scholarly journals Guidance on defining the scope and development of text-based coaching protocols for digital mental health interventions

2019 ◽  
Vol 5 ◽  
pp. 205520761989614
Author(s):  
Emily G Lattie ◽  
Andrea K Graham ◽  
Heather D Hadjistavropoulos ◽  
Blake F Dear ◽  
Nickolai Titov ◽  
...  

A body of literature suggests that the provision of human support improves both adherence to and clinical outcomes for digital mental health interventions. While multiple models of providing human support, or coaching, to support digital mental health interventions have been introduced, specific guidance on how to develop coaching protocols has been lacking. In this Education Piece, we provide guidance on developing coaching protocols for text-based communication in digital mental health interventions. Researchers and practitioners who are tasked with developing coaching protocols are prompted to consider the scope of coaching for the intervention, the selection and training of coaches, specific coaching techniques, how to structure communication with clients and how to monitor adherence to guidelines, and quality of coaching. Our goal is to advance thinking about the provision of human support in digital mental health interventions to inform stronger, more engaging, and effective intervention designs.

2020 ◽  
Author(s):  
Jenna Sung ◽  
Corinne Kacmarek ◽  
Jessica L. Schleider

The United States spent 201 billion dollars on mental health related concerns in 2013, ranking mental illness as the leading cause of disability and the single largest source of economic burden worldwide. With mental health-related treatment costs and economic burden only projected to rise, there is an increasing need for cost-inclusive evaluations of mental health interventions specific to the United States as economic evaluations across countries are not easily comparable. Thus, this systematic, descriptive review characterized the types of interventions, target populations, and the quality of 9 economic evaluation studies (e.g., cost-effectiveness, cost-benefit) of youth mental health services conducted in the United States from 2003 to 2019. Existing evaluations suggest that certain mental health interventions for youth, among the few that have been formally evaluated, may be cost-effective and cost-beneficial. However, the small number and mixed quality of eligible studies highlights a dearth of rigorously conductedeconomic evaluations on this topic, variability in cost and outcome assessment approaches, as well as the homogenous characteristics of interventions evaluated. Greater standardization is needed to increase confidence in these conclusions and generate a body of meaningful, quality research that has the potential to shape evidence-based mental health policy.


2020 ◽  
Vol 77 (3) ◽  
pp. 294 ◽  
Author(s):  
Emma Windle ◽  
Helena Tee ◽  
Alina Sabitova ◽  
Nikolina Jovanovic ◽  
Stefan Priebe ◽  
...  

2007 ◽  
Vol 29 (4) ◽  
pp. 301-321 ◽  
Author(s):  
Julie Hakim-Larson ◽  
Ray Kamoo ◽  
Sylvia Nassar-McMillan ◽  
John Porcerelli

The last century has seen an increase in the population of Americans of Arab and Chaldean descent. In recent decades, clinicians have articulated the goal of enhancing their knowledge of cultural diversity for the purpose of improving their appreciation for diversity and the quality of their mental health interventions with diverse populations. However, there is currently little systematic empirical research regarding the counseling of Arab and Chaldean Americans, although awareness of the need for such research among mental health professionals has started to emerge. The purpose of this paper is to provide an integrative review of the values and socio-cultural forces that are relevant to the counseling of this population in North America, and to provide some culturally sensitive recommendations for working with American families of Arab and Chaldean ethnicity. In particular, we propose that effective interventions with clients of Arab and Chaldean ethnic backgrounds will need to be informed by an understanding of the everyday sociopolitical contextual background of target clients and the impact of values and acculturation processes on the family network.


2021 ◽  
Vol 12 ◽  
Author(s):  
Johanna Karukivi ◽  
Outi Herrala ◽  
Elina Säteri ◽  
Anna Tornivuori ◽  
Sanna Salanterä ◽  
...  

Background: Mental health problems are a major health issue for children and adolescents around the world. The school environment allows adolescents to be reached comprehensively and on a low threshold, making it a potential environment for mental health interventions. The aim of this review was to describe interventions delivered by health-care workers in school environment for individual adolescents aged 12–18 with mental health problems and to assess the effectiveness of these interventions.Methods: This systematic review was conducted in adherence with the PRISMA guidelines. Altogether 349 studies were screened and 24 of them were included in full text assessment. Eight studies were included in the qualitative synthesis. Only in three studies the intervention was compared to another intervention or the study setting included a control group. Five of the interventions were based on cognitive-behavioral therapy and three on other approaches. In seven studies, one of the main response variables was based on assessment of depressive symptoms and/or a depressive disorder. The quality of the studies was limited with notable risk for bias for some studies.Results: Based on reported symptom reductions, for most of the interventions, the results were good. Symptom reductions were also typically achieved in a rather low number of sessions (12 or less) supporting the feasibility of these type of interventions in school environment. However, the lack of use of control groups and actual comparisons between the interventions, limit the possibility to draw firm conclusions regarding their effectiveness and thus, the results should be interpreted with caution. Confirming the effectiveness of the studied interventions requires more robust evidence and thus, improving the quality of studies in the school environment is encouraged.


2012 ◽  
Vol 9 (1) ◽  
pp. 15-17
Author(s):  
David Forbes ◽  
Mark Creamer ◽  
Darryl Wade

Natural disasters can result in a range of mental health outcomes among the affected population. Appropriate mental health interventions are required to promote recovery. In the aftermath of the 2009 bushfires in Victoria, Australia, a collaboration of trauma experts, the Australian and Victorian state governments and health professional associations developed an evidence-informed three-level framework outlining recommended levels of care. The framework was underpinned by an education and training agenda for mental health professionals. This framework has been successfully applied after further natural disasters in Australia. This paper outlines the steps included in each of the levels.


Author(s):  
Alina Ionescu ◽  
Tom Van Daele ◽  
Albert Rizzo ◽  
Carolyn Blair ◽  
Paul Best

AbstractVirtual reality is increasingly recognized as a powerful method for clinical interventions in the mental health field, but has yet to achieve mainstream adoption in routine mental healthcare settings. A similar, yet slightly different technology, immersive 360° videos might have the potential to cover this gap, by requiring both lower costs and less technical skills to construct and operate such virtual environments. This systematic review therefore aims to identify, evaluate, and summarize mental health interventions using immersive 360° videos to support an understanding of their implementation in daily clinical practice. The quality of the 14 selected studies was evaluated using a critical appraisal tool, addressing populations with clinical levels of psychopathological symptoms, somatic conditions associated with psychological implications, and other at-risk groups. Immersive 360° videos successfully increased users’ feelings of presence, given their realistic features, and therefore yielded positive outcomes in clinical interventions where presence is considered as an essential precondition. Because the technical skills required to create immersive 360° video footage are fairly limited, most of the interventions using this approach have been created by mental health researchers or clinicians themselves. Immersive 360° videos are still in an early phase of implementation as a tool for clinical interventions for mental health, resulting in high heterogeneity in focus, procedures, and research designs. An important next step for making use of this technology may therefore involve the creation of standardized procedures, as a means to increase the quality of research and evidence-based interventions.


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