Public Acceptability of E-Mental Health Treatment Services for Psychological Problems: A Scoping Review
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TLDR
This scoping review suggested that e-mental health treatment services were perceived as less helpful than traditional face-to-face interventions, and further research is required to understand psychological facilitator and barriers for the implementation of innovative services into health care.Abstract:
Background: Over the past decades, the deficient provision of evidence-based interventions for the prevention and treatment of mental health problems has become a global challenge across health care systems. In view of the ongoing diffusion of new media and mobile technologies into everyday life, Web-delivered electronic mental health (e-mental health) treatment services have been suggested to expand the access to professional help. However, the large-scale dissemination and adoption of innovative e-mental health services is progressing slowly. This discrepancy between potential and actual impact in public health makes it essential to explore public acceptability of e-mental health treatment services across health care systems. Objective: This scoping review aimed to identify and evaluate recent empirical evidence for public acceptability, service preferences, and attitudes toward e-mental health treatments. On the basis of both frameworks for technology adoption and previous research, we defined (1) perceived helpfulness and (2) intentions to use e-mental health treatment services as indicators for public acceptability in the respective general population of reviewed studies. This mapping should reduce heterogeneity and help derive implications for systematic reviews and public health strategies. Methods: We systematically searched electronic databases (MEDLINE/PubMed, PsycINFO, Psyndex, PsycARTICLES, and Cochrane Library, using reference management software for parallel searches) to identify surveys published in English in peer-reviewed journals between January 2010 and December 2015, focusing on public perceptions about e-mental health treatments outside the context of clinical, psychosocial, or diagnostic interventions. Both indicators were obtained from previous review. Exclusion criteria further involved studies targeting specific groups or programs. Results: The simultaneous database search identified 76 nonduplicate records. Four articles from Europe and Australia were included in this scoping review. Sample sizes ranged from 217 to 2411 participants of ages 14-95 years. All included studies used cross-sectional designs and self-developed measures