scholarly journals Barriers and facilitators to user engagement with digital mental health interventions: A systematic review (Preprint)

2020 ◽  
Author(s):  
Judith Borghouts ◽  
Elizabeth Eikey ◽  
Gloria Mark ◽  
Cinthia De Leon ◽  
Stephen M. Schueller ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Interventions ◽  
Barriers And Facilitators ◽  
Cochrane Library ◽  
User Engagement ◽  
Mental Health Support ◽  
Mental Health Interventions ◽  
Health Support ◽  
Common Barriers

BACKGROUND Digital mental health interventions, that deliver mental health support via technologies such as a mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement, referring to a user’s uptake and sustained interactions with these interventions, varies. OBJECTIVE The aim of this systematic review is to identify common barriers and facilitators influencing user engagement with digital mental health interventions. METHODS A systematic search was conducted of the SCOPUS, PubMed, PsycINFO, Web of Science, and Cochrane Library databases. Empirical studies reporting qualitative and/or quantitative data were included. RESULTS 208 articles met the inclusion criteria. Included articles used a variety of methodologies including interviews, surveys, focus groups, workshops, field studies, and analysis of user reviews. Factors extracted for coding were related to the end user, the program/content offered by the intervention, and the technology and implementation environment. Common barriers included severe mental health issues that hampered engagement, technical issues, and a lack of personalization. Common facilitators were social connectedness facilitated by the intervention, increased insight into health, and a feeling of being in control of one’s own health. CONCLUSIONS While previous research suggests that digital mental health interventions can be useful in supporting mental health, contextual factors are important determinants as to whether users actually engage with these interventions. The factors identified in this review can provide guidance when evaluating digital mental health interventions to help explain and understand user engagement, and can inform the design and development of new digital interventions.

scholarly journals Barriers and facilitators to user engagement with digital mental health interventions: A systematic review (Preprint)

10.2196/24387 ◽  
2020 ◽  
Author(s):  
Judith Borghouts ◽  
Elizabeth Eikey ◽  
Gloria Mark ◽  
Cinthia De Leon ◽  
Stephen M. Schueller ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Interventions ◽  
Barriers And Facilitators ◽  
User Engagement ◽  
Mental Health Interventions

Mental Health Interventions in Juvenile Detention Institutions: A Systematic Review of What Works

2021 ◽  
Vol 11 ◽  
Author(s):  
Kishwen Kanna Yoga Ratnam ◽  
Abid Nordin ◽  
Peter Seah Keng Tok ◽  
Nik Daliana Nik Farid ◽  
Maznah Dahlui
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Clinical Trials ◽  
Juvenile Detention ◽  
Health Interventions ◽  
Cochrane Library ◽  
Depression Symptoms ◽  
Inclusion Criteria ◽  
Mental Health Interventions ◽  
Incarcerated Adolescents

Background: Incarcerated adolescents within the juvenile justice system are more likely to be diagnosed with poor mental health compared with their non-incarcerated peers. Conducting clinical trials on mental health interventions among an incarcerated adolescent population is challenging due to the nature of detention facilities. Objectives: This systematic review examines available literature on Randomized Clinical Trials (RCT) done to assess mental health interventions among incarcerated adolescents globally and to determine the type of intervention that would best work in this setting. In this study, a systematic review was conducted to search, identify, and recommend effective interventions best suited to preserve and improve the mental wellbeing of incarcerated adolescents within the detention institution setting. Method: The search was performed in Medline via Ovid, Cochrane Library, Scopus, and Web of Science databases to retrieve related publications released between 1970 and March 2021. The principal inclusion criteria were RCT articles issued in English that reported any mental health interventions performed in juvenile detention centers involving delinquent adolescents aged 10 to 19 years old. Results: The search discovered 10 related articles that fulfilled the required inclusion criteria. In total, there were seven different types of mental health interventions used in all the studies. The three major themes identified among the selected studies are the interventions for coping strategies, risky behavior, and attention disorder among incarcerated adolescents. The efficacy of the interventions was dependent on the level of intelligence, duration of incarceration, risk of treatment diffusion, and depression symptoms among incarcerated adolescents. Conclusions: Cognitive behavioral therapy (CBT) intervention that is simple, brief, unique, and targets depressive symptoms, has the potential to be most efficacious in improving mental health among incarcerated adolescents.

scholarly journals Mental health support services for medical students: a systematic review

2021 ◽  
Vol 45 (2) ◽  
Author(s):  
Maryana Guimarães de Morais ◽  
Isabella Morais Arantes de Oliveira e Silva ◽  
Estela Ribeiro Versiani ◽  
Claudia Cardoso Gomes da Silva ◽  
Ana Socorro de Moura
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Medical Students ◽  
Mental Health Services ◽  
Health Services ◽  
Support Services ◽  
Cochrane Library ◽  
Multidisciplinary Teams ◽  
Mental Health Support ◽  
Health Support

