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Table 3 Overview of positive healthcare effects, indications, study designs, observation durations, sample sizes, IG, CG

From: Evidence requirements of permanently listed digital health applications (DiGA) and their implementation in the German DiGA directory: an analysis

DiGA

Positive care effect

Medical benefit

Patient-relevant improvement of structure and processes

Study design

Observation duration and survey times

Sample size

IG

CG

Location of study

Time period of studyb

Deprexis

medical benefit

improvement in the state of health

n.a

RCT

3 months

t1 = 3 months

t2 = 6 months follow-up

 

DiGA + UC

UC + waiting group

  

Study 1 [17]

n  = 163

IG = 78

CG = 85

Hamburg, Lübeck, Bern

02/2013–05/2014

Study 2 [18]

n  = 1013

IG = 509

CG = 504

Berlin, Bielefeld, Hamburg, Lübeck

07/2012–02/2017

Elevida [19]

medical benefit

improvement in the state of health

n.a

RCT

12 weeks

t1 = 12 weeks

t2 = 24 weeks follow-up

n  = 275

IG = 139

CG = 136

DiGA + UC

UC + waiting group

Hamburg

07/2014–05/2016

Hello Better

Diabetes and Depression [20, 21]

medical benefit

improvement in the state of health

n.a

RCT

8 weeks

t1 = 8 weeks

t2 = 6 months follow-up 1

t3 = 12 months follow-up 2

n  = 254

IG = 128

CG = 126

DiGA + UC

UC + waiting group + online program for knowledge transfer

Lüneburg

03/2013–01/2015

Hello Better

Panik [22, 23]

medical benefit

improvement in the state of health

n.a

RCT

8 weeks

t1 = 8 weeks

t2 = 3 months follow-up 1

t3 = 6 months follow-up 2

n  = 92

IG = 45

CG = 47

DiGA + UC

UC + waiting group

Lüneburg

08/2013–05/2015

Hello Better

Stress and Burnout [24, 25]

medical benefit

improvement in the state of health

n.a

RCT

7 weeks

t1 = 7 weeks

t2 = 6 months follow-up 1

t3 = 12 months follow-up 2, only IG

n  = 264

IG = 132

CG = 132

DiGA + UC

UC + waiting group

Lüneburg

03/2013–11/2014

Hello Better

Vaginismus Plus [26, 27]

medical benefit

improvement in the state of health

n.a

RCT

12 weeks

t1 = 12 weeks

t2 = 6 months follow-up

n  = 200

IG = 100

CG = 100

DiGA + UC

UC + waiting group

Erlangen

04/2016–9/2018

Kalmeda [28]

medical benefit

improvement in the state of health

n.a

RCT

9 months (IG)

12 months (CG)

t1 = 3 months

t2 = 9 months (IG)

t3 = 12 months (CG)

n  = 187

IG = 94

CG = 93

DiGA

waiting group + general information about tinnitus

Duisburg

08/2020–04/2022

Selfapy

Depression [29]

medical benefit

improvement in the state of health

n.a

RCT

12 weeks

t1 = 6 weeks

t2 = 12 weeks

t3 = 24 weeks follow-up

n  = 401

IG1 = 151

IG2 = 150

CG = 100

IG1: DiGA with psychological support (proof not provided)

IG2: DiGA without any support

waiting group + weekly standardized mindfulness exercises via email

Berlin

08/2019-n.r

Somnio [30]

medical benefit

improvement in the state of health

n.a

RCT

6 weeks

t1 = 6 weeks

t2 = 12 months follow-up

n  = 56

IG = 29

CG = 27

DiGA

waiting group

Zurich

01/2016–10/2016

Velibra [31]

medical benefit + patient-relevant improvement of structure and processes

improvement in the state of health

reduction of therapy-related efforts and strains for patients and their relatives

RCT

9 weeks

t1 = 9 weeks

t2 = 6 months follow-up

n  = 139

IG = 70

CG = 69

DiGA + UC

UC + waiting group

Bern

05/2014–05/2016

Vivira [32]

medical benefit

improvement in the state of health

n.a

RCT

12 weeks

t1 = 2 weeks

t2 = 6 weeks

t3 = 12 weeks

n  = 215

DiGA

UC (physiotherapy)

Tübingen

11/2020–03/2021

pre-post studya

12 weeks

hip = 256

knee = 402

  

Vorvida [33]

medical benefit + patient-relevant improvement of structure and processes

improvement in the state of health

patient autonomy

RCT

6 months

t1 = 3 months

t2 = 6 months

n  = 608

IG = 306

CG = 302

DiGA + UC

UC + waiting group

Hamburg

03/2015-ongoing

Zanadio [34]

medical benefit

improvement in the state of health

n.a

RCT

9 months

t1 = 3 months

t2 = 6 months

t3 = 9 months

t4 = 12 months follow-up

n  = 149

DiGA

UC

online in Germany

02/2021-ongoing

  1. DiGA Digital health application, IG Intervention group, CG Control group, RCT Randomized controlled trial, UC Usual care, n.a. Not applicable