Understanding Engagement Strategies in Digital Interventions for Mental Health Promotion: A Scoping Review (Preprint)

2021 ◽  
Author(s):  
Maham Saleem ◽  
Lisa Kühne ◽  
Karina Karolina De Santis ◽  
Tilman Brand ◽  
Heide Busse
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Scoping Review ◽  
Open Science ◽  
Mental Health Promotion ◽  
User Engagement ◽  
Personalized Feedback ◽  
Inclusion Criteria ◽  
Engagement Strategies ◽  
Digital Interventions

BACKGROUND Digital interventions offer one solution to address the high demand for mental health promotion, especially when facing physical contact restrictions or lacking accessibility. Engagement with digital interventions is critical for their effectiveness, however, retaining users’ engagement throughout the intervention is challenging. It remains unclear what strategies facilitate the engagement with digital interventions targeting mental health promotion. OBJECTIVE We conducted a scoping review to investigate user engagement strategies and methods to evaluate engagement with digital interventions targeting mental health promotion in adults. METHODS This scoping review adheres to the PRISMA guidelines for scoping reviews. The search was conducted in seven electronic databases until April 2020. The inclusion criteria for studies were: 1) adult (18 years+) users of digital interventions for mental health promotion from the general population, 2) any digital intervention for mental health promotion, 3) user engagement strategies described in intervention design. We extracted the following data items: study characteristics, digital intervention (type, engagement strategy), evaluation of engagement strategy (method and result specifying if the strategy was effective at facilitating engagement) and features of engagement (usage extent and subjective experience of users). RESULTS A total of 2766 studies were identified, and k = 16 studies met the inclusion criteria. The 16 studies included randomized controlled trials (k=6), studies analyzing process data (k=5), observational studies (k=3), and qualitative studies (k=2). Digital interventions for mental health promotion were either web-based (75%) or mobile-app-based (25%). The engagement strategies included: personalized feedback about intervention content or users’ mental health status; guidance of content and progress through e-coaching; social forum and interactivity with peers; content gamification; reminders; goal setting and rewards. The engagement strategies were deemed effective based on qualitative user feedback or responses on questionnaires/tools (k=4), usability data (k=5) or both (k=7). Most studies identified personalized support in the form of e-coaching, peer support through a social platform, automated personalized feedback, or joint video conference session as an engaging feature. CONCLUSIONS Personalized support during the intervention, access to social support, and personalized feedback appear to promote engagement with digital interventions for mental health promotion. These findings need to be interpreted with caution because the included studies were heterogeneous, had small sample sizes, and typically did not address engagement as the primary outcome. Despite the importance of user engagement for the effectiveness of digital interventions, this field has not yet received much attention. Further research is needed on the effectiveness (and cost-effectiveness) of different strategies required to facilitate user engagement in digital interventions for mental health promotion. CLINICALTRIAL Protocol registered in Open Science Framework from the Centre for Open Science (https://osf.io/egyv8).

scholarly journals Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review (Preprint)

2020 ◽  
Author(s):  
Christian Rauschenberg ◽  
Anita Schick ◽  
Dusan Hirjak ◽  
Andreas Seidler ◽  
Isabell Paetzold ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Mental Disorders ◽  
Public Mental Health ◽  
Mental Health Promotion ◽  
Inclusion Criteria ◽  
Digital Interventions ◽  
Meta Review ◽  
Meta Analyses

BACKGROUND Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking. OBJECTIVE The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic. METHODS A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic. RESULTS Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. CONCLUSIONS There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.

scholarly journals Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

10.2196/23365 ◽  
2021 ◽  
Vol 23 (3) ◽  
pp. e23365 ◽  
Author(s):  
Christian Rauschenberg ◽  
Anita Schick ◽  
Dusan Hirjak ◽  
Andreas Seidler ◽  
Isabell Paetzold ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Mental Disorders ◽  
Public Mental Health ◽  
Mental Health Promotion ◽  
Inclusion Criteria ◽  
Digital Interventions ◽  
Meta Review ◽  
Meta Analyses

Background Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking. Objective The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic. Methods A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic. Results Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. Conclusions There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.

scholarly journals Digital interventions to mitigate the negative impact of the COVID-19 pandemic on public mental health: a rapid meta-review

2020 ◽  
Author(s):  
Christian Rauschenberg ◽  
Anita Schick ◽  
Dusan Hirjak ◽  
Andreas Seidler ◽  
Isabell Pätzold ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Public Mental Health ◽  
Mental Health Promotion ◽  
Clinical Effects ◽  
Inclusion Criteria ◽  
Digital Interventions ◽  
Psychosocial Consequences ◽  
Meta Review

