scholarly journals Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Suresh Kumar Mukhiya ◽  
Jo Dugstad Wake ◽  
Yavuz Inal ◽  
Ka I Pun ◽  
Yngve Lamo
Keyword(s):  
Mental Health ◽  
Psychological Treatment ◽  
Adaptive Strategies ◽  
Mental Health Disorders ◽  
User Preferences ◽  
Information Architecture ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Design Elements ◽  
Health Disorders

BACKGROUND Internet-delivered psychological treatments (IDPTs) are built on evidence-based psychological treatment models, such as cognitive behavioral therapy, and are adjusted for internet use. The use of internet technologies has the potential to increase access to evidence-based mental health services for a larger proportion of the population with the use of fewer resources. However, despite extensive evidence that internet interventions can be effective in the treatment of mental health disorders, user adherence to such internet intervention is suboptimal. OBJECTIVE This review aimed to (1) inspect and identify the adaptive elements of IDPT for mental health disorders, (2) examine how system adaptation influences the efficacy of IDPT on mental health treatments, (3) identify the information architecture, adaptive dimensions, and strategies for implementing these interventions for mental illness, and (4) use the findings to create a conceptual framework that provides better user adherence and adaptiveness in IDPT for mental health issues. METHODS The review followed the guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The research databases Medline (PubMed), ACM Digital Library, PsycINFO, CINAHL, and Cochrane were searched for studies dating from January 2000 to January 2020. Based on predetermined selection criteria, data from eligible studies were analyzed. RESULTS A total of 3341 studies were initially identified based on the inclusion criteria. Following a review of the title, abstract, and full text, 31 studies that fulfilled the inclusion criteria were selected, most of which described attempts to tailor interventions for mental health disorders. The most common adaptive elements were feedback messages to patients from therapists and intervention content. However, how these elements contribute to the efficacy of IDPT in mental health were not reported. The most common information architecture used by studies was tunnel-based, although a number of studies did not report the choice of information architecture used. Rule-based strategies were the most common adaptive strategies used by these studies. All of the studies were broadly grouped into two adaptive dimensions based on user preferences or using performance measures, such as psychometric tests. CONCLUSIONS  Several studies suggest that adaptive IDPT has the potential to enhance intervention outcomes and increase user adherence. There is a lack of studies reporting design elements, adaptive elements, and adaptive strategies in IDPT systems. Hence, focused research on adaptive IDPT systems and clinical trials to assess their effectiveness are needed.

scholarly journals Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review

10.2196/21066 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e21066
Author(s):  
Suresh Kumar Mukhiya ◽  
Jo Dugstad Wake ◽  
Yavuz Inal ◽  
Ka I Pun ◽  
Yngve Lamo
Keyword(s):  
Mental Health ◽  
Psychological Treatment ◽  
Adaptive Strategies ◽  
Mental Health Disorders ◽  
User Preferences ◽  
Information Architecture ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Design Elements ◽  
Health Disorders

Background Internet-delivered psychological treatments (IDPTs) are built on evidence-based psychological treatment models, such as cognitive behavioral therapy, and are adjusted for internet use. The use of internet technologies has the potential to increase access to evidence-based mental health services for a larger proportion of the population with the use of fewer resources. However, despite extensive evidence that internet interventions can be effective in the treatment of mental health disorders, user adherence to such internet intervention is suboptimal. Objective This review aimed to (1) inspect and identify the adaptive elements of IDPT for mental health disorders, (2) examine how system adaptation influences the efficacy of IDPT on mental health treatments, (3) identify the information architecture, adaptive dimensions, and strategies for implementing these interventions for mental illness, and (4) use the findings to create a conceptual framework that provides better user adherence and adaptiveness in IDPT for mental health issues. Methods The review followed the guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The research databases Medline (PubMed), ACM Digital Library, PsycINFO, CINAHL, and Cochrane were searched for studies dating from January 2000 to January 2020. Based on predetermined selection criteria, data from eligible studies were analyzed. Results A total of 3341 studies were initially identified based on the inclusion criteria. Following a review of the title, abstract, and full text, 31 studies that fulfilled the inclusion criteria were selected, most of which described attempts to tailor interventions for mental health disorders. The most common adaptive elements were feedback messages to patients from therapists and intervention content. However, how these elements contribute to the efficacy of IDPT in mental health were not reported. The most common information architecture used by studies was tunnel-based, although a number of studies did not report the choice of information architecture used. Rule-based strategies were the most common adaptive strategies used by these studies. All of the studies were broadly grouped into two adaptive dimensions based on user preferences or using performance measures, such as psychometric tests. Conclusions  Several studies suggest that adaptive IDPT has the potential to enhance intervention outcomes and increase user adherence. There is a lack of studies reporting design elements, adaptive elements, and adaptive strategies in IDPT systems. Hence, focused research on adaptive IDPT systems and clinical trials to assess their effectiveness are needed.

