Artificial intelligence and machine learning in mobile apps for mental health: A scoping review

Abstract

Mental health conditions can have significant negative impacts on wellbeing and healthcare systems. Despite their high prevalence worldwide, there is still insufficient recognition and accessible treatments. Many mobile apps are available to the general population that aim to support mental health needs; however, there is limited evidence of their effectiveness. Mobile apps for mental health are beginning to incorporate artificial intelligence and there is a need for an overview of the state of the literature on these apps. The purpose of this scoping review is to provide an overview of the current research landscape and knowledge gaps regarding the use of artificial intelligence in mobile health apps for mental health. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and Population, Intervention, Comparator, Outcome, and Study types (PICOS) frameworks were used to structure the review and the search. PubMed was systematically searched for randomised controlled trials and cohort studies published in English since 2014 that evaluate artificial intelligence- or machine learning-enabled mobile apps for mental health support. Two reviewers collaboratively screened references (MMI and EM), selected studies for inclusion based on the eligibility criteria and extracted the data (MMI and CL), which were synthesised in a descriptive analysis. 1,022 studies were identified in the initial search and 4 were included in the final review. The mobile apps investigated incorporated different artificial intelligence and machine learning techniques for a variety of purposes (risk prediction, classification, and personalisation) and aimed to address a wide range of mental health needs (depression, stress, and suicide risk). The studies’ characteristics also varied in terms of methods, sample size, and study duration. Overall, the studies demonstrated the feasibility of using artificial intelligence to support mental health apps, but the early stages of the research and weaknesses in the study designs highlight the need for more research into artificial intelligence- and machine learning-enabled mental health apps and stronger evidence of their effectiveness. This research is essential and urgent, considering the easy availability of these apps to a large population. Author summary Mental health concerns are a large burden for individuals, healthcare systems, and the economy. Although mental health concerns affect a lot of people, many find it difficult to access appropriate support. Mobile health apps are one potential way to address long wait times and a lack of mental health resources. With this review, we wanted to provide an overview of mobile health apps that are using artificial intelligence (AI) to provide some type of mental health support and to identify areas where more research is needed. We found 17 studies that evaluated an AI mental health app. There were many different uses of AI in the apps, including to provide conversational support to users, to predict moods, and to do risk assessments. However, the research was still in early stages; most of the studies had small numbers of participants and there is a need for more high-quality studies to evaluate whether the apps have significant benefits for users. This information that we have gathered will help guide the development of future studies and AI mental health apps