Imperial College London
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ProfessorPaulAylin

Faculty of Medicine, School of Public Health

Professor of Epidemiology and Public Health
 
 
 
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Contact

 

p.aylin Website

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@unpublished{Dewa:2020:10.2139/ssrn.3730021,
author = {Dewa, LH and Lawrance, E and Roberts, L and Brooks-Hall, E and Ashrafian, H and Fontana, G and Aylin, P},
doi = {10.2139/ssrn.3730021},
title = {Quality Social Connection as an 'Active Ingredient' in Digital Interventions for Young People With Depression and Anxiety: A Systematic Scoping Review and Meta-Analysis},
url = {http://dx.doi.org/10.2139/ssrn.3730021},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - UNPB
AB  - Background: A quality social connection (QSC) can influence outcomes in mental health support. Digital interventions may modify this influence, although conceptualisation and evidence on psychiatric outcomes is limited. We aimed to conceptualise and appraise evidence on digital QSC (D-QSC) for young people. <br><br>Methods: Systematic scoping review and meta-analysis, with embedded stakeholder involvement, searching healthcare databases, websites and the grey literature. We included studies that explored QSC within a digital intervention as part of the prevention or treatment of depression and/or anxiety in 14-24-year olds. <br><br>Findings: 5714 publications were identified and 42 were included. Of these, there were 23,319 participants. D-QSC translated into a five-component conceptual framework: Rapport, Identity and commonality, Valued interpersonal dynamic, Engagement and Responded to and accepted (RIVER). There was a significant decrease in depression (-25.6%, 95% CI [-0.352, -0.160], p<0.0005) and anxiety (-15.1%, 95% CI [-0.251, -0.051], p<0.0005). Heterogeneity was high. Literature and stakeholder evidence showcased D-QSC’s importance in the prevention and treatment of depression, though evidence was weaker for anxiety. Stakeholder insights highlighted that demographic, dynamic and environmental factors, including blended care, may influence D-QSC experiences and outcomes. <br><br>Interpretation: D-QSC is an important and under-considered component for depression and anxiety outcomes. Whilst more research is required, the RIVER conceptual framework can inform standardised measures for D-QSC. These measures can be used in the development and evaluation of digital interventions for mental health, particularly during the COVID-19 pandemic, where necessary support will be increasingly provided in online spaces. <br><br>Funding: This work was funded by a Wellcome Trust Mental Health Priority Area 'Active
AU  - Dewa,LH
AU  - Lawrance,E
AU  - Roberts,L
AU  - Brooks-Hall,E
AU  - Ashrafian,H
AU  - Fontana,G
AU  - Aylin,P
DO  - 10.2139/ssrn.3730021
PY  - 2020///
TI  - Quality Social Connection as an 'Active Ingredient' in Digital Interventions for Young People With Depression and Anxiety: A Systematic Scoping Review and Meta-Analysis
UR  - http://dx.doi.org/10.2139/ssrn.3730021
ER  -
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