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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Consolidated guidance for behavioral intervention pilot and feasibility studies

Pilot and Feasibility Studies, Journal Year: 2024, Volume and Issue: 10(1)

Published: April 6, 2024

Abstract Background In the behavioral sciences, conducting pilot and/or feasibility studies (PFS) is a key step that provides essential information used to inform design, conduct, and implementation of larger-scale trial. There are more than 160 published guidelines, reporting checklists, frameworks, recommendations related PFS. All these publications offer some form guidance on PFS, but many focus one or few topics. This makes it difficult for researchers wanting gain broader understanding all relevant important aspects PFS requires them seek out multiple sources information, which increases risk missing considerations incorporate into their The purpose this study was develop consolidated set implementation, interventions conducted in sciences. Methods To consolidation, we undertook review combination with expert consensus (via Delphi study) from authors who wrote such identified considerations. A total 161 PFS-related were via recently intervention backward/forward citation tracking well-known literature (e.g., CONSORT Ext. PFS). Authors invited complete three-round survey, guide creation list by Results 496 take part survey (round 1, N = 46; round 2, 24; 3, 22). twenty considerations, broadly categorized six themes (intervention conduct trial, intervention, statistical analysis, reporting) generated as well synthesis feedback process. These 20 presented alongside supporting narrative each consideration crosswalk aligned further reading. Conclusion We leveraged opinion have wide range topics distilled knowledge valuable universal resource Researchers may use previously decisions about hope creating disseminating broad public health impact.

Language: Английский

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Optimizing an adaptive digital oral health intervention for promoting oral self-care behaviors: Micro-randomized trial protocol

Contemporary Clinical Trials, Journal Year: 2024, Volume and Issue: 139, P. 107464 - 107464

Published: Feb. 1, 2024

Language: Английский

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A Digital Microintervention Supporting Evidence-Based Parenting Skills: Development Study Using the Agile Scrum Methodology

JMIR Formative Research, Journal Year: 2024, Volume and Issue: 8, P. e54892 - e54892

Published: April 29, 2024

Background Conduct disorder increases risks of educational dropout, future mental illness, and incarceration if untreated. First-line treatment conduct involves evidence-based parenting skills programs. Time-outs, a frequent tool in these programs, can be effective at improving behavior, recent apps have been developed to aid this process. However, promote the use time-outs inconsistent or developmentally inappropriate ways, potentially worsening behavior problems. Digital microinterventions like could guide parents through high-quality moment, but current time-out lack features promoting adherence best practice. Agile scrum is respected approach software development industry. Objective We aimed explore feasibility using agile build digital microintervention help deliver an time-out. Methods The methodology was used. Four sprints were conducted. Figma used for app design wireframing. Insights from 42 expert stakeholders during 3 sprint reviews. consulted experts who identified councils around Midlands region United Kingdom charities personal contacts snowballing approach. Results Over 4 August 2022 March 2023, iteratively designed refined based on consultation with diverse group shared their knowledge about content common programs challenges commonly face. Modifications made throughout process resulted significant enhancements, including tailored timer algorithms enhanced readability, as well onboarding zone, mindfulness module, pictorial information increase inclusivity. By end fourth sprint, deemed ready home by stakeholders, demonstrating effectiveness our Conclusions support technique. recommend create mobile health apps. Our experience highlights valuable role that frontline social care professionals, particularly those working vulnerable families, play There need research both evaluate impact child behavioral change also cater non–English speakers individuals participate settings outside Kingdom.

Language: Английский

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Toward the Science of Engagement With Digital Interventions

Current Directions in Psychological Science, Journal Year: 2024, Volume and Issue: 33(4), P. 239 - 246

Published: June 3, 2024

Digital technologies, such as mobile devices and wearable sensors, are ingrained in daily life, making them a promising vehicle for delivering health behavior interventions. However, critical challenge that undermines the utility of digital interventions is suboptimal engagement participants, where participant defined investment physical, cognitive, affective energies focal stimulus or task. Research aiming to understand how increase with has grown substantially recent years. This article highlights several limitations existing evidence restrict its scientific practical discusses opportunities advancing science Synthesizing current body evidence, we call conceptualizing collection stimuli (e.g., notifications, reminders) tasks open app, practice relaxation technique) considering process rather than state (i.e., momentary conditions/experiences) trait relatively stable disposition). approach potential enhance rigor transparency measuring, reporting, interpreting would ultimately serve bolster progress toward developing strategies optimizing engagement.