Background: Digital interventions may be used to mitigate psychosocial consequences of the COVID-19 pandemic but evidence-based recommendations are lacking. The aim of this rapid meta-review was to investigate the theoretical base, user perspective, safety, effectiveness, and cost effectiveness of digital interventions in public mental health provision (i.e. mental health promotion, prevention of, and treatment for mental disorder). Methods: A rapid meta-review was conducted. MEDLINE, PsychINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews that investigated digital tools for health promotion, prevention, or treatment of mental health conditions likely affected by the COVID-19 pandemic. Findings: We identified 813 reviews of which 82 met inclusion criteria. Overall, there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions while evidence on mHealth apps is promising, especially if social components (e.g. blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on long-term clinical effects, process quality, and cost-effectiveness is very limited. Interpretation: Accumulating evidence suggests negative effects of the COVID-19 pandemic on public mental health. There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. Decision-makers should develop digital strategies for continued mental health care and the development and implementation of mental health promotion and prevention programs in times of quarantine and social distancing.

scholarly journals Evidence for implementation of interventions to promote mental health in the workplace: a systematic scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Charlotte Paterson ◽  
Caleb Leduc ◽  
Margaret Maxwell ◽  
Birgit Aust ◽  
Benedikt L. Amann ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Evaluation Studies ◽  
Grey Literature ◽  
Mental Health Promotion ◽  
Successful Implementation ◽  
Health Promotion Interventions ◽  
Promote Mental Health

Abstract Background Mental health problems are common in the working population and represent a growing concern internationally, with potential impacts on workers, organisations, workplace health and compensation authorities, labour markets and social policies. Workplace interventions that create workplaces supportive of mental health, promote mental health awareness, destigmatise mental illness and support those with mental disorders are likely to improve health and economical outcomes for employees and organisations. Identifying factors associated with successful implementation of these interventions can improve intervention quality and evaluation, and facilitate the uptake and expansion. Therefore, we aim to review research reporting on the implementation of mental health promotion interventions delivered in workplace settings, in order to increase understanding of factors influencing successful delivery. Methods and analysis A scoping review will be conducted incorporating a stepwise methodology to identify relevant literature reviews, primary research and grey literature. This review is registered with Research Registry (reviewregistry897). One reviewer will conduct the search to identify English language studies in the following electronic databases from 2008 through to July 1, 2020: Scopus, PROSPERO, Health Technology Assessments, PubMed, Campbell Collaboration, Joanna Briggs Library, PsycINFO, Web of Science Core Collection, CINAHL and Institute of Occupational Safety and Health (IOSH). Reference searching, Google Scholar, Grey Matters, IOSH and expert contacts will be used to identify grey literature. Two reviewers will screen title and abstracts, aiming for 95% agreement, and then independently screen full texts for inclusion. Two reviewers will assess methodological quality of included studies using the Mixed Methods Appraisal Tool and extract and synthesize data in line with the RE-AIM framework, Nielson and Randall’s model of organisational-level interventions and Moore’s sustainability criteria, if the data allows. We will recruit and consult with international experts in the field to ensure engagement, reach and relevance of the main findings. Discussion This will be the first systematic scoping review to identify and synthesise evidence of barriers and facilitators to implementing mental health promotion interventions in workplace settings. Our results will inform future evaluation studies and randomised controlled trials and highlight gaps in the evidence base. Systematic review registration Research Registry (reviewregistry897)

scholarly journals The Influence of Human Support on the Effectiveness of Digital Mental Health Promotion Interventions for the General Population

2021 ◽  
Vol 12 ◽  
Author(s):  
Melanie Elise Renfrew ◽  
Darren Peter Morton ◽  
Jason Kyle Morton ◽  
Geraldine Przybylko
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
General Population ◽  
Mental Health Promotion ◽  
Mental Wellbeing ◽  
Digital Interventions ◽  
Support Conditions ◽  
Automated Support ◽  
Health Promotion Interventions ◽  
Human Support

Mental wellbeing amongst the general population is languishing—exacerbated by the Coronavirus Disease 2019 (COVID-19) pandemic. Digital mental health promotion interventions, that improve mental health literacy and encourage adoption of evidence-informed practical strategies are essential. However, attrition and non-adherence are problematic in digital interventions. Human support is often applied as an antidote; yet, there is a paucity of randomized trials that compare different human support conditions amongst general population cohorts. Limited trials generally indicate that human support has little influence on adherence or outcomes in DMHPIs. However, providing participants autonomy to self-select automated support options may enhance motivation and adherence.

scholarly journals Physical activity and exercise in youth mental health promotion: a scoping review

2020 ◽  
Vol 6 (1) ◽  
pp. e000677 ◽  
Author(s):  
Michaela Pascoe ◽  
Alan P Bailey ◽  
Melinda Craike ◽  
Tim Carter ◽  
Rhiannon Patten ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Promotion ◽  
Young People ◽  
Health Outcomes ◽  
Scoping Review ◽  
Mental Health Promotion ◽  
Mental Health Outcomes ◽  
Exercise Interventions ◽  
Indicated Prevention

