Using Digital Technologies for Mental Health Promotion in Community and Educational Settings: A Systematic Review

Authors

  • Chanayus Kumsom Faculty of Nursing, Rajabhat Roi Et University
  • Parichart Meuangkhwa Faculty of Nursing, Roi Et Rajabhat University

Keywords:

Digital technology, mental health promotion, community, educational settings, systematic review

Abstract

To classify digital technologies for mental health promotion in community and educational settings and synthesize their effectiveness. A systematic review was conducted following PRISMA 2020 guidelines. Six major databases (e.g., PubMed, Scopus) were searched from 2010 to 2025. Fifty-two studies, comprising Randomized Controlled Trials (RCTs), quasi-experimental studies, and implementation research, were selected. Methodological quality was assessed using RoB 2, ROBINS-I, and AMSTAR 2 tools. Eight categories of technology were identified, predominantly mobile applications (61.5%) and web-based platforms (53.8%). Meta-analysis (n=42) demonstrated moderate effect sizes in reducing depression (d=0.55), anxiety (d=0.50), and stress (d=0.45), and high effectiveness in enhancing mental health literacy (d=0.60). Key success factors included user-centered design, privacy protection, and blended care models. Digital technologies demonstrate empirical effectiveness in mental health promotion. Policy recommendations for Thailand include developing culturally adapted platforms, integrating digital interventions into primary health care systems, and addressing the digital divide to ensure equitable access.

References

Alagarajah, J., Ceccolini, D., & Butler, S. (2024). Digital mental health interventions for treating mental disorders in young people based in low- and middle-income countries: A systematic review of the literature. Cambridge Prisms: Global Mental Health, 11, e74, 1–14. https://doi.org/10.1017/gmh.2024.71

Andersson, G., Titov, N., Dear, B. F., Rozental, A., & Carlbring, P. (2019). Internet-delivered psychological treatments: From innovation to implementation. World Psychiatry, 18(1), 20–28. https://doi.org/10.1002/wps.20610

Association of International Mental Health & Education Thailand [AIMET]. (2023). Depression in Thai adolescents: A situational analysis report. AIMET Publishing.

Berardi, C., Antonini, M., Jordan, Z., Wechtler, H, Paolucci, F., & Hinwood, M. (2024). Barriers and facilitators to the implementation of digital technologies in mental health systems: A qualitative systematic review to inform a policy framework. BMC Health Services Research, 24, 243. https://doi.org/10.1186/s12913-023-10536-1

Brantnell, A., Temiz, S., Baraldi, E., Woodford, J., & von Essen, L. (2023). Barriers to and facilitators of the implementation of digital mental health interventions as perceived by primary care decision makers: Content analysis of structured open-ended survey data. JMIR Human Factors, 10(1), e44688. https://humanfactors.jmir.org/2023/1/e44688

Carlbring, P., Andersson, G., Cuijpers, P., Riper, H., & Hedman-Lagerlöf, E. (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1–18. https://doi.org/10.1080/16506073.2017.1401115

Chula AI Health Project. (2023). DMIND: Artificial intelligence for depression screening application development report. Chulalongkorn University Press.

Department of Mental Health, Ministry of Public Health. (2023). Annual report on mental health status of Thai population 2023. Department of Mental Health.

Diel, A., Schröter, I. C., Frewer, A.-L., Jansen, C., Robitzsch, A., Gradl-Dietsch, G., Teufel, M., & Bäuerle, A. (2024). A systematic review and meta-analysis on digital mental health interventions in inpatient settings. npj Digital Medicine, 7, 253. https://doi.org/10.1038/s41746-024-01252-z

Ebert, D. D., Van Daele, T., Nordgreen, T., Karekla, M., Compare, A., Zarbo, C., & Brugnera, A. (2023). Internet- and mobile-based psychological interventions: Applications, efficacy, and potential for improving mental health. European Psychologist, 23(2), 167–187. https://doi.org/10.1027/1016-9040/a000318

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

Garrido, S., Millington, C., Cheers, D., Boydell, K., Schubert, E., Meade, T., & Nguyen, Q. V. (2019). What works and what doesn't work? A systematic review of digital mental health interventions for depression and anxiety in young people. Frontiers in Psychiatry, 10, 759. https://doi.org/10.3389/fpsyt.2019.00759

