The Appa Health App for Youth Mental Health: Development and Usability Study (Preprint) DOI
Alison Giovanelli, Tahilin Sanchez Karver, Katrina D. Roundfield

et al.

Published: June 15, 2023

BACKGROUND Demand for adolescent mental health services has surged in the aftermath of COVID-19 pandemic, and traditional models care entailing in-person with licensed providers are inadequate to meet demand. However, research shown that proper training supervision mentors can work youth challenges like depression anxiety even support use evidence-based strategies cognitive behavioral therapy (CBT). In our increasingly connected world, young people on a web-based platform at their convenience, reducing barriers care. Moreover, internet made CBT skills addressing more accessible than ever. As such, when trained supervised by clinicians, an untapped resource challenges. OBJECTIVE The objective this study was develop assess feasibility acceptability Appa Health (Appa), mentoring program experiencing symptoms anxiety. This paper describes development, pilot testing process, preliminary quantitative qualitative outcomes Appa’s 12-week smartphone app which combines near-peer mentorship short-form TikTok-style videos teaching created professionals who also social media influencers. METHODS development processes were executed through collaboration key stakeholders, including clinical advisory boards. study, assessed or using standard self-report measures: Patient Questionnaire-8 Generalized Anxiety Disorder-7 scales. Teenagers endorsing (n=14) paired mentor (n=10) based preferred characteristics such as gender, race ethnicity, lesbian, gay, bisexual, transgender, queer (LGBTQ) status. Quantitative survey data about teenagers’ characteristics, health, combined assessing perspectives program, mentors, content. RESULTS Participants reported finding helpful, 100% teenagers expressing they felt better after program. Over 85% (n=12) said would strongly recommend friend. engaged, video chatting consistently over 12 weeks. Metrics depressive reduced from week 1 12, supporting suggesting potential positively impact warrants further study. CONCLUSIONS is novel aiming improve well-being reduce engaging formative sets stage large-scale randomized controlled trial recently funded National Institutes Small Business Innovation Research

Language: Английский

The therapeutic effectiveness of artificial intelligence-based chatbots in alleviation of depressive and anxiety symptoms in short-course treatments: A systematic review and meta-analysis DOI
Wenjun Zhong,

Jianghua Luo,

Zhang Hong

et al.

Journal of Affective Disorders, Journal Year: 2024, Volume and Issue: 356, P. 459 - 469

Published: April 15, 2024

Language: Английский

Citations

26
Providing Self-Led Mental Health Support Through an Artificial Intelligence–Powered Chat Bot (Leora) to Meet the Demand of Mental Health Care DOI Creative Commons
Emma L. van der Schyff, Brad Ridout, Krestina L. Amon

et al.

Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e46448 - e46448

Published: May 17, 2023

Digital mental health services are becoming increasingly valuable for addressing the global public burden of ill-health. There is significant demand scalable and effective web-based services. Artificial intelligence (AI) has potential to improve through deployment chatbots. These chatbots can provide round-the-clock support triage individuals who reluctant access traditional care due stigma. The aim this viewpoint paper consider feasibility AI-powered platforms well-being. Leora model considered a with support. conversational agent that uses AI engage in conversations users about their minimal-to-mild symptoms anxiety depression. tool designed be accessible, personalized, discreet, offering strategies promoting well-being acting as self-care coach. Across all services, there several challenges ethical development treatment, including trust transparency, bias inequity, negative consequences. To ensure use care, researchers must carefully these key stakeholders high-quality Validation platform rigorous user testing will next step ensuring effective.

Language: Английский

Citations

30
Is cognitive behavioral therapy more effective than pharmacotherapy for binge spectrum disorders? A systematic review and meta-analysis DOI Open Access
Myrto Samara,

Niki Michou,

Andreas S. Lappas

et al.

