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• W4285366557 abstract "<sec> <title>BACKGROUND</title> Mental health difficulties in children and adolescents are highly prevalent; however, only a minority receive adequate mental health care. Internet-delivered interventions offer a promising opportunity to increase access to mental health treatment. Research has demonstrated their effectiveness as a treatment for depression and anxiety in adults. This work provides an up-to-date examination of the available intervention options and their effectiveness for children and young people (CYP). </sec> <sec> <title>OBJECTIVE</title> In this systematic review and meta-analysis, we aimed to determine the evidence available for the effectiveness of internet-delivered interventions for treating anxiety and depression in CYP. </sec> <sec> <title>METHODS</title> Systematic literature searches were conducted throughout November 2020 using PubMed, PsycINFO, and EBSCO academic search complete electronic databases to find outcome trials of internet-delivered interventions treating symptoms of anxiety and/or depression in CYP by being either directly delivered to the CYP or delivered via their parents. Studies were eligible for meta-analysis if they were randomized controlled trials. Risk of bias and publication biases were evaluated, and Hedges <i>g</i> between group effect sizes evaluating intervention effects after treatment were calculated. Meta-analyses used random-effects models as per protocol. </sec> <sec> <title>RESULTS</title> A total of 23 studies met the eligibility criteria for the systematic review, of which 16 were included in the meta-analyses, including 977 participants in internet-delivered treatment conditions and 1008 participants in control conditions across 21 comparisons. Random-effects models detected a significant small effect for anxiety symptoms (across 20 comparisons; Hedges <i>g</i>=−0.25, 95% CI −0.38 to −0.12; <i>P</i>&lt;.001) and a small but not significant effect for depression (across 13 comparisons; Hedges <i>g</i>=−0.27, 95% CI −0.55 to 0.01; <i>P</i>=.06) in favor of internet-delivered interventions compared with control groups. Regarding secondary outcomes, there was a small effect of treatment across 9 comparisons for impaired functioning (Hedges <i>g</i>=0.52, 95% CI 0.24-0.80; <i>P</i>&lt;.001), and 5 comparisons of quality of life showed no effect (Hedges <i>g</i>=−0.01, 95% CI −0.23 to 0.21; <i>P</i>=.94). </sec> <sec> <title>CONCLUSIONS</title> The results show that the potential of internet-delivered interventions for young people with symptoms of anxiety or depression has not been tapped into to date. This review highlights an opportunity for the development of population-specific interventions and their research to expand our current knowledge and build an empirical base for digital interventions for CYP. </sec> <sec> <title>CLINICALTRIAL</title> PROSPERO CRD42020220171; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=220171 </sec>" @default.
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• W4285366557 date "2021-09-12" @default.
• W4285366557 modified "2023-09-27" @default.
• W4285366557 title "Internet-Delivered Interventions for Depression and Anxiety Symptoms in Children and Young People: Systematic Review and Meta-analysis (Preprint)" @default.
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• W4285366557 doi "https://doi.org/10.2196/preprints.33551" @default.
• W4285366557 hasPublicationYear "2021" @default.
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