Abstract: Introduction: Considering the high prevalence of mental health problems among medical students, medical schools should be ethically committed to promote student’s mental health, offering health services and prevention strategies. Objective: The objective of this systematic review is to identify scientific publications on mental health services offered by Brazilian universities to medical students, as well as the professionals involved and the types of interventions most often offered. Method: Systematic literature review, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The Scielo, PubMed/Medline, Lilacs, ERIC, The Cochrane Library and CAPES databases were searched for studies published until August 2020, as well as theses and dissertations. The studies were screened, selected, analyzed and relevant data were extracted by two independent reviewers. Results: 16 studies were included. The identified mental health services resort to different strategies towards a common goal of promoting medical students’ mental health. The interventions most frequently found in these services are brief psychotherapy, psychiatric care, psychological-educational guidance and mentoring programs. Most services were created to attend medical students and some of these have been extended to other undergraduate students. In the analyzed services, there is a predominance of multidisciplinary teams, which differ regarding the number and categories of professionals involved. Conclusion: Mental health support services for medical students in Brazil differ both in terms of how they work within the institutions and in terms of the involved professionals. It was observed that publications on these services are scarce when compared to the number of institutions that offer the undergraduate medical course in Brazil. Aiming to expand and consolidate actions aimed at promoting medical students’ mental health in Brazilian higher education institutions, further research on this topic is required.

There’s An App For That: Context, Assumptions, Possibilities And Potential Pitfalls In The Use Of Digital Technologies To Address Refugee Mental Health

2020 ◽  
Author(s):  
Ruth Goodman ◽  
Linda Tip ◽  
Kate Cavanagh
Keyword(s):  
Mental Health ◽  
Design Process ◽  
Digital Technologies ◽  
Health Interventions ◽  
Refugee Mental Health ◽  
The People ◽  
Mental Health Support ◽  
Mental Health Interventions ◽  
Health Support

Abstract The number of refugees is increasing (UNHCR, 2019). The experiences of refugees are linked to impaired mental health yet, this population faces barriers to accessing mental health support (Shannon et al., 2016). Digital mental health interventions are increasingly recognised as an avenue for overcoming these barriers (WHO, 2017). The present paper begins by introducing the area of digital approaches to mental health and developments in this area targeted at refugee populations specifically. We then take a step back to look at the wider picture of refugee mental health and technology. Drawing on Toyama’s Law of Amplification (2011; 2015) - that successful technical interventions amplify the intent and the capacity of the people involved - we discuss the importance of context, exploring the assumptions, possibilities and potential pitfalls in the use of digital technologies for addressing refugee mental health. We conclude that by collaborating with refugee populations, placing them at the centre of the design process for digital mental health interventions, we stand the greatest chance of creating the most useful tools.

scholarly journals Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Alan Maddock ◽  
Carolyn Blair ◽  
Nil Ean ◽  
Paul Best
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Southeast Asia ◽  
Southeast Asian ◽  
Health Interventions ◽  
Cochrane Library ◽  
Health Issues ◽  
Social Interventions ◽  
Mental Health Issues ◽  
Mental Health Interventions

Abstract Background Mental health issues and disorders are major public health challenges, particularly in low- and middle-income countries in Southeast Asia, where chronic shortages in mental health services and human resources exist. The development of effective and accessible mental health systems in Southeast Asia will require evidence based psychological and social interventions. This systematic review provides a narrative synthesis of the evidence on the effectiveness of such interventions for mental health issues and disorders in Southeast Asia. Methods A comprehensive literature search of 7 electronic databases (PsycINFO, Medline (Ovid), Cochrane library, EMBASE, SCOPUS, APA PsycArticles, and Social Care Online) was undertaken. Results Thirty two studies employing RCT designs to evaluate the effectiveness of a range of psychological and social mental health interventions on a number of different mental health outcomes were included in this review. The disparate intervention programmes reviewed were categorised as: lay delivered, yoga, aerobic and/or meditation based, cognitive behavioural therapy oriented, eye movement desensitization and reprocessing based (EMDR), health worker delivered, and hybrid programmes. The majority of the studies included in this review were of low to moderate quality due to the variability in the quality of the study design. The highest quality, and most promising evidence came from the evaluations of lay delivered interventions. This evidence demonstrates the feasibility and potential sustainability of implementing such interventions in resource constrained contexts. Conclusions The review findings indicate that a disparate array of mental health interventions can be implemented effectively in a range of Southeast Asian mental health and health settings. There is a clear need for significantly more research however, through higher quality and larger scale RCTs before it will be known more definitively, if these interventions are effective, and for whom they are most effective in different Southeast Asian contexts.

