Personalization strategies in digital mental health interventions: a systematic review and conceptual framework for depressive symptoms

Publikation: Beiträge in ZeitschriftenÜbersichtsarbeitenForschung

Authors

  • Silvan Hornstein
  • Kirsten Zantvoort
  • Ulrike Lueken
  • Burkhardt Funk
  • Kevin Hilbert

Introduction: Personalization is a much-discussed approach to improve adherence and outcomes for Digital Mental Health interventions (DMHIs). Yet, major questions remain open, such as (1) what personalization is, (2) how prevalent it is in practice, and (3) what benefits it truly has. Methods: We address this gap by performing a systematic literature review identifying all empirical studies on DMHIs targeting depressive symptoms in adults from 2015 to September 2022. The search in Pubmed, SCOPUS and Psycinfo led to the inclusion of 138 articles, describing 94 distinct DMHIs provided to an overall sample of approximately 24,300 individuals. Results: Our investigation results in the conceptualization of personalization as purposefully designed variation between individuals in an intervention's therapeutic elements or its structure. We propose to further differentiate personalization by what is personalized (i.e., intervention content, content order, level of guidance or communication) and the underlying mechanism [i.e., user choice, provider choice, decision rules, and machine-learning (ML) based approaches]. Applying this concept, we identified personalization in 66% of the interventions for depressive symptoms, with personalized intervention content (32% of interventions) and communication with the user (30%) being particularly popular. Personalization via decision rules (48%) and user choice (36%) were the most used mechanisms, while the utilization of ML was rare (3%). Two-thirds of personalized interventions only tailored one dimension of the intervention. Discussion: We conclude that future interventions could provide even more personalized experiences and especially benefit from using ML models. Finally, empirical evidence for personalization was scarce and inconclusive, making further evidence for the benefits of personalization highly needed. Systematic Review Registration: Identifier: CRD42022357408.

OriginalspracheEnglisch
Aufsatznummer1170002
ZeitschriftFrontiers in Digital Health
Jahrgang5
Anzahl der Seiten14
DOIs
PublikationsstatusErschienen - 22.05.2023

Bibliographische Notiz

Funding Information:
The article processing charge was funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) - 491192747 and the Open Access Publication Fund of Humboldt-Universität zu Berlin.

Publisher Copyright:
2023 Hornstein, Zantvoort, Lueken, Funk and Hilbert.

Dokumente

DOI

Zuletzt angesehen

Publikationen

  1. Local responses to global technological change.
  2. Directives in ELF peer feedback
  3. Does attention speed up processing?
  4. Discourse pragmatics
  5. The promise and Pitfalls of a blended, video- and coaching-based professional development program in Germany
  6. The explanatory power of Carnegie Classification in predicting engagement indicators
  7. A group-level theory of helping and altruism within and across group boundaries
  8. Pathways for Transformatio
  9. How many organic compounds are graph-theoretically nonplanar?
  10. Robust Control as a Mathematical Paradigm for Innovative Engineering Applications
  11. From stories to maps
  12. Influencing Parameters in the Deep Drawing of Fiber Metal Laminates with Low Viscous Matrix
  13. One planet
  14. Oceans and space
  15. Evidence-Based Management
  16. Towards a Comprehensive Framework for Environmental Management Accounting
  17. Understanding Societies from Inside the Organisms
  18. Mechanisms of teleological change
  19. Solution for spillway chute aeration through bottom aerators
  20. Real fake? Appropriating mobility via Schengen visa in the context of biometric border controls
  21. Do we fail to exert self-control because we lack resources or motivation? Competing theories to explain a debated phenomenon
  22. Context, contexts and appropriateness
  23. The comparative study of governments and ministers
  24. Give and take frames in shared-resource negotiations
  25. Introduction
  26. A Statistical Approach to Estimate Spatial Distributions of Wet Deposition in Germany
  27. Generalized Between Icon, Symbol and Index
  28. A black box identification in frequency domain
  29. Managing Biodiversity Correctly
  30. Wie lang sollte eine Rollstuhlrampe sein?
  31. Categorizing urban tasks
  32. An Integrative and Comprehensive Methodology for Studying Aesthetic Experience in the Field
  33. Modeling and assessing mathematical competence over the lifespan
  34. Machine Learning-Supported Planning of Lead Times in Job Shop Manufacturing
  35. Digital Classroom
  36. Hommage to the unknown viewers
  37. The role of scenarios in fostering collective action for sustainable development
  38. Interactivity, Interpassivity and Possibilities Beyond Dichotomy
  39. A field experimental study of analytical problem solving competence-Investigating effects of training and transfer