, Family Affairs and Women. Dr. Schleider has received funding from the National Institutes of Health Office of the Director (DP5OD028123), the National Institute of Mental Health (R43MH128075), the National Science Foundation (2141710), the Health Research and Services Association (U3NHP45406-01-00), the Society for Clinical Child and Adolescent Psychology, Hopelab, the Upswing Fund for Adolescent Mental Health, and the Klingenstein Third Generation Foundation. Preparation of this article was supported in part by the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis; through an award from the National Institute of Mental Health (R25MH080916; JLS is an IRI Fellow). She has served on the Scientific Advisory Board for Walden Wise and the Clinical Advisory Board for Koko; and has received book royalties from New Harbinger, Oxford University Press, and Little Brown Book Group. Dr. Shenderovich has received support from DECIPHer and the Wolfson Centre for Young People's Mental Health. DECIPHer is funded by the Welsh Government through Health and Care Research Wales. The Wolfson Centre for Young People's Mental Health has been established with support from the Wolfson Foundation. She has served as an Adviser for the Ukraine Parenting Response. Prof. Ougrin has received funding from the Bart’s Charity, the National Institute for Health Research, and the Kavli Trust. Prof. Weisz has received funding from the National Institute of Mental Health, the Manton Foundation, the Marriott Foundation, and the Templeton World Charity Foundation. He has received royalties from Cambridge University Press, Guilford Press, and PracticeWise. Ms. Keiller has received funding from the Bart’s Charity. Prof. Danese, Dr. Martsenkovskyi, Prof. Remberk, Dr. Khalil, Prof. Barbui, Dr. Gagliato, Prof. Jensen, Dr. Kostova, Prof. Leckman, Drs. Lorberg, Myshakivska, and Pfeiffer, Profs. Skokauskas, Tolan, Caffo, Sijbrandij, and Leventhal, and Mss. Masood and Beer have reported no biomedical financial interests or potential conflicts of interest. |
Vol 64 - N° 2
P. 226-248 - février 2025 Retour au numéro
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