A systematic review on personalization of treatment components in IBIs for mental disorders

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2025-06-14 DOI:10.1016/j.invent.2025.100840

Carmen Schaeuffele , Pavle Zagorscak , Vladlena Langerwisch , Johanna Wilke , Yana Medvedeva , Christine Knaevelsrud

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引用次数: 0

Abstract

Background

Internet-based interventions (IBIs) offer the potential for personalization through various mechanisms and components.

Objective

This systematic review aimed to synthesize evidence on the personalization of treatment components within IBIs targeting diverse mental health conditions. Specifically, we focused on studies that directly compared personalized components to standardized ones to isolate the impact of personalization on mental health outcomes and treatment adherence.

Results

Thirteen studies were identified that compared personalized to non-personalized components, with the personalization of IBI content and personalized guidance investigated the most. Apart from one study that personalized more than one IBI component, studies did not find a significant positive effect of personalization on mental health outcomes. Two studies reported better adherence for human feedback personalized to user input than for the automated non-personalized guidance.

Discussion

The results reveal a gap between the theoretical potential of personalization in IBIs and the current evidence supporting its impact on outcomes and adherence. The diversity in personalization strategies across studies complicates the ability to draw definitive conclusions. To address this, more detailed descriptions of how personalization is both implemented and communicated to patients are recommended.

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精神障碍IBIs治疗成分个性化的系统综述

背景：基于互联网的干预（IBIs）通过各种机制和组件提供了个性化的潜力。目的本系统综述旨在综合针对不同心理健康状况的IBIs治疗成分个性化的证据。具体来说，我们专注于直接比较个性化成分与标准化成分的研究，以分离个性化对心理健康结果和治疗依从性的影响。结果13项研究对个性化和非个性化成分进行了比较，其中对IBI内容的个性化和个性化指导的调查最多。除了一项研究个性化了不止一个IBI组成部分外，其他研究没有发现个性化对心理健康结果的显著积极影响。两项研究报告说，与非个性化的自动指导相比，个性化的用户反馈的依从性更好。结果揭示了ibi个性化的理论潜力与当前支持其对结果和依从性影响的证据之间的差距。不同研究中个性化策略的多样性使得出明确结论的能力复杂化。为了解决这个问题，建议更详细地描述个性化是如何实施的，以及如何与患者沟通的。

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

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions