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September 19, 2023Journal of Medical Internet Research31 citationsOpen Access

The Use of Mobile Assessments for Monitoring Mental Health in Youth: Umbrella Review

LMLaura MarcianoEVEmanuela VocajMBMesfin Awoke Bekalu

Key Points

  • This umbrella review aims to summarize existing reviews on mobile approaches to youth mental health and explore their characteristics, results, and future directions.
  • Systematic search in nine scientific databases, including MEDLINE and PubMed, for reviews focused on mobile assessments in youth mental health.
  • Included reviews were evaluated for quality using the AMSTAR checklist.
  • Results included both systematic and narrative reviews covering various mental health conditions.
  • The review included 30 reviews, with 21 systematic reviews focusing on conditions like depression (24%) and bipolar disorders (29%).
  • Mobile tools were predominantly smartphones (38%) and involved ecological momentary assessments in 29% of systematic reviews.
  • Opportunities for using mobile tools were identified, along with limitations like the absence of theoretical frameworks.

Abstract

BACKGROUND: Improving mental health in youth is a major concern. Future approaches to monitor and intervene in youth mental health problems should rely on mobile tools that allow for the daily monitoring of mental health both actively (eg, using ecological momentary assessments EMAs) and passively (eg, digital phenotyping) by capturing individuals' data. OBJECTIVE: This umbrella review aims to (1) report the main characteristics of existing reviews on mental health and young people, including mobile approaches to mental health; (2) describe EMAs and trace data and the mental health conditions investigated; (3) report the main results; and (4) outline promises, limitations, and directions for future research. METHODS: A systematic literature search was carried out in 9 scientific databases (Communication bipolar disorders, schizophrenia, or psychosis (6/21, 29%) ; general ill-being (5/21, 24%) ; cognitive abilities (2/21, 9. 5%) ; well-being (1/21, 5%) ; personality (1/21, 5%) ; and suicidal thoughts (1/21, 5%). Of the 21 systematic reviews, 15 (71%) summarized studies that used mobile apps for tracing, 2 (10%) summarized studies that used them for intervention, and 4 (19%) summarized studies that used them for both intervention and tracing. Mobile tools used in the systematic reviews were smartphones only (8/21, 38%), smartphones and wearable devices (6/21, 29%), and smartphones with other tools (7/21, 33%). In total, 29% (6/21) of the systematic reviews focused on EMAs, including ecological momentary interventions; 33% (7/21) focused on trace data; and 38% (8/21) focused on both. Narrative reviews mainly focused on the discussion of issues related to digital phenotyping, existing theoretical frameworks used, new opportunities, and practical examples. CONCLUSIONS: EMAs and trace data in the context of mental health assessments and interventions are promising tools. Opportunities (eg, using mobile approaches in low- and middle-income countries, integration of multimodal data, and improving self-efficacy and self-awareness on mental health) and limitations (eg, absence of theoretical frameworks, difficulty in assessing the reliability and effectiveness of such approaches, and need to appropriately assess the quality of the studies) were further discussed. TRIAL REGISTRATION: PROSPERO CRD42022347717; https: //www. crd. york. ac. uk/prospero/displayᵣecord. php? RecordID=347717.

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Cite This Study

Marciano et al. (2023) studied this question.

synapsesocial.com/papers/6a23b9b42dc9ee5f679ef596https://doi.org/10.2196/45540
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