Gentili, A., Failla, G., Melnyk, A., Puleo, V., Di Tanna, G. L., Ricciardi, W., & Cascini, F. (2022). The cost-effectiveness of digital health interventions: A systematic review of the literature. Frontiers in Public Health, 10, 787135. https://doi.org/10.3389/fpubh.2022.787135

Hollis, C., Falconer, C. J., Martin, J. L., Whittington, C., Stockton, S., Glazebrook, C., & Davies, E. B. (2017). Annual Research Review: Digital health interventions for children and young people with mental health problems - a systematic and meta-review. Journal of Child Psychology and Psychiatry, 58(4), 474–503. https://doi.org/10.1111/jcpp.12663

Jirapramukpitak, T., Pattanaseri, K., Chua, K.-C., & Takizawa, P. (2020). Home-based contingency management delivered by community health workers to improve alcohol abstinence: A randomized controlled trial. Alcohol and Alcoholism, 55(2), 171–178. https://doi.org/10.1093/alcalc/agz106

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593

Lattie, E. G., Adkins, E. C., Winquist, N., Stiles-Shields, C., Wafford, Q. E., & Graham, A. K. (2019). Digital mental health interventions for depression, anxiety, and enhancement of psychological well-being among college students: Systematic review. Journal of Medical Internet Research, 21(7), e12869. https://doi.org/10.2196/12869

Lowther-Payne, H. J., Ushakova, A., Beckwith, A., Liberty, C., Edge, R., & Lobban, F. (2023). Understanding inequalities in access to adult mental health services in the UK: A systematic mapping review. BMC Health Services Research, 23, 1042. https://doi.org/10.1186/s12913-023-10030-8

McKenney, S., & Reeves, T. C. (2018). Conducting educational design research (2nd ed.). Routledge.

Naslund, J. A., Bondre, A., Torous, J., & Aschbrenner, K. A. (2020). Social media and mental health: Benefits, risks, and opportunities for research and practice. Journal of Technology in Behavioral Science, 5, 245–257. https://doi.org/10.1007/s41347-020-00134-x

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., & UnÜtzer, J. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. https://doi.org/10.1016/S0140-6736(18)31612-X

Pineda, B. S., Mejia, R., Qin, Y., Martinez, J., Delgadillo, L. G., & Muñoz, R. F. (2023). Updated taxonomy of digital mental health interventions: A conceptual framework. mHealth, 9, 28. https://doi.org/10.21037/mhealth-23-6

Rhein, D., & Nanni, A. (2022). Assessing mental health among Thai university students: A cross-sectional study. SAGE Open, 12(4), 1–10. https://doi.org/10.1177/21582440221129248

Thai Mental Health Report. (2024). Suicide rates and trends in Thailand: A 10-year analysis (2014-2024). National Mental Health Information Center.

Vaidyam, A. N., Wisniewski, H., Halamka, J. D., Kashavan, M. S., & Torous, J. B. (2019). Chatbots and conversational agents in mental health: A review of the psychiatric landscape. Canadian Journal of Psychiatry, 64(7), 456–464. https://doi.org/10.1177/0706743719828977

World Health Organization Thailand. (2025). Thailand adapts WHO’s Step-by-Step programme as part of national digital mental health platform [Feature story]. World Health Organization Country Office for Thailand. https://www.who.int/thailand/news/feature-stories/detail/thailand-adapts-who-s-step-by-step-programme-as-part-of-national-digital-mental-health-platform

World Health Organization. (2022). ddressing mental health in Thailand: Mental health systems in Thailand Challenges and opportunities (WHO Country Office for Thailand). World Health Organization. https://www.who.int/thailand/publications/i/item/9789290210238

Downloads

Published

2025-12-27

How to Cite

Kumsom, C., & Meuangkhwa, P. (2025). Using Digital Technologies for Mental Health Promotion in Community and Educational Settings: A Systematic Review. Journal of Science, Technology and Agriculture Research, 6(3), 293–309. retrieved from https://ph02.tci-thaijo.org/index.php/ScienceRERU/article/view/262619