Palabras clave
Behavioral intervention technologies
Smartphone-based interventions
Systematic review
Android market Telepsicología
Smartphone-based interventions
Revision sistemática
Android
Cómo citar
Resumen
Antecedentes: La oferta de aplicaciones móviles dirigidas a abordar la salud psicológica de los usuarios es cada vez mayor. Sin embargo, no se ha realizado ninguna revisión amplia de la oferta comercial de aplicaciones telepsicológicas en España. Método: Se llevó a cabo una búsqueda sistemática en la sección general de aplicaciones de la Google Play Store en base a 20 palabras clave en castellano. Se incluyeron en el análisis las aplicaciones en castellano o inglés que fueran relevantes desde el punto de vista del término empleado en la búsqueda. Resultados: De las 1.000 aplicaciones recuperadas, solo el 43,59% (337/773) cumplía los criterios de inclusión, entre las cuales solo el 49,26% (171/337) estaban en castellano. Las aplicaciones de tratamiento auto-aplicado (52,96%; 29,59% castellano; 23,37% inglés) fueron las más numerosas. El 69,44% (37,38% castellano; 31,95% inglés) no indicaban la procedencia de la información, y la vinculación académica fue anecdótica (3,25%). Conclusiones: El bajo porcentaje de aplicaciones relevantes, la alta prevalencia de aplicaciones de autoayuda, la ausencia de referencias sobre el origen de la información, la ausencia de respaldo académico, o la falta de certificaciones, invita a recomendar cautela a consumidores y profesionales en su adopción en el tratamiento de cualquier trastorno psicológico.
Citas
Accenture Consulting. (2020). Digital Health Consumer Survey 2020, US Findings. https://www.accenture.com/_acnmedia/PDF-130/Accenture-2020- Digital-Health-Consumer-Survey-US.pdf
Alyami, M., Giri, B., Alyami, H., & Sundram, F. (2017). Social anxiety apps: A systematic review and assessment of app descriptors across mobile store platforms. Evidence-Based Mental Health, 20(3), 65–70. https://doi.org/10.1136/eb-2017-102664
American Psychological Association. (2013). Guidelines for the practice of telepsychology. American Psychologist, 68(9), 791–800. https://doi.org/10.1037/a0035001
Bauer, M., Glenn, T., Geddes, J., Gitlin, M., Grof, P., Kessing, L. v., Monteith, S., Faurholt-Jepsen, M., Severus, E., & Whybrow, P. C. (2020). Smartphones in mental health: a critical review of background issues, current status and future concerns. International
Journal of Bipolar Disorders, 8(1), 1–19. https://doi.org/10.1186/s40345-019-0164-x
Baumel, A., Muench, F., Edan, S., & Kane, J. M. (2019). Objective user engagement with mental health apps: Systematic search and panel- based usage analysis. Journal of Medical Internet Research, 21(9), Article e14567. https://doi.org/10.2196/14567
Benigeri, M., & Pluye, P. (2003). Shortcomings of health information on the Internet. Health Promotion International, 18(4), 381–386. https://doi.org/10.1093/HEAPRO/DAG409
Bhugra, D., Tasman, A., Pathare, S., Priebe, S., Smith, S., Torous, J., Arbuckle, M. R., Langford, A., Alarcón, R. D., Chiu, H. F. K., First,
M. B., Kay, J., Sunkel, C., Thapar, A., Udomratn, P., Baingana, F. K., Kestel, D., Ng, R. M. K., Patel, A., … Ventriglio, A. (2017). The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. The Lancet Psychiatry, 4(10), 775–818. https://doi.org/10.1016/S2215-0366(17)30333-4
Bush, N. E., Armstrong, C. M., & Hoyt, T. v. (2019). Smartphone apps for psychological health: A brief state of the science review. Psychological Services, 16(2), 188–195. https://doi.org/10.1037/ser0000286