scholarly journals Invited commentaries on… Abortion and mental health disorders

2008 ◽  
Vol 193 (6) ◽  
pp. 452-454 ◽  
Author(s):  
Patricia Casey ◽  
Margaret Oates ◽  
Ian Jones ◽  
Roch Cantwell
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Mental Health Problems ◽  
Mental Health Disorders ◽  
Induced Abortion ◽  
Evidence Based ◽  
Abortion Debate ◽  
Health Disorders ◽  
And Training ◽  
Psychiatric Issues

SummaryThe finding that induced abortion is a risk factor for subsequent psychiatric disorder in some women raises important clinical and training issues for psychiatrists. It also highlights the necessity for developing evidence-based interventions for these women. P.C. / Evidence suggesting a modest increase in mental health problems after abortion does not support the prominence of psychiatric issues in the abortion debate, which is primarily moral and ethical not psychiatric or scientific. M.O. et al.

scholarly journals Local, Early, and Precise: Designing a Clinical Decision Support System for Child and Adolescent Mental Health Services

2020 ◽  
Vol 11 ◽  
Author(s):  
Thomas Brox Røst ◽  
Carolyn Clausen ◽  
Øystein Nytrø ◽  
Roman Koposov ◽  
Bennett Leventhal ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Decision ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Mental Health Disorders ◽  
Evidence Based ◽  
Health Disorders

Mental health disorders often develop during childhood and adolescence, causing long term and debilitating impacts at individual and societal levels. Local, early, and precise assessment and evidence-based treatment are key to achieve positive mental health outcomes and to avoid long-term care. Technological advancements, such as computerized Clinical Decision Support Systems (CDSSs), can support practitioners in providing evidence-based care. While previous studies have found CDSS implementation helps to improve aspects of medical care, evidence is limited on its use for child and adolescent mental health care. This paper presents challenges and opportunities for adapting CDSS design and implementation to child and adolescent mental health services (CAMHS). To highlight the complexity of incorporating CDSSs within local CAMHS, we have structured the paper around four components to consider before designing and implementing the CDSS: supporting collaboration among multiple stakeholders involved in care; optimally using health data; accounting for comorbidities; and addressing the temporality of patient care. The proposed perspective is presented within the context of the child and adolescent mental health services in Norway and an ongoing Norwegian innovative research project, the Individualized Digital DEcision Assist System (IDDEAS), for child and adolescent mental health disorders. Attention deficit hyperactivity disorder (ADHD) among children and adolescents serves as the case example. The integration of IDDEAS in Norway intends to yield significantly improved outcomes for children and adolescents with enduring mental health disorders, and ultimately serve as an educational opportunity for future international approaches to such CDSS design and implementation.

scholarly journals Addressing physical health in mental illness: the urgent need to translate evidence-based interventions into routine clinical practice

2021 ◽  
Vol 38 (1) ◽  
pp. 1-5
Author(s):  
B. O’Donoghue
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Physical Health ◽  
Mental Health Disorders ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Effective Interventions ◽  
Medication Side ◽  
Added Benefit ◽  
Health Disorders

