BACKGROUND: Over the past 25 years, the development of multiuser applications has seen considerable advancements and challenges. The technological development in this field has emerged from simple chat rooms through videoconferencing tools to the creation of complex, interactive, and often multisensory virtual worlds. These multiuser technologies have gradually found their way into mental health care, where they are used in both dyadic counseling and group interventions. However, some limitations in hardware capabilities, user experience designs, and scalability may have hindered the effectiveness of these applications. OBJECTIVE: This systematic review aims at summarizing the progress made and the potential future directions in this field while evaluating various factors and perspectives relevant to remote multiuser interventions. METHODS: The systematic review was performed based on a Web of Science and PubMed database search covering articles in English, published from January 1999 to March 2024, related to multiuser mental health interventions. Several inclusion and exclusion criteria were determined before and during the records screening process, which was performed in several steps. RESULTS: We identified 49 records exploring multiuser applications in mental health care, ranging from text-based interventions to interventions set in fully immersive environments. The number of publications exploring this topic has been growing since 2015, with a large increase during the COVID-19 pandemic. Most digital interventions were delivered in the form of videoconferencing, with only a few implementing immersive environments. The studies used professional or peer-supported group interventions or a combination of both approaches. The research studies targeted diverse groups and topics, from nursing mothers to psychiatric disorders or various minority groups. Most group sessions occurred weekly, or in the case of the peer-support groups, often with a flexible schedule. CONCLUSIONS: We identified many benefits to multiuser digital interventions for mental health care. These approaches provide distributed, always available, and affordable peer support that can be used to deliver necessary help to people living outside of areas where in-person interventions are easily available. While immersive virtual environments have become a common tool in many areas of psychiatric care, such as exposure therapy, our results suggest that this technology in multiuser settings is still in its early stages. Most identified studies investigated mainstream technologies, such as videoconferencing or text-based support, substituting the immersive experience for convenience and ease of use. While many studies discuss useful features of virtual environments in group interventions, such as anonymity or stronger engagement with the group, we discuss persisting issues with these technologies, which currently prevent their full adoption.

• MeSH
• duševní poruchy terapie   MeSH
• duševní zdraví MeSH
• lidé MeSH
• služby péče o duševní zdraví * MeSH
• telemedicína MeSH
• videokonferování MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• systematický přehled MeSH

• MeSH
• COVID-19 * MeSH
• lidé MeSH
• marketing statistika a číselné údaje   MeSH
• motivace MeSH
• plastická chirurgie * trendy   MeSH
• průzkumy a dotazníky MeSH
• statistika jako téma MeSH
• telekomunikace statistika a číselné údaje   trendy   MeSH
• videokonferování MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• práce podpořená grantem MeSH

• Klíčová slova
• karboxymaltóza železa,
• MeSH
• ambulantní infuzní terapie MeSH
• deficit železa diagnóza   etiologie   MeSH
• ferritin analýza   krev   účinky léků   MeSH
• komorbidita MeSH
• lidé MeSH
• maltosa aplikace a dávkování   terapeutické užití   MeSH
• srdeční selhání * etiologie   patofyziologie   terapie   MeSH
• webová vysílání jako téma MeSH
• železité sloučeniny aplikace a dávkování   terapeutické užití   MeSH
• železo metabolismus   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• novinové články MeSH

• MeSH
• adherence pacienta MeSH
• antihypertenziva farmakokinetika   klasifikace   terapeutické užití   MeSH
• fixní kombinace léků MeSH
• hypertenze * etiologie   farmakoterapie   MeSH
• krevní tlak účinky léků   MeSH
• léky s prodlouženým účinkem MeSH
• lidé MeSH
• věk při počátku nemoci MeSH
• webová vysílání jako téma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• novinové články MeSH

• MeSH
• farmakoterapie * trendy   MeSH
• individualizovaná medicína trendy   MeSH
• kontinuální vzdělávání lékařů metody   trendy   MeSH
• lidé MeSH
• molekulární biologie trendy   MeSH
• webová vysílání jako téma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• novinové články MeSH
• rozhovory MeSH

• MeSH
• fertilizace in vitro MeSH
• genetická predispozice k nemoci MeSH
• genetické testování MeSH
• geny BRCA1 MeSH
• geny BRCA2 MeSH
• lidé MeSH
• mutace MeSH
• nádory prsu * diagnóza   prevence a kontrola   MeSH
• webová vysílání jako téma MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• novinové články MeSH

BACKGROUND: Exercise-based interventions prevent or delay symptoms and complications of type 2 diabetes (T2D) and are highly recommended for T2D patients; though with very low participation rates. Τelerehabilitation (TR) could act as an alternative to overcome the barriers preventing the promotion of T2D patients' well-being. AIM: Determine the effects of a six-week TR program on glycemic control, functional capacity, muscle strength, PA, quality of life and body composition in patients with T2D. DESIGN: A multicenter randomized, single-blind, parallel-group clinical study. SETTING: Clinical trial. POPULATION: Patients with T2D. METHODS: Thirty T2D patients (75% male, 60.1±10.9 years) were randomly allocated to an intervention group (IG) and a control group (CG) with no exercise intervention. IG enrolled in a supervised, individualized exercise program (combination of aerobic and resistance exercises), 3 times/week for 6 weeks at home via a TR platform. Glycated hemoglobin (HbA1c), six-minute walk test (6MWT), muscle strength (Hand Grip Strength Test [HGS], 30-Second Chair Stand test [30CST] physical activity [IPAQ-SF]), quality of life (SF-36) and anthropometric variables were assessed. RESULTS: Two-way repeated-ANOVA showed a statistically significant interaction between group, time and test differences (6MWT, muscle strength) (V=0.33, F [2.17]=4.14, P=0.03, partial η2=0.22). Paired samples t-test showed a statistically significant improvement in HbA1c (Z=-2.7), 6MWT (Μean ∆=-36.9±27.2 m, t=-4.5), muscle strength (Μean ∆=-1.5±1.4 kg, t=-2.22). Similarly, SF-36 (mental health [Μean ∆=-13.3±21.3%], general health [Μean ∆=-11.4±16.90%]) were statistically improved only in IG. CONCLUSIONS: The findings of this study indicate that a 6-week supervised home-based TR exercise program induced significant benefits in patients with T2D, thus enabling telehealth implementation in rehabilitation practice as an alternative approach. CLINICAL REHABILITATION IMPACT: Home-based exercise via the TR platform is a feasible and effective alternative approach that can help patients with T2D eliminate barriers and increase overall rehabilitation utilization.

• MeSH
• diabetes mellitus 2. typu * MeSH
• glykovaný hemoglobin MeSH
• jednoduchá slepá metoda MeSH
• kvalita života MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• síla ruky MeSH
• telerehabilitace * MeSH
• terapie cvičením MeSH
• videokonferování MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• randomizované kontrolované studie MeSH

• MeSH
• farmacie MeSH
• kongresy jako téma MeSH
• videokonferování MeSH
• Publikační typ
• zprávy MeSH

• MeSH
• diabetes mellitus * MeSH
• kongresy jako téma MeSH
• lidé MeSH
• webová vysílání jako téma MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• zprávy MeSH

• MeSH
• klinické laboratorní techniky MeSH
• výchova a vzdělávání * MeSH
• webová vysílání jako téma MeSH