Australian & New Zealand Journal of Psychiatry, Journal Year: 2024, Volume and Issue: 58(4), P. 308 - 319

Published: Jan. 5, 2024

Objectives: Binge spectrum disorders are prevalent worldwide. Psychiatric and medical comorbidities common, societal costs significant. Evidence-based treatment remains underutilized. Cognitive behavioral therapy is the recommended first-line treatment, but pharmacotherapy may be easier to access. Interventions: Meta-analytic evidence directly comparing cognitive with lacking. We aimed compare effects of interventions any pharmacological for binge disorders. searched PubMed, Embase, CENTRAL, ClinicalTrials.gov reference lists randomized controlled trials bulimia nervosa/binge eating disorder performed pairwise meta-analytic evaluations. Primary Outcomes: outcomes remission frequency binges. Secondary purges, response, psychopathology, weight/body mass index, depression, anxiety, quality life dropouts. Results: Eleven fluoxetine/imipramine/desipramine/methylphenidate/sibutramine were identified ( N = 531). was superior antidepressants in terms remission, binges psychopathology. There no statistically significant differences individual vs drug comparisons response/depression/anxiety/weight/quality life/dropouts. not sibutramine/methylphenidate primary outcomes. Conclusions: Data scarce, underpowered and, considering inherent methodological limitations psychotherapy trials, questions arise regarding presumed superiority therapy. Further research needed.

Language: Английский

Citations

3
The Appa Health App for Youth Mental Health: Development and Usability Study DOI Creative Commons
Alison Giovanelli, Tahilin Sanchez Karver, Katrina D. Roundfield

et al.

JMIR Formative Research, Journal Year: 2023, Volume and Issue: 7, P. e49998 - e49998

Published: Oct. 4, 2023

Demand for adolescent mental health services has surged in the aftermath of COVID-19 pandemic, and traditional models care entailing in-person with licensed providers are inadequate to meet demand. However, research shown that proper training supervision mentors can work youth challenges like depression anxiety even support use evidence-based strategies cognitive behavioral therapy (CBT). In our increasingly connected world, young people on a web-based platform at their convenience, reducing barriers care. Moreover, internet made CBT skills addressing more accessible than ever. As such, when trained supervised by clinicians, an untapped resource challenges.The objective this study was develop assess feasibility acceptability Appa Health (Appa), mentoring program experiencing symptoms anxiety. This paper describes development, pilot testing process, preliminary quantitative qualitative outcomes Appa's 12-week smartphone app which combines near-peer mentorship short-form TikTok-style videos teaching created professionals who also social media influencers.The development processes were executed through collaboration key stakeholders, including clinical advisory boards. study, assessed or using standard self-report measures: Patient Questionnaire-8 Generalized Anxiety Disorder-7 scales. Teenagers endorsing (n=14) paired mentor (n=10) based preferred characteristics such as gender, race ethnicity, lesbian, gay, bisexual, transgender, queer (LGBTQ) status. Quantitative survey data about teenagers' characteristics, health, combined assessing perspectives program, mentors, content.Participants reported finding helpful, 100% teenagers expressing they felt better after program. Over 85% (n=12) said would strongly recommend friend. The engaged, video chatting consistently over 12 weeks. Metrics depressive reduced from week 1 12, supporting suggesting potential positively impact warrants further study.Appa is novel aiming improve well-being reduce engaging content. formative sets stage large-scale randomized controlled trial recently funded National Institutes Small Business Innovation Research

Language: Английский

Citations

9
Self‐harm by single‐ and multi‐agent medication poisoning in a retrospective analysis of a Poison Control Center database from January 2018 to December 2022 DOI
Michele Stanislaw Milella, Luisa Petraccia,

Francesca Pirelli

et al.