Carlo, A. D., Hosseini Ghomi, R., Renn, B. N., & Areán, P. A. (2019). By the numbers: ratings and utilization of behavioral health mobile applications. Nature Partner Journals Digital Medicine, 2, 54. https://doi.org/10.1038/s41746-019-0129-6
Clay, R. (2021). Mental health apps are gaining traction. Monitor on Psychology, 52(1), 55. https://www.apa.org/monitor/2021/01/trends-mental-health-apps
Ditrendia. (2020). Mobile en España y en Mundo 2020 [Mobile in Spain and in the World 2020]. https://ditrendia.es/informe-mobile-2020/ Dogruel, L., Joeckel, S., & Bowman, N. D. (2014). Choosing the right app: An exploratory perspective on heuristic decision processes for smartphone app. Mobile Media & Communication, 3(1), 125–144. https://doi.org/10.1177/2050157914557509
Firth, J., Torous, J., Nicholas, J., Carney, R., Pratap, A., Rosenbaum, S., & Sarris, J. (2017). The efficacy of smartphone-based mental health interventions for depressive symptoms: a meta-analysis of randomized controlled trials. World Psychiatry, 16(3), 287–298. https://doi.org/10.1002/wps.20472
Firth, J., Torous, J., Nicholas, J., Carney, R., Rosenbaum, S., & Sarris, J. (2017). Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. Journal of Affective Disorders, 218, 15–22. https://doi.org/10.1016/j.jad.2017.04.046
Gómez-Abril, J. (2018, February 22). La App como producto sanitario [The App as a medical device] [Conference presentation abstract]. MHealth BCN Conference, Barcelona, España. https://www.fundacionisys.org/es/blogs/profesional/profesional/399-
la-app-como-producto-sanitario-mhealth-bcn-conference
González-Peña, P., Torres, R., Barrio, V. del, & Olmedo, M. (2017). Uso de las nuevas tecnologías por parte de los psicólogos españoles y sus necesidades [Use of new technologies by Spanish psychologists and their needs] Clínica y Salud, 28(2), 81–91. https://doi.org/10.1016/j.clysa.2017.01.001
Gu, J., Xu, Y. (Calvin), Xu, H., Zhang, C., & Ling, H. (2017). Privacy concerns for mobile app download: An elaboration likelihood model perspective. Decision Support Systems, 94, 19–28. https://doi.org/10.1016/j.dss.2016.10.002
Henson, P., Wisniewski, H., Hollis, C., Keshavan, M., & Torous, J. (2019). Digital mental health apps and the therapeutic alliance: initial review. British Journal of Psychiatry Open, 5(1). https://doi.org/10.1192/BJO.2018.86
Herzog, R. (n.d.). The new digital health law in Germany turning point or flash in the pan? Research2Guidance. https://research2guidance.com/the-new-digital-health-law-in-germany-turning-point-or-flash-in-the-pan/
Huckvale, K., Nicholas, J., Torous, J., & Larsen, M. E. (2020). Smartphone apps for the treatment of mental health conditions: status and considerations. Current Opinion in Psychology, 36, 65–70. https://doi.org/10.1016/j.copsyc.2020.04.008
Kertz, S. J., MacLaren Kelly, J., Stevens, K. T., Schrock, M., & Danitz, S. B. (2017). A Review of Free iPhone Applications Designed to Target Anxiety and Worry. Journal of Technology in Behavioral Science, 2(2), 61–70. https://doi.org/10.1007/s41347-016-0006-y
Larsen, M. E., Nicholas, J., & Christensen, H. (2016). Quantifying App Store Dynamics: Longitudinal Tracking of Mental Health Apps. Journal of Medical Internet Research mHealth and uHealth, 4(3), e96. https://doi.org/10.2196/mhealth.6020
Lau, N., O’Daffer, A., Colt, S., Joyce, M., Yi-Frazier, J., Palermo, T. M., Mccauley, E., & Rosenberg, A. (2020). Android and iPhone Mobile Apps for Psychosocial Wellness and Stress Management: Systematic Search in App Stores and Literature Review. Journal of Medical
Internet Research mHealth and uHealth, 8(5). https://doi.org/10.2196/17798
