Please use this identifier to cite or link to this item: https://ktisis.cut.ac.cy/handle/10488/11865
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dc.contributor.authorTozzi, Federica-
dc.contributor.authorIolie Nicolaidou-
dc.contributor.authorGalani, Anastasia-
dc.contributor.authorAntoniades, Athos-
dc.date.accessioned2018-07-10T09:19:52Z-
dc.date.available2018-07-10T09:19:52Z-
dc.date.issued2018-05-01-
dc.identifier.citationJMIR Pediatrics and Parenting, 2018, vol. 20, no. 5en_US
dc.identifier.issn2561-6722-
dc.description.abstractBackground: Advances in technology are progressively more relevant to the clinical practice of psychology and mental health services generally. Studies indicate that technology facilitates the delivery of interventions, such as cognitive behavioral therapy, in the treatment of psychological disorders in adults, such as depression, anxiety, obsessive-compulsive disorder, panic symptoms, and eating disorders. Fewer data exist for computer-based (stand-alone, self-help) and computer-assisted (in combination with face-to-face therapy, or therapist guided) programs for youth. Objective: Our objective was to summarize and critically review the literature evaluating the acceptability and efficacy of using technology with treatment and prevention programs for anxiety in young children and adolescents. The aim was to improve the understanding of what would be critical for future development of effective technology-based interventions. Methods: We conducted an exploratory review of the literature through searches in 3 scientific electronic databases (PsycINFO, ScienceDirect, and PubMed). We used keywords in various combinations: child or children, adolescent, preschool children, anxiety, intervention or treatment or program, smartphone applications or apps, online or Web-based tool, computer-based tool, internet-based tool, serious games, cognitive behavioral therapy or CBT, biofeedback, and mindfulness. For inclusion, articles had to (1) employ a technological therapeutic tool with or without the guidance of a therapist; (2) be specific for treatment or prevention of anxiety disorders in children or adolescents; (3) be published between 2000 and 2018; and (4) be published in English and in scientific peer-reviewed journals. Results: We identified and examined 197 articles deemed to be relevant. Of these, we excluded 164 because they did not satisfy 1 or more of the requirements. The final review comprised 19 programs. Published studies demonstrated promising results in reducing anxiety, especially relative to the application of cognitive behavioral therapy with technology. For those programs demonstrating efficacy, no difference was noted when compared with traditional interventions. Other approaches have been applied to technology-based interventions with inconclusive results. Most programs were developed to be used concurrently with traditional treatments and lacked long-term evaluation. Very little has been done in terms of prevention interventions. Conclusions: Future development of eHealth programs for anxiety management in children will have to address several unmet needs and overcome key challenges. Although developmental stages may limit the applicability to preschool children, prevention should start in early ages. Self-help formats and personalization are highly relevant for large-scale dissemination. Automated data collection should be built in for program evaluation and effectiveness assessment. And finally, a strategy to stimulate motivation to play and maintain high adherence should be carefully considered.en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.publisherJournal of Medical Internet Researchen_US
dc.relation.ispartofJMIR Pediatrics and Parentingen_US
dc.rights© Federica Tozzi, Iolie Nicolaidou, Anastasia Galani, Athos Antoniades.en_US
dc.subjectAdolescenten_US
dc.subjectAnxietyen_US
dc.subjectAnxiety disordersen_US
dc.subjectChilden_US
dc.subjectEHealthen_US
dc.subjectMobile applicationsen_US
dc.subjectReviewen_US
dc.subjectTelemedicineen_US
dc.titleeHealth interventions for anxiety management targeting young children and adolescents: exploratory reviewen_US
dc.typeArticleen_US
dc.collaborationCyprus University of Technologyen_US
dc.collaborationSTREMBLE Ventures Ltden_US
dc.subject.categoryOther Medical Sciencesen_US
dc.journalsOpen Accessen_US
dc.countryCyprusen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.2196/pediatrics.7248en_US
dc.relation.issue5en_US
dc.relation.volume20en_US
cut.common.academicyear2017-2018en_US
item.cerifentitytypePublications-
item.fulltextWith Fulltext-
item.grantfulltextopen-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.openairetypearticle-
crisitem.journal.journalissn2561-6722-
crisitem.journal.publisherJMIR Publications-
crisitem.author.deptDepartment of Communication and Internet Studies-
crisitem.author.facultyFaculty of Communication and Media Studies-
crisitem.author.orcid0000-0002-8267-0328-
crisitem.author.parentorgFaculty of Communication and Media Studies-
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