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

BMC Digital Health, Год журнала: 2024, Номер 2(1)

Опубликована: Авг. 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.

Язык: Английский

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Digital therapeutics in the clinic

Bioengineering & Translational Medicine, Год журнала: 2023, Номер 8(4)

Опубликована: Май 3, 2023

Digital therapeutics are emerging as a new form of therapeutic interventions. Unlike conventional therapeutics, digital deliver interventions directly to patients using an evidence-based, clinically evaluated software treat, manage, or prevent diseases. manifest in diverse forms such web-based applications, mobile applications on smart devices, virtual reality, and video games. As its own product category for FDA approval, can function stand-alone treatments combination with improve adherence and/or efficacy. Here, we review the clinical landscape therapeutics. We summarize FDA-approved products their use, overview >300 ongoing trials, discuss challenges translation strategies overcome same.

Язык: Английский

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Designing for Digital Wellbeing: From Theory to Practice a Scoping Review

Human Behavior and Emerging Technologies, Год журнала: 2023, Номер 2023, С. 1 - 24

Опубликована: Авг. 2, 2023

In a world that is highly dependent on digital connectivity, technology use becoming unavoidable, intense, and possibly harmful. The pervasiveness of which has been in tandem with the increasing number reported cases harmful usage styles, some exhibiting symptoms behavioural addiction, raised concerns around users’ psychological health well-being. Digital Wellbeing new facet human well-being recently emerged. While term yet to have commonly agreed definition, it typically denotes promotes positivity, personal growth, balanced healthy. this paper, we aim examine extent, range, nature research activity human-computer interaction- (HCI-) related literature. We conducted scoping review analysing 87 articles researched its interrelation design. Our analysis identified different meanings constructs concept, trends, gap incorporating design process. Accordingly, recommend an agreed-on definition for validated tools frameworks are needed ensure integration also wider direction HCI researchers practitioners interested include role designers societal institutions process inclusive sensitive.

Язык: Английский

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Effects of a Digital Mental Health Intervention on Perceived Stress and Rumination in Adolescents Aged 13 to 17: A Randomized Controlled Trial (Preprint)

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e54282 - e54282

Опубликована: Фев. 17, 2024

Although adolescents report high levels of stress, they engaging in few stress management techniques. Consequently, developing effective and targeted programs to help address this transdiagnostic risk factor adolescence is particularly important. Most for are delivered within schools, the evidence these mixed, suggesting a need alternative options among adolescents.

Язык: Английский

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Equity in Digital Mental Health Interventions in the United States: Where to Next? (Preprint)

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e59939 - e59939

Опубликована: Авг. 10, 2024

Health care technologies have the ability to bridge or hinder equitable care. Advocates of digital mental health interventions (DMHIs) report that such are poised reduce documented gross inequities plagued generations people seeking in United States. This is due a multitude factors as their potential revolutionize access; mitigate logistical barriers in-person care; and leverage patient inputs formulate tailored, responsive, personalized experiences. Although we agree with DMHIs advance equity, articulate several steps essential mobilize sustain meaningful forward progression this endeavor, reflecting on decades research learnings drawn from multiple fields expertise real-world experience. First, DMHI manufacturers must build diversity, inclusion, belonging (DEIB) processes into full spectrum product evolution itself (eg, design, evidence generation) well fabric internal company practices talent recruitment, communication principles, advisory boards). Second, awareness DEIB efforts—or lack thereof—in trials needed refine optimize future study design for inclusivity proactively address doing so. Trials should incorporate thoughtful, inclusive, creative approaches enrollment, measurement social determinants self-identity, prioritization planned exploratory analyses examining outcomes across various groups people. Third, advocacy, funding policies, local federal legislation can these pursuits, directives US Preventive Services Taskforce, National Institutes Health, Food Drug Administration applied poignant examples. For products artificial intelligence/machine learning, maintaining “human loop” prespecified adaptive analytic frameworks monitor remediate algorithmic bias risk increasing inequity. Last, but certainly not least, call partnership transparency within ecosystems (academic, industry, payer, provider, regulatory agencies, value-based organizations) reliably equity deployments evidence-generation strategies. All considerations also extend context an equity-informed commercial strategy organizations alike. The innovation apparent. We advocate field’s thoughtful evergreen advancement inclusivity, thereby redefining experience generation those come.

