Effects of eHealth interventions on stress reduction and mental health promotion in healthcare professionals: A systematic review

Yolanda Lopez-del-Hoyo, Selene Fernández Martínez, Adrián Pérez Aranda, Alberto Barceló-Soler, Marco Bani, Selena Russo, Fernando Urcola, Maria Grazia Strepparava, Javier García-Campayo

Research output: Contribution to journalReview articleResearchpeer-review

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.

Translated title of the contributionEfectos de las intervenciones eHealth en la reducción de estrés y la promoción de la salud mental en profesionales sanitarios: Una revisión sistemática
Original languageEnglish
Pages (from-to)1-20
Number of pages20
JournalJournal of Clinical Nursing
Early online date26 Jan 2023
DOIs
Publication statusPublished - 26 Jan 2023

Keywords

  • eHealth
  • health personnel
  • healthcare professionals
  • mental health
  • online interventions
  • stress
  • systematic review
  • telehealth

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