scholarly journals Implementation of e-mental health interventions for informal caregivers of adults with chronic diseases: a protocol for a mixed-methods systematic review with a qualitative comparative analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035406
Author(s):  
Chelsea Coumoundouros ◽  
Louise von Essen ◽  
Robbert Sanderman ◽  
Joanne Woodford
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mixed Methods ◽  
Comparative Analysis ◽  
Informal Caregivers ◽  
Qualitative Comparative Analysis ◽  
Health Interventions ◽  
Care Recipient ◽  
Cochrane Library ◽  
Mental Health Interventions

IntroductionInformal caregivers provide the majority of care to individuals with chronic health conditions, benefiting the care recipient and reducing use of formal care services. However, providing informal care negatively impacts the mental health of many caregivers. E-mental health interventions have emerged as a way to provide accessible mental healthcare to caregivers. Much attention has been given to reviewing the effectiveness and efficacy of such interventions, however, factors related to implementation have received less consideration. Therefore, this mixed-methods systematic review will aim to examine factors associated with the effectiveness and implementation of e-mental health interventions for caregivers.Methods and analysisEligible studies published since 1 January 2007 will be searched for in several electronic databases (CINAHL Plus with Full Text, the Cochrane Library, EMBASE, PsycINFO, PubMed and Web of Science), clinical trial registries and OpenGrey, with all screening steps conducted by two independent reviewers. Studies will be included if they focus on the implementation or effectiveness of e-mental health interventions designed for informal adult caregivers of adults with cancer, heart disease, stroke, diabetes, dementia or chronic obstructive pulmonary disease. Pragmatic randomised controlled trials quantitatively reporting on caregiver anxiety, depression, psychological distress or stress will be used for a qualitative comparative analysis to identify combinations of conditions that result in effective interventions. Qualitative and quantitative data on implementation of e-mental health interventions for caregivers will be integrated in a thematic synthesis to identify barriers and facilitators to implementation. These results will inform future development and implementation planning of e-mental health interventions for caregivers.Ethics and disseminationEthical approval is not required for this study as no primary data will be collected. Results will be disseminated in the form of a scientific publication and presentations at academic conferences and plain language summaries for various stakeholders.PROSPERO registration numberCRD42020155727.

An engagement-facilitation intervention (EFI) for increasing uptake and engagement for self-guided online mental health interventions: Consumer-guided development (Preprint)

2019 ◽  
Author(s):  
Amelia Gulliver ◽  
Alison L Calear ◽  
Matthew Sunderland ◽  
Frances Kay-Lambkin ◽  
Louise M Farrer ◽  
...  
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Health Program ◽  
Mental Health Program ◽  
Health Interventions ◽  
Barriers And Facilitators ◽  
Health Programs ◽  
Current Evidence ◽  
Mental Health Interventions ◽  
Mental Health Programs

BACKGROUND Self-guided online mental health programs are effective in treating and preventing mental health problems. However, both the uptake and engagement with these programs in the community is suboptimal, and there is limited current evidence indicating how to increase the use of existing evidence-based programs. OBJECTIVE The current study aims to investigate the views of people with lived experience of depression and anxiety on the barriers and facilitators to using e-mental health interventions and to use these perspectives to help develop an engagement-facilitation intervention (EFI) to increase uptake and engagement with self-guided online mental health programs. METHODS A total of 24 community members (female = 21; male = 3) with lived experience of depression and/or anxiety participated in four focus groups that discussed: 1) barriers and facilitators to self-guided e-mental health programs, 2) specific details needed to help them decide to use an online program, and 3) the appearance, delivery mode, and functionality of content for the proposed EFI. A total of 14 of the focus group attendees participated in a subsequent follow-up survey to evaluate the resultant draft EFI. Data were thematically analysed using both inductive and deductive methods. RESULTS Participants suggested that the critical component of an EFI was information that would challenge personal barriers to engagement with psychosocial interventions. These were providing personalised feedback about symptoms, information about the content and effectiveness of the e-mental health program, normalisation of participation in e-mental health programs including testimonials, and brief information on data security. Reminders, rewards, feedback about their progress, and coaching were all mentioned as being useful in assisting people to continue to engage with a program once they had started. Feedback on the developed EFI was positive; with participants reporting satisfaction with the content of the EFI and that it would likely positively affect their use of an e-mental health program. CONCLUSIONS EFIs have the potential to improve the uptake of e-mental health programs in the community and should focus on providing information on the content and effectiveness of e-mental health programs, as well as normalising their use. There is strong value in involving people with a lived experience in the design and development of EFIs to maximise their effectiveness.

The effectiveness of mental health interventions for adult female survivors of sexual assault: A systematic review

2015 ◽  
Vol 25 ◽  
pp. 15-25 ◽  
Author(s):  
Angela M. Parcesepe ◽  
Sandra L. Martin ◽  
McLean D. Pollock ◽  
Claudia García-Moreno
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Sexual Assault ◽  
Adult Female ◽  
Health Interventions ◽  
Female Survivors ◽  
Mental Health Interventions
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