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Technology-supported strategies for promoting user engagement with digital mental health interventions: A systematic review.

作者信息

Gan Daniel Z Q, McGillivray Lauren, Larsen Mark E, Christensen Helen, Torok Michelle

机构信息

Black Dog Institute, University of New South Wales, Australia.

出版信息

Digit Health. 2022 Jun 1;8:20552076221098268. doi: 10.1177/20552076221098268. eCollection 2022 Jan-Dec.


DOI:10.1177/20552076221098268
PMID:35677785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9168921/
Abstract

BACKGROUND: Although digital mental health interventions (DMHIs) offer a potential solution for increasing access to mental health treatment, their integration into real-world settings has been slow. A key reason for this is poor user engagement. A growing number of studies evaluating strategies for promoting engagement with DMHIs means that a review of the literature is now warranted. This systematic review is the first to synthesise evidence on technology-supported strategies for promoting engagement with DMHIs. METHODS: MEDLINE, EmbASE, PsycINFO and PubMed databases were searched from 1 January 1995 to 1 October 2021. Experimental or quasi-experimental studies examining the effect of technology-supported engagement strategies deployed alongside DMHIs were included, as were secondary analyses of such studies. Title and abstract screening, full-text coding and quality assessment were performed independently by two authors. Narrative synthesis was used to summarise findings from the included studies. RESULTS: 24 studies (10,266 participants) were included. Engagement strategies ranged from reminders, coaching, personalised information and peer support. Most strategies were disseminated once a week, usually via email or telephone. There was some empirical support for the efficacy of technology-based strategies towards promoting engagement. However, findings were mixed regardless of strategy type or study aim. CONCLUSIONS: Technology-supported strategies appear to increase engagement with DMHIs; however, their efficacy varies widely by strategy type. Future research should involve end-users in the development and evaluation of these strategies to develop a more cohesive set of strategies that are acceptable and effective for target audiences, and explore the mechanism(s) through which such strategies promote engagement.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aff/9168921/64f85c7cdf42/10.1177_20552076221098268-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aff/9168921/64f85c7cdf42/10.1177_20552076221098268-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aff/9168921/64f85c7cdf42/10.1177_20552076221098268-fig1.jpg

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本文引用的文献

[1]
A Brief Intervention to Increase Uptake and Adherence of an Internet-Based Program for Depression and Anxiety (Enhancing Engagement With Psychosocial Interventions): Randomized Controlled Trial.

J Med Internet Res. 2021-7-27

[2]
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Internet Interv. 2021-5-5

[3]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021-3-29

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Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review.

J Med Internet Res. 2021-3-24

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NPJ Digit Med. 2021-2-11

[6]
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Cogn Behav Ther. 2021-9

[7]
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Internet Interv. 2020-8-31

[8]
The Influence of Three Modes of Human Support on Attrition and Adherence to a Web- and Mobile App-Based Mental Health Promotion Intervention in a Nonclinical Cohort: Randomized Comparative Study.

J Med Internet Res. 2020-9-29

[9]
A scoping review of the use of co-design methods with culturally and linguistically diverse communities to improve or adapt mental health services.

Health Soc Care Community. 2021-1

[10]
Practitioner review: Co-design of digital mental health technologies with children and young people.

J Child Psychol Psychiatry. 2020-8

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