Engagement and retention in digital mental health interventions: a narrative review

BMC Digital Health, Journal Year: 2024, Volume and Issue: 2(1)

Published: Aug. 7, 2024

Abstract Background While many digital mental health interventions (DMHIs) have been shown to be effective, such also criticized for poor engagement and retention rates. However, several questions remain about how users engage with DMHIs, define engagement, what factors might help improve DMHI engagement. Main abstract In this narrative review, we show that although DMHIs are research suggests rates quite variable across studies DMHIs. some instances, high, even in real-world settings where there is evidence of a subset who could considered ‘superusers’. We then review on the barriers facilitators highlighting qualitative users’ perceptions does not always align quantitative assessing relationships between these barriers/facilitators actual introduce potential issues conceptualizations may explain mixed findings, including inconsistent definitions assumptions linear outcomes. Finally, outline suggesting comparable mobile application use broadly as well more traditional forms care (i.e., pharmacological, psychotherapy). Conclusions order increase number people can benefit from additional necessary. Importantly, believe it critical move away existing misconceptions make three recommendations believe, if addressed, likely substantially impact DMHIs: (1) need adopt clearly defined, common definition , (2) importance exploring patterns optimal rather than taking ‘one size fits all’ approach, (3) defining success within based outcomes frequency or duration user’s DMHI.

Language: Английский

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Young People’s Preferences for Web-Based Mental Health Interventions for Managing Anxiety and Depression: A Discrete Choice Experiment

Applied Health Economics and Health Policy, Journal Year: 2025, Volume and Issue: unknown

Published: March 28, 2025

Anxiety and depression are prevalent in young people. Web-based mental health interventions (W-MHIs) have the potential to reduce anxiety depression, yet level of engagement remains low. This study aims elicit people's preferences towards W-MHIs relative importance intervention attributes influencing choice. A discrete choice experiment (DCE) was conducted online among people aged 18–25 years who lived Australia, self-reported experiences and/or past 12 months had an intention use previous experience with for managing depression. Participants were recruited via social media Deakin University notice boards. The DCE design comprised six attributes, including out-of-pocket cost, access trained instructors (e.g., therapists, coaches) help users stay engaged intervention, total time required complete initial screening, quizzes within check user's understanding about content, communication other users. consisted three blocks, each eight unlabelled tasks, two alternatives. Data analysed using a mixed logit model. One hundred ninety-nine participants completed (mean age: 21.43 ± 2.29 years, 64.32% female). Lower instructors, moderate (5 h) significant facilitators. audio- or video-call 23 percentage points more likely be chosen than those without W-MHI completion 18 one shorter (2 h). Our results highlight that low-cost could increase uptake. More research is confirm these findings examine whether vary across different population characteristics.

Language: Английский

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The Reach, Effectiveness, Adoption, Implementation, and Maintenance of Digital Mental Health Interventions for College Students: A Systematic Review

Current Psychiatry Reports, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 11, 2024

We evaluated the impact of digital mental health interventions (DMHIs) for college students. organized findings using RE-AIM framework to include reach, effectiveness, adoption, implementation, and maintenance.

Language: Английский

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Evaluating the naturalistic implementation of a peer-coaching service to augment online acceptance and commitment therapy for college mental health

Journal of Contextual Behavioral Science, Journal Year: 2025, Volume and Issue: unknown, P. 100897 - 100897

Published: April 1, 2025

Language: Английский

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Benefits of a Technology-Delivered Mindfulness Intervention for Psychological Distress and Positive Wellbeing in Depressed College Students: Post-Intervention and Follow-Up Effects from an RCT

Mindfulness, Journal Year: 2024, Volume and Issue: 15(7), P. 1739 - 1758

Published: July 1, 2024

Language: Английский

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Real-World Adoption of Mental Health Support Among Adolescents: Cross-Sectional Analysis of the California Health Interview Survey

Journal of Pediatric Psychology, Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 25, 2023

We aim to examine: (a) the extent which patterns of adoption counseling services and digital mental health interventions (DMHIs) shifted in recent years (2019-2021); (b) impact distress on support; (c) reasons related adolescents' low DMHIs when experiencing distress.Data were from three cohorts adolescents aged 12-17 (n = 847 2019; n 1,365 2020; 1,169 2021) recruited as part California Health Interview Survey. estimated logistic regression models examine likelihood using support a function psychological distress, sociodemographic characteristics, cohorts. also analyzed self-reported for not trying distress.The proportion reporting elevated (∼50%) was higher than those adopting (<20%) or (<10%). A level associated with greater receiving (OR 1.15), connect professional (Odds ratio (OR) 1.11) self-help 1.17). Among high top reason an online tool lack perceived need (19.2%).Adolescents' main barriers DMHI included need, may be explained by literacy. Thoughtful marketing dissemination efforts are needed increase awareness normalize DMHIs.

