Key Components and Content of Effective Evidence-Based Digital Prevention Programs for Anxiety and Depression in Children and Adolescents: A Systematic Umbrella Review

IF 4.7 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Adolescent Research Review Pub Date : 2024-05-18 DOI:10.1007/s40894-024-00237-z

Franziska Reitegger, Igor Peras, Michaela Wright, Barbara Gasteiger-Klicpera

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Abstract

Anxiety and depression are among the most common mental health problems in children and adolescents, and evidence-based digital programs may help in their prevention. However, existing reviews lack a detailed overview of effective program elements, including structural features and supporting content. This umbrella review synthesizes the main elements of effective, evidence-based digital programs which facilitate the prevention of anxiety and depression in children and adolescents. Based on an analysis of 11 existing reviews that describe 45 programs, key components and content contributing to program effectiveness were identified. These included a focus on modular and linear structure, which means organizing the program in a clear and sequential manner. Additionally, approaches based on cognitive behavioral therapy and gamification to engage and motivate users, were identified as effective components. The findings provide a better understanding of what makes digital programs effective, including considerations for sustainability and content, offering valuable insights for the future development of digital programs concerning the prevention of anxiety and depression in children and adolescents. Critically noted is that the differentiation between prevention and intervention in the program description is not always clear and this could lead to an overestimation of prevention effects.

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针对儿童和青少年焦虑症和抑郁症的有效循证数字预防计划的关键组成部分和内容：系统性综述

焦虑和抑郁是儿童和青少年最常见的心理健康问题之一，以证据为基础的数字项目可能有助于预防这些问题。然而，现有的综述缺乏对有效程序要素的详细概述，包括结构特征和支持内容。本综述总结了有助于预防儿童和青少年焦虑症和抑郁症的有效循证数字项目的主要要素。根据对 11 篇描述 45 个项目的现有综述的分析，确定了有助于提高项目有效性的关键要素和内容。其中包括对模块化和线性结构的关注，即以清晰、有序的方式组织程序。此外，基于认知行为疗法和游戏化来吸引和激励用户的方法也被认为是有效的组成部分。研究结果让人们更好地了解了数字程序的有效性，包括对可持续性和内容的考虑，为今后开发预防儿童和青少年焦虑和抑郁的数字程序提供了宝贵的见解。值得注意的是，程序描述中对预防和干预的区分并不总是很明确，这可能会导致高估预防效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

10.40

自引率

0.00%

发文量

期刊介绍： Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence. The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries. Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.