Pharmacoepidemiology and Drug Safety, Journal Year: 2024, Volume and Issue: 33(2)

Published: Feb. 1, 2024

Abstract Purpose Medication poisoning is the most common method of self‐harm. Longitudinal studies incorporating pre‐ and post‐COVID‐19 pandemic data are required to describe phenomenon evaluate long‐term impact on mental health. Methods Calls Poison Control Center Policlinico Umberto I Hospital ‐ Sapienza University Rome, Italy, were analyzed retrospectively for characteristics clinical presentation cases interest from January 2018 December 2022. Results A total 756 self‐harm by medication poisonings recorded in study period. reduction rate 2020 was followed a return pre‐pandemic levels 2021. When separately analyzing single‐ multi‐agent cases, occurrence involving just one increased since early 2021, with peak 2022 (7.8% calls, 95% CI 6.2–9.5, 4.9%, 4.1–5.8 2018). This increase mostly none or mild severity, driven youth aged 12–21, which relative proportion versus showed an increasing trend (from 42.6% 78.6% 2022). Acetaminophen frequently involved benzodiazepines largest class. psychiatric background increasingly seen 2022, especially age group 12–21. Conclusion Single‐agent may be prevailing phenomenon. Young adolescents might vulnerable this behavior COVID‐19 aftermath. Healthcare professionals should expect favorable outcome improve both counseling psychotherapy supervision individuals at risk.

Language: Английский

Citations

1
Providing Self-Led Mental Health Support Through an Artificial Intelligence–Powered Chat Bot (Leora) to Meet the Demand of Mental Health Care (Preprint) DOI
Emma L. van der Schyff, Brad Ridout, Krestina L. Amon

et al.

Published: Feb. 12, 2023

UNSTRUCTURED Digital mental health services are becoming increasingly valuable for addressing the global public burden of ill-health. There is significant demand scalable and effective web-based services. Artificial intelligence (AI) has potential to improve through deployment chatbots. These chatbots can provide round-the-clock support triage individuals who reluctant access traditional care due stigma. The aim this viewpoint paper consider feasibility AI-powered platforms well-being. Leora model considered a with support. conversational agent that uses AI engage in conversations users about their minimal-to-mild symptoms anxiety depression. tool designed be accessible, personalized, discreet, offering strategies promoting well-being acting as self-care coach. Across all services, there several challenges ethical development treatment, including trust transparency, bias inequity, negative consequences. To ensure use care, researchers must carefully these key stakeholders high-quality Validation platform rigorous user testing will next step ensuring effective.

Language: Английский

Citations

0
The Appa Health App for Youth Mental Health: Development and Usability Study (Preprint) DOI
Alison Giovanelli, Tahilin Sanchez Karver, Katrina D. Roundfield

et al.

Published: June 15, 2023

BACKGROUND Demand for adolescent mental health services has surged in the aftermath of COVID-19 pandemic, and traditional models care entailing in-person with licensed providers are inadequate to meet demand. However, research shown that proper training supervision mentors can work youth challenges like depression anxiety even support use evidence-based strategies cognitive behavioral therapy (CBT). In our increasingly connected world, young people on a web-based platform at their convenience, reducing barriers care. Moreover, internet made CBT skills addressing more accessible than ever. As such, when trained supervised by clinicians, an untapped resource challenges. OBJECTIVE The objective this study was develop assess feasibility acceptability Appa Health (Appa), mentoring program experiencing symptoms anxiety. This paper describes development, pilot testing process, preliminary quantitative qualitative outcomes Appa’s 12-week smartphone app which combines near-peer mentorship short-form TikTok-style videos teaching created professionals who also social media influencers. METHODS development processes were executed through collaboration key stakeholders, including clinical advisory boards. study, assessed or using standard self-report measures: Patient Questionnaire-8 Generalized Anxiety Disorder-7 scales. Teenagers endorsing (n=14) paired mentor (n=10) based preferred characteristics such as gender, race ethnicity, lesbian, gay, bisexual, transgender, queer (LGBTQ) status. Quantitative survey data about teenagers’ characteristics, health, combined assessing perspectives program, mentors, content. RESULTS Participants reported finding helpful, 100% teenagers expressing they felt better after program. Over 85% (n=12) said would strongly recommend friend. engaged, video chatting consistently over 12 weeks. Metrics depressive reduced from week 1 12, supporting suggesting potential positively impact warrants further study. CONCLUSIONS is novel aiming improve well-being reduce engaging formative sets stage large-scale randomized controlled trial recently funded National Institutes Small Business Innovation Research

Language: Английский

Citations

0