Язык: Английский

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"What about Hobfoll’s Resources Conservation Model in a Digital Society? Internet use as a Moderator of the Relationship between Personal Resources and Stress in Older Adults." (Preprint)

JMIR Aging, Год журнала: 2024, Номер 7, С. e52555 - e52555

Опубликована: Май 16, 2024

Internet use has dramatically increased worldwide, with over two-thirds of the world's population using it, including older adult population. Technical resources such as internet have been shown to influence psychological processes stress positively. Following Conservation Resources theory by Hobfoll, experience largely depends on individuals' personal and changes in these resources. While resource loss lead stress, we know little regarding role that technical may play relationship between stress.

Язык: Английский

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Age Differences in Electronic Mental Health Literacy: Qualitative Study

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e59131 - e59131

Опубликована: Июль 16, 2024

Background Electronic mental health literacy (eMHL) is critical for accessing and effectively using digital resources. However, there a paucity of research on how eMHL varies across age groups. Objective This study aimed to investigate differences in among young, middle-aged, older adults; provide insights into the needs, behaviors, attitudes different groups relation resources; ultimately, inform improvement services. Methods A qualitative investigation was conducted examine demographics Chinese population 2023. The sample comprised 3 distinct groups: 18-34 years, 35-64 65 years older. Participants were recruited through purposive sampling ensure diverse representation population. Data collected semistructured one-on-one interviews, which allowed in-depth exploration individual experiences perceptions. gathered data subsequently subjected rigorous thematic analysis enable identification interpretation recurring patterns themes. Results principal outcomes derived from these interviews synthesized 5 dimensions: emotional use resources, assessment information, engagement with social media regulate emotions, coping strategies. These dimensions uniformly observed Conclusions We identified knowledge, skills, regarding web-based information managing problems between findings highlight importance age-specific strategies improving eMHL.

Язык: Английский

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Investigating the Relationship Between Mental Health Symptoms and Health App Preferences in the United Kingdom (Preprint)

Опубликована: Март 6, 2025

Mental health problems are highly prevalent with mental apps emerging as a potential scalable solution. However, in the current policy environment, it remains unclear to what extent clinical populations benefiting from or at risk of suboptimal outcomes app market. To investigate relationship between symptoms and preferences, specifically examining if symptom presence correlates usage selection, how severity engagement patterns. A representative survey 2000 UK working adults was conducted. mentioned were reviewed categorised based on their features they target. We analysed relationships participant characteristics category assessed associations factors metrics. The study found that 36% participants reported using app, higher rates among younger more educated individuals. classified use General Wellness, Medical Healthcare, Physical Health, Women’s Casual Health Clinical distinction latter two categories being casual self-help vs clinically focused evidence-based features. apps, which accounted for 46% total mentions, far popular than (7%). strong observed both apps. Age consistently correlated longer duration across all categories. Many individuals seek out but most engage over ones. majority those complex needs may not be accessing appropriate app-based interventions. Future research should establish clearer impact metrics beyond examine effectiveness rigorously. Policy initiatives improve labelling increase transparency around also warranted.

Язык: Английский

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Digital Multidomain Lifestyle Intervention for Community-Dwelling Older Adults: A Mixed Methods Evaluation

International Journal of Public Health, Год журнала: 2025, Номер 70

Опубликована: Март 14, 2025

As life expectancy rises at a faster rate than healthy expectancy, there is global need for scalable and cost-effective interventions that enhance the health-related quality of older adults. This study aimed to examine user experience usability 12-week digital multidomain lifestyle intervention in community-dwelling adults aged 65 years above. The was developed involving delivered through mobile application (app) focusing on physical activity, nutrition, sleep mindfulness/relaxation. We used mixed methods sequential explanatory approach evaluate intervention. online questionnaires before after intervention, collected app usage data conducted semi-structured interviews. One hundred eight participated study. Fifty-six percent participants completed Users who experienced it as highly satisfactory rated high. User engagement particularly high activity content. Although participant retention can be challenge, lead positive usability.

Язык: Английский

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Leveraging Online Booking for Outpatient Chronic Condition Management: A 5-Year Analysis of Diabetes Care in Shanghai

NEJM Catalyst, Год журнала: 2025, Номер 6(s1)

Опубликована: Апрель 16, 2025

Язык: Английский

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