Lecomte, T., Potvin, S., Corbière, M., Guay, S., Samson, C., Cloutier, B., Francoeur, A., Pennou, A., & Khazaal, Y. (2020). Mobile apps for mental health issues: Meta-review of meta-analyses. Journal of Medical Internet Research mHealth and uHealth, 8(5), Article e17458. https://doi.org/10.2196/17458
Linardon, J., Cuijpers, P., Carlbring, P., Messer, M., & Fuller-Tyszkiewicz, M. (2019). The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials. World Psychiatry, 18(3), 325–336. https://doi.org/10.1002/wps.20673
Linardon, J., & Fuller-Tyszkiewicz, M. (2020). Attrition and adherence in smartphone-delivered interventions for mental health problems: A systematic and meta-analytic review. Journal of Consulting and Clinical Psychology, 88(1), 1–13. https://doi.org/10.1037/ccp0000459
Marshall, J. M., Dunstan, D. A., & Bartik, W. (2020a). Clinical or gimmickal: The use and effectiveness of mobile mental health apps for treating anxiety and depression. Australian and New Zealand Journal of Psychiatry, 54(1), 20–28. https://doi.org/10.1177/0004867419876700
Marshall, J. M., Dunstan, D. A., & Bartik, W. (2020b). Apps With Maps-Anxiety and Depression Mobile Apps with Evidence-Based Frameworks: Systematic Search of Major App Stores. Journal of Medical Internet Research Mental Health, 7(6), Article e16525. https://doi.org/10.2196/16525
Martín Fernández, A., Marco Cuenca, G., & Antonio Salvador Oliván, J. (2020). Evaluación y Acreditación de las Aplicaciones Móviles Relacionadas con la Salud [Evaluation and Accreditation of Mobile Applications Related to Health]. Revista Española de Salud Pública, 94(11 de agosto). h t t p s : //w w w.m s c b s . go b. e s / b i bl io P u bl ic/ p u bl i c a cio ne s / recursos_ propios/resp/revista_cdrom/VOL94/C_ESPECIALES/ RS94C_202008085.pdf
Miralles, I., Granell, C., Díaz-Sanahuja, L., van Woensel, W., Bretón- López, J., Mira, A., Castilla, D., & Casteleyn, S. (2020). Smartphone apps for the treatment of mental disorders: Systematic review. Journal of Medical Internet Research mHealth and uHealth, 8(4), Article e14897. https://doi.org/10.2196/14897
Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013). Behavioral Intervention Technologies: Evidence review and recommendations for future research in mental health. General Hospital Psychiatry, 35(4), 332–338. https://doi.org/10.1016/j.genhosppsych.2013.03.008
Neary, M., & Schueller, S. M. (2018). State of the Field of Mental Health Apps. Cognitive and Behavioral Practice, 25(4), 531–537. https://doi.org/10.1016/j.cbpra.2018.01.002
Ng, M. M., Firth, J., Minen, M., & Torous, J. (2019). User engagement in mental health apps: A review of measurement, reporting, and validity. Psychiatric Services, 70(7), 538–544. https://doi.org/10.1176/APPI.PS.201800519/ASSET/ IMAGES/ LARGE/APPI.PS.201800519F1.JPEG
Nicholas, J., Larsen, M. E., Proudfoot, J., & Christensen, H. (2015). Mobile Apps for Bipolar Disorder: A Systematic Review of Features and Content Quality. Journal of Medical Internet Research, 17(8), Article e4581. https://doi.org/10.2196/JMIR.4581
O’Loughlin, K., Neary, M., Adkins, E. C., & Schueller, S. M. (2019). Reviewing the data security and privacy policies of mobile apps for depression. Internet Interventions, 15, 110–115. https://doi.org/10.1016/j.invent.2018.12.001
Pinheiro, M., Serra, M., & Pereira-Azevedo, N. (2019). Predictors of the Number of Installs in Psychiatry Smartphone Apps: Systematic Search on App Stores and Content Analysis. Journal of Medical Internet Research Mental Health, 6(11), Article e15064.