Background/AimThis scoping review examined the breadth and outcomes of controlled trials testing the effect of physical activity and exercise interventions across all mental health outcomes for mental health promotion and indicated prevention studies in young people.MethodsThe literature search was conducted using ‘Evidence Finder’.ResultsThirty publications were included. Available evidence suggested that interventions of varying intensity may lead to a reduction in depression symptoms and that moderate-to-vigorous-intensity and light-intensity interventions may reduce anxiety symptoms. Effects of physical activity/exercise interventions on additional mental health outcomes were also shown; however, the number of studies was small, indicating a limited evidence base. Robust research regarding the effects of physical activity/exercise on mental health promotion and as an indicated prevention strategy in young people is lacking.ConclusionThe available evidence suggests that physical activity/exercise is a promising mental health promotion and early intervention strategy and warrants further investigation.

scholarly journals Protective or Resilience Factors to Promote Mental Health among Indigenous Youth in Canada: A Scoping Review Protocol

2020 ◽  
Author(s):  
Hwayeon Danielle Shin ◽  
Leah Carrier ◽  
Janet Curran
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Protective Factors ◽  
Indigenous Peoples ◽  
Scoping Review ◽  
Belief Systems ◽  
Mental Health Promotion ◽  
Indigenous Youth ◽  
Scoping Reviews ◽  
Promote Mental Health

Introduction: Many mental health disorders have their onset in adolescence and young adulthood, making this a critical period to initiate early interventions for mental health promotion and illness prevention. In particular, indigenous young people in Canada are at a higher risk of mental health outcomes and faced with limited access to appropriate care and resources. Fortunately, protective factors can positively modify a person’s response to external and environmental stressors that result in maladaptive outcomes. Among Indigenous peoples, resilience is considered a healing process, and cultural interventions for mental health promotion show particular promise. As such, there is a need for innovative mental health interventions for Indigenous youth that transcend the Western biomedical model, use a strengths-based approach, and account for the cultural practices and belief systems of Indigenous peoples. In response, this scoping review aims to explore the resilience and/or protective factors that promote mental health for Indigenous youth in Canada. The findings from this scoping review will identify different levels of resilience and/or protective factors that can be used to design interventions for this population Methods and Analysis: The review will follow Joanna Briggs Institute guidance and Arksey and O’Malley framework for conducting scoping reviews. The reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews (PRISMA-ScR) checklist and guidelines. We will include both published and unpublished grey literature and search the following databases: PubMed, Cumulative Index of Nursing Allied Health Literature, Education Resources Information Center and Embase. Further, we will use government and relevant Indigenous organization websites. Two reviewers will independently screen the articles and extract the data. Ethics and Dissemination: No ethical approval is required for this study. We will share the results through conference presentations and an open-access publication in a peer-reviewed journal.

scholarly journals Evidence for Implementation of Interventions to Promote Mental Health in the Workplace: A Systematic Scoping Review Protocol

2020 ◽  
Author(s):  
Charlotte Paterson ◽  
Caleb Leduc ◽  
Margaret Maxwell ◽  
Birgit Aust ◽  
Benedikt L. Amann ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Evaluation Studies ◽  
Grey Literature ◽  
Mental Health Promotion ◽  
Successful Implementation ◽  
Health Promotion Interventions ◽  
Promote Mental Health

Abstract Background: Mental health problems are common in the working population and represent a growing concern internationally, with potential impacts on workers, organisations, workplace health and compensation authorities, labour markets and social policies. Workplace interventions that create mental health-supportive workplaces, promote mental health awareness, destigmatise mental illness and support those with mental disorders are likely to improve health and economical outcomes for employees and organisations. Identifying factors associated with successful implementation of these interventions can improve their quality and evaluation and facilitate the uptake and expansion. Therefore, we aim to review research reporting on the implementation of mental health promotion interventions delivered in workplace settings, in order to increase understanding of factors influencing successful delivery. Methods and analysis: A scoping review will be conducted incorporating a stepwise methodology to identify relevant literature reviews, primary research and grey literature. This review is registered with Review Registry (reviewregistry897). One reviewer will conduct the search to identify English language studies in the following electronic databases from 2008 through to July 1, 2020: Scopus, PROSPERO, Health Technology Assessments, PubMed, Campbell Collaboration, Joanna Briggs Library, PsycINFO, Web of Science Core Collection, CINAHL, Institute of Occupational Safety and Health (IOSH). Reference searching, Google Scholar, Grey Matters, IOSH and expert contacts will be used to identify grey literature. Two reviewers will screen title and abstracts, aiming for 95% agreement, and then independently screen full texts for inclusion. Two reviewers will assess methodological quality of included studies using the Mixed Methods Appraisal Tool, and extract and synthesize data in line with the RE-AIM framework, Nielson and Randall’s model of organisational-level interventions and Moore’s sustainability criteria, if the data allows. We will recruit and consult with international experts in the field to ensure engagement, reach and relevance of the main findings. Discussion: This will be the first systematic scoping review to identify and synthesise evidence of barriers and facilitators to implementing mental health promotion interventions in workplace settings. Our results will inform future evaluation studies and randomised controlled trials and highlight gaps in the evidence base. Registration: reviewregistry897

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