AbstractPeople affected by severe mental health disorders have a greatly reduced life expectancy compared to their non-affected peers. Cardiovascular disease is the main contributor to this early mortality, caused by higher rates of smoking, physical inactivity, unhealthy diet, sleep disturbance, excessive alcohol use or substance abuse and medication side effects. Therefore, we need to take a preventative approach and translate effective interventions for physical health into routine clinical practice. These interventions should be delivered across all stages of mental health disorders and could also have the added benefit of leading to improvements in mental health. Furthermore, we need to advocate to ensure that people affected by severe mental health disorders receive the appropriate medical assessments and treatments when indicated. This themed issue highlights that physical health is now an urgent priority for funding and development in mental health services. The widespread implementation of evidence-based interventions into routine clinical practice is an essential need for consideration by clinicians and policymakers.

Urban and Rural Utilization of Evidence-Based Practices for Substance Use and Mental Health Disorders

2014 ◽  
Vol 30 (3) ◽  
pp. 292-299 ◽  
Author(s):  
Jo Ann Walsh Dotson ◽  
John M. Roll ◽  
Robert R. Packer ◽  
Jennifer M. Lewis ◽  
Sterling McPherson ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Disorders ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Health Disorders

scholarly journals Prévalence des troubles de santé mentale, motivation au traitement et pertinence des suivis thérapeutiques chez les délinquants sous surveillance dans le District Montréal métropolitain

Criminologie ◽  
2005 ◽  
Vol 29 (1) ◽  
pp. 25-44 ◽  
Author(s):  
Manassé Bambonyé
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Legal Status ◽  
Psychological Treatment ◽  
Mental Health Disorders ◽  
Clinical Diagnostics ◽  
Psychological Treatments ◽  
Health Disorders ◽  
Professional Care ◽  
Receive Treatment

We have conducted a research on therapeutic follow-ups with delinquents on parole, in Metropolitan Montreal, by analyzing the following characteristics: the clientele's professional care, the proportion of subjects who use the therapeutic follow-ups during their jail term and parole, the relevance of treatment, and the beneficiary's legal status of parole. According to our results, 81% of the subjects had classified clinical diagnostics at DSM III-R; 23,33% for double diagnostics; 14% for substance abuse and 6,67% for mood swings. 85,3% of the clients receive treatment given by psychologists, making it the most popular. Officers estimate that therapeutic follow-ups are pertinent in 91,9% of the cases, when the treatments are given to individuals with behavior problems or mental health disorders, and in 86,6% of the cases, when dealing with clients who are less motivated to take treatment. The results also show that 61,3% of the subjects were involved in therapeutic follow-ups in the last months of incarceration. This percentage proves that subjects who receive psychological treatments during their incarceration are the most likely to continue during parole. Generally speaking, the results were very encouraging and contradict some statements to the effect that there is a lack of motivation in delinquents and that therapeutic follow-ups offered to parole clientele are impertinent. Results also show that the clientele who remains in psychological treatment is motivated to continue the treatment and that these follow-ups are considered pertinent by the clientele.

scholarly journals Navigating the challenges of digital health innovation: considerations and solutions in developing online and smartphone-application-based interventions for mental health disorders

2017 ◽  
Vol 211 (2) ◽  
pp. 65-69 ◽  
Author(s):  
Claire Hill ◽  
Jennifer L. Martin ◽  
Simon Thomson ◽  
Nick Scott-Ram ◽  
Hugh Penfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Digital Health ◽  
Smartphone Application ◽  
Mental Health Disorders ◽  
Evidence Based ◽  
Service Users ◽  
Health Innovation ◽  
Health Innovations ◽  
Collaborative Working ◽  
Health Disorders

SummaryThis article presents an analysis of challenges and considerations when developing digital mental health innovations. Recommendations include collaborative working between clinicians, researchers, industry and service users in order to successfully navigate challenges and to ensure e-therapies are engaging, acceptable, evidence based, scalable and sustainable.

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