Language: Английский

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Effects of an online mindfulness-based program for parents of children with attention deficit/hyperactivity disorder: a pilot, mixed methods study

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: April 24, 2024

Objectives Online mindfulness-based program (MBP) for parents and families especially in clinical population is limited. Engagement significant dropout are major issues MBP implementation. This pilot study examined the effects of an online on children with Attention Deficit/Hyperactivity Disorder (ADHD). Methods A mixed methods was applied to evaluate MBP. total 43 were recruited randomly assigned into intervention group waitlist control group. The lasted 28 days, including 20 psychoeducation videos, homework audio guidance, four instructor-led meetings. Purposive sampling used recruit who completed share their experiences suggestions improving semi-structured interviews. Results Quantitative data showed that participants from reported a medium large effect reduction child ADHD symptoms. In interviews, positive help seeking intention, personal changes, such as emotion regulation quality attention children. Participants further made improvement. Conclusions promising, should be conducted. scale randomized controlled trial conducted investigate populations. Clinical registration ClinicalTrials.gov NCT05480423.

Language: Английский

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User character strengths predict engagement on a digital mental health platform for young people (Preprint)

Published: March 12, 2025

Mental ill health is a leading cause of disability worldwide, but access to evidence-based support remains limited. Digital mental interventions offer timely and low-cost solution. However, improvements in clinical outcomes are reliant on user engagement, which can be low for digital interventions. User characteristics, including demographics personality traits, could used tailor platforms promote longer-term engagement improved outcomes. This study aimed investigate how character strengths, set positive influence patterns with Moderated Online Social Therapy (MOST), national platform offering individualised, online treatment young people aged 12-25. Data from 6967 who enrolled MOST between August 2021 July 2023 were analysed. Longitudinal analyses whether scores three strength dimensions (‘Social Harmony’, ‘Positive Determination’, ‘Courage Creativity’) associated (1) an accelerated or decelerated rate dropout the platform, (2) over first 12 weeks following onboarding. Engagement metrics time spent number sessions use embedded social network, messages team. On average, 72.64 days (SD = 106.64). The strengths distinct during this time. Individuals scoring higher ‘Social Harmony’ demonstrated (P .008). Interestingly, high rates initial more precipitous decline weeks, terms (t -5.05, P < .001) completed -2.26, .02). In contrast, Determination’ Creativity’ predicted modest steadier time, (Positive Determination: t 4.05, .001; Courage Creativity: 2.66, Contrary our predictions, did not predict network sent Our findings illustrate trajectories platform. Specifically, individuals showed that quickly declined, while those demonstrate lower opportunity tailored individual characteristics way would greater ongoing engagement.

Language: Английский

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"I Don't Know Why I Should Use This App": Holistic Analysis on User Engagement Challenges in Mobile Mental Health

Published: April 24, 2025

Language: Английский

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Designing Technologies for Value-based Mental Healthcare: Centering Clinicians' Perspectives on Outcomes Data Specification, Collection, and Use

Published: April 24, 2025

Health information technologies are transforming how mental healthcare is paid for through value-based care programs, which tie payment to data quantifying outcomes. But, it unclear what outcomes these should store, engage users in collection, and can improve care. Given challenges, we conducted interviews with 30 U.S.-based health clinicians explore the design space of that support specification, use healthcare. Our findings center clinicians' perspectives on aligning programs care; opportunities personal devices collection; considerations using hold stakeholders including clinicians, insurers, social services financially accountable We conclude implications future research designing developing supporting across involved service delivery.

Language: Английский

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Harnessing the Digital Revolution: A Comprehensive Review of mHealth Applications for Remote Monitoring in Transforming Healthcare Delivery

Lecture notes in computer science, Journal Year: 2023, Volume and Issue: unknown, P. 55 - 67

Published: Jan. 1, 2023

Language: Английский

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