Poushter, J., Bishop, C., & Chwe, H. (2018). Social Media Use Continues to Rise in Developing Countries, but Plateaus Across Developed Ones. Pew Research Center’s Global Attitudes Project. https://www.pewresearch.org/global/2018/06/19/social-media-use-
continues-to-rise-in-developing-countries-but-plateaus-across- developed-ones/
Prentice, J. L., & Dobson, K. S. (2014). A review of the risks and benefits associated with mobile phone applications for psychological interventions. Canadian Psychology, 55(4), 282–290. https://doi.org/10.1037/a0038113
Qu, C., Sas, C., Daudén Roquet, C., & Doherty, G. (2020). Functionality of Top-Rated Mobile Apps for Depression: Systematic Search and Evaluation. Journal of Medical Internet Research Mental Health, 7(1), Article e15321. https://doi.org/10.2196/15321
Radovic, A., Vona, P. L., Santostefano, A. M., Ciaravino, S., Miller, E., & Stein, B. D. (2016). Smartphone Applications for Mental Health. Cyberpsychology, Behavior, and Social Networking, 19(7), 465–470. https://doi.org/10.1089/cyber.2015.0619
Research2guidance. (2017). mHealth Economics 2017 – Current Status and Future Trends in Mobile Health. https://research2guidance.com/product/mhealth-economics-2017-current-status-and-future-trends-in-mobile-health/
Sauermann, S., Herzberg, J., Burkert, S., & Habetha, S. (2022). DiGA – A Chance for the German Healthcare System. Journal of European Continuing Medical Education, 11(1), Article 2014047 https://doi.org/10.1080/21614083.2021.2014047
Schueller, S. M., Neary, M., O’Loughlin, K., & Adkins, E. C. (2018). Discovery of and interest in health apps among those with mental health needs: Survey and focus group study. Journal of Medical Internet Research, 20(6), Article e10141. https://doi.org/10.2196/10141 ScrapeStorm. (2021). AI-Powered Web Scraping Tool & Web Data Extractor. https://www.scrapestorm.com/
Shen, N., Levitan, M. J., Johnson, A., Bender, J. L., Hamilton-Page, M., Jadad, A. R., & Wiljer, D. (2015). Finding a depression app: A review and content analysis of the depression app marketplace. Journal of Medical Internet Research mHealth and uHealth, 3(1), Article e3713.
https://doi.org/10.2196/mhealth.3713
Statista. (2017). Solo un 5% del contenido de Internet está en español [Only 5% of Internet content is in Spanish]. https://es.statista.com/grafico/11383/solo-un-5-del-contenido-de-internet-esta-en-espanol/
Statista. (2020). ¿En qué países es más popular Android y en cuáles Apple? [In which countries is Android most popular and in which Apple?].
https://es.statista.com/grafico/22758/cuota-de-mercado-de-los- sistemas-operativos-para-moviles/
Strzelecki, A. (2020). Application of Developers’ and Users’ Dependent Factors in App Store Optimization. International Journal of Interactive Mobile Technologies (IJIM), 14(13), 91–106. https://doi.org/10.3991/ijim.v14i13.14143
Sucala, M., Cuijpers, P., Muench, F., Cardoș, R., Soflau, R., Dobrean, A., Achimas-Cadariu, P., & David, D. (2017). Anxiety: There is an app for that. A systematic review of anxiety apps. Depression and Anxiety, 34(6), 518–525. https://doi.org/10.1002/da.22654
Torous, J., Lipschitz, J., Ng, M., & Firth, J. (2020). Dropout rates in clinical trials of smartphone apps for depressive symptoms: A systematic review and meta-analysis. Journal of Affective Disorders, 263, 413– 419. https://doi.org/10.1016/J.JAD.2019.11.167
Torous, J., Nicholas, J., Larsen, M. E., Firth, J., & Christensen, H. (2018). Clinical review of user engagement with mental health smartphone apps: Evidence, theory and improvements. Evidence-Based Mental Health, 21(3), 116–119. https://doi.org/10.1136/eb-2018-102891
Torous, J., Wisniewski, H., Liu, G., & Keshavan, M. (2018). Mental Health Mobile Phone App Usage, Concerns, and Benefits Among Psychiatric Outpatients: Comparative Survey Study. Journal of Medical Internet Research Mental Health, 5(4), Article e11715. https://doi.org/10.2196/11715
Zaiontz, C. (2021). Real Statistics Using Excel (Release 7.3.3) https://www.real-statistics.com/