Language: Английский

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Facilitators and Barriers to Digital Mental Health Interventions for Depression, Anxiety and Stress in Adolescents and Young Adults: A Systematic Review (Preprint)

Published: June 3, 2024

Digital Mental Health Interventions (DMHIs) have unique strengths as emerging services with practical applications among adolescents and young adults (AYAs) depression, anxiety, stress. Though promising, the acceptance participation of DMHIs vary in different interventions, participants contexts. The factors for promoting or hindering use DMHIS need to be delineated synthesised. To assess synthesise facilitators barriers accessing stress AYAs a systematic review. A comprehensive retrieval across multiple databases was conducted by October 31st, 2023. Data synthesis analysis included quality assessment, frequency popular items, thematic analysis, relative occurrence. final 27 records met inclusion criteria. Depression, female/male/humans, adolescent, internet are typical terms four clusters identified. Fourteen thirteen at external, intervention, individual levels were consolidated. occurrence demonstrated effect predominant portable non-portable devices, single platforms. study developed organised themes subthemes, synthesised fourteen three levels. Quality is key focus results provide detailed structured information future digital mental health service design implementation.

Language: Английский

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Facilitators and Barriers to Digital Mental Health Interventions for Depression, Anxiety and Stress in Adolescents and Young Adults: A Scoping Review (Preprint)

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: unknown

Published: June 3, 2024

Digital mental health interventions (DMHIs) offer unique strengths as emerging services with practical applications for adolescents and young adults (AYAs) experiencing depression, anxiety, stress. Although promising, acceptance participation in DMHIs vary across interventions, participants, contexts. It is essential to delineate synthesize the factors that promote or hinder DMHI use. This review aims assess facilitators barriers accessing stress AYAs through a scoping review. A comprehensive search was conducted multiple databases, including PubMed, Web of Science, PsycINFO, CNKI, OpenGrey, APA PsycExtra, up October 31, 2023. Articles examining among disorders symptoms were included. Data synthesis analysis involved quality assessment, thematic analysis, relative frequency meta-analysis. total 27 records met eligibility criteria, 14 13 identified external, intervention, individual levels. The meta-analysis indicated influencing AYAs' use varied based on delivery modes. Among these factors, "quality effect" emerged predominant theme-high effect served primary facilitator, while low acted barrier both portable nonportable devices, well single platforms. uptake influenced by complex interplay barriers, particularly those related effect. Our syntheses provide crucial guidance intervention designers, emphasizing importance user-centered approaches balance scientific rigor engaging adaptive features. Enhancing alignment adolescent needs can improve adoption real-world impact. PROSPERO CRD42023479880; https://www.crd.york.ac.uk/PROSPERO/view/CRD42023479880.

Language: Английский

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Minimal Effect of Culturally Informed Marketing Messages on Engagement With a Digital Anxiety Intervention Among Latinx Individuals

Published: Sept. 17, 2023

This study evaluated the effectiveness of different culturally informed marketing messages to encourage enrollment in a fully remote digital mental health intervention (DMHI) for anxiety. Spanish-speaking Latinx individuals (N=1200) with history anxiety were randomly assigned receive standard recruitment message via email, or one three an added feature: positive user testimonials; noted goal using DMHI support individual’s relationships; reference somatic symptoms (e.g., dizziness, rapid heart beat) instead referencing “anxiety.” Participants could then click link email visit website, enroll, and start first session. We examined effects features, language materials (Spanish vs. English), participant (Spanish/English bilingual monolingual Spanish) on rates site clicks, enrollment, starting Across messages, 8.3% patients clicked but none nor language, significantly associated Results suggest that informed, email-based may not be sufficient their own promote engagement among individuals.

Language: Английский

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Editorial

Journal of Behavioral and Cognitive Therapy, Journal Year: 2023, Volume and Issue: 33(2), P. 65 - 66

Published: June 1, 2023

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