Effects of eHealth interventions on stress reduction and mental health promotion in healthcare professionals : A systematic review
Lopez-del-Hoyo, Yolanda (Hospital Universitario Miguel Servet (Saragossa))
Fernández Martínez, Selene (Hospital Universitario Miguel Servet (Saragossa))
Pérez-Aranda, Adrián (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Barceló-Soler, Alberto (Hospital Universitario Miguel Servet (Saragossa))
Bani, Marco (University of Milano-Bicocca. School of Medicine and Surgery)
Russo, Selena (University of Milano-Bicocca. School of Medicine and Surgery)
Urcola, Fernando (Universdad de Zaragoza. Department of Physiatry and Nursing)
Strepparava, Maria Grazia (University of Milano-Bicocca. School of Medicine and Surgery)
Garcia-Campayo, Javier (Hospital Universitario Miguel Servet (Saragossa))

Additional title:	Efectos de las intervenciones eHealth en la reducción de estrés y la promoción de la salud mental en profesionales sanitarios : Una revisión sistemática
Date:	2023
Description:	20 pàg.
Abstract:	Aims: To evaluate the effectiveness of eHealth interventions to reduce stress and promote mental health in healthcare professionals, and to compare the efficacy of different types of programs (guided vs. self-guided; 'third-wave' psychotherapies vs. other types). Background: Healthcare workers present high levels of stress, which constitutes a risk factor for developing mental health problems such as depression and anxiety. eHealth interventions have been designed to reduce these professional's stress considering that the characteristics of this delivery method make it a cost-effective and very appealing alternative because of its fast and easy access. Design: A systematic review of quantitative studies. Methods: A comprehensive database search for quantitative studies was conducted in PubMed, EMBASE and Cochrane (until 1 April 2022). The systematic review was conducted in accordance with the PRISMA and SWiM reporting guidelines. The quality of the studies was assessed using the National Heart, Lung and BloodInstitute tools. Results: The abstracts of 6349 articles were assessed and 60 underwent in-depth review, with 27 fulfilling the inclusion criteria. The interventions were classified according to their format (self-guided vs. guided) and contents ('third-wave' psychotherapies vs. others). Twenty-two interventions emerged, 13 of which produced significant posttreatment reductions in stress levels of health professionals (9 self-guided, 8 'third wave' psychotherapies). Significant effects in improving depressive symptomatology, anxiety, burnout, resilience and mindfulness, amongst others, were also found. Conclusion: The evidence gathered in this review highlights the heterogeneity of the eHealth interventions that have been studied; self-guided and 'third-wave' psychotherapy programs are the most common, often with promising results, although the methodological shortcomings of most studies hinder the extraction of sound conclusions. Protocol registration: PROSPERO CRD42022310199.
Abstract:	AIMS: To evaluate the effectiveness of eHealth interventions to reduce stress and promote mental health in healthcare professionals, and to compare the efficacy of different types of programs (guided vs. self-guided; 'third-wave' psychotherapies vs. other types). BACKGROUND: Healthcare workers present high levels of stress, which constitutes a risk factor for developing mental health problems such as depression and anxiety. eHealth interventions have been designed to reduce these professional's stress considering that the characteristics of this delivery method make it a cost-effective and very appealing alternative because of its fast and easy access. DESIGN: A systematic review of quantitative studies. METHODS: A comprehensive database search for quantitative studies was conducted in PubMed, EMBASE and Cochrane (until 1 April 2022). The systematic review was conducted in accordance with the PRISMA and SWiM reporting guidelines. The quality of the studies was assessed using the National Heart, Lung and Blood Institute tools. RESULTS: The abstracts of 6349 articles were assessed and 60 underwent in-depth review, with 27 fulfilling the inclusion criteria. The interventions were classified according to their format (self-guided vs. guided) and contents ('third-wave' psychotherapies vs. others). Twenty-two interventions emerged, 13 of which produced significant posttreatment reductions in stress levels of health professionals (9 self-guided, 8 'third wave' psychotherapies). Significant effects in improving depressive symptomatology, anxiety, burnout, resilience and mindfulness, amongst others, were also found. CONCLUSION: The evidence gathered in this review highlights the heterogeneity of the eHealth interventions that have been studied; self-guided and 'third-wave' psychotherapy programs are the most common, often with promising results, although the methodological shortcomings of most studies hinder the extraction of sound conclusions. PROTOCOL REGISTRATION: PROSPERO CRD42022310199. No Patient or Public Contribution.
Note:	Altres ajuts: acords transformatius de la UAB
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Ehealth ; Health personnel ; Healthcare professionals ; Mental health ; Online interventions ; Stress ; Systematic review ; Telehealth ; Humans ; Mental Health ; Mindfulness ; Telemedicine/methods ; Health Personnel/psychology ; Health Promotion ; SDG 3 - Good Health and Well-being
Published in:	Journal of clinical nursing, Vol. 32 Núm. 17-18 (2023) , p. 5514-5533, ISSN 1365-2702

DOI: 10.1111/jocn.16634
PMID: 36703266

20 p, 1.6 MB

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