Online psychosocial intervention for persons with spinal cord injury: A meta-analysis

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2021.2009675 · Published: January 1, 2021

Simple Explanation

This meta-analysis evaluates how well internet-based programs help people with spinal cord injuries (SCI) manage anxiety, depression, and pain. The study looked at existing research to see if these online interventions effectively reduce symptoms and improve mental well-being for individuals with SCI. The results suggest that online psychosocial interventions can be a useful tool in managing mental health for those with SCI, potentially overcoming barriers to traditional in-person care.

Study Duration

Not specified

Participants

283 adults with SCI

Evidence Level

Meta-analysis

Key Findings

1
Internet-based psychosocial interventions had a small effect on reducing overall anxiety and depression symptoms at the end of the study period.
2
Online psychosocial interventions also had a moderate effect in maintaining reduction of anxiety and depressive symptoms at 3-month follow-up.
3
Pooled analysis demonstrated small effects of online psychosocial interventions improving overall pain at post-treatment.

Research Summary

This meta-analysis assessed the effectiveness of online psychosocial interventions for anxiety and depression in individuals with SCI. The study found that online interventions led to significant improvements in anxiety and depressive symptoms, with effect sizes similar to face-to-face interventions. The research suggests that online programs can increase access to mental health care for those with SCI, but program completion and engagement can vary based on the level of guidance provided.

Practical Implications

Increased Access to Care

Online interventions can overcome barriers such as transportation and mobility issues, providing access to psychosocial support for individuals with SCI.

Tailored Support

The level of guidance (standardized vs. optional) may affect adherence and completion rates, suggesting the need for tailored approaches based on symptom severity and motivation.

Sustainable Mental Health Management

Programs with lower levels of guidance can reduce resources needed, offering a more sustainable approach to managing mental health among those with SCI.

Study Limitations

1
The inclusion criteria limited evaluation specifically to anxiety, depression, and pain-related symptoms rather than the effect of the intervention on other psychosocial factors of interest such as coping or adjustment.
2
Most lacked in the category of patient blinding. Psychological interventions are difficult to blind; however, without blinding, placebo effects could occur.
3
Most studies did not provide long-term follow-up. Thus, studies examining the effects of online programs over longer terms may help to examine long -erm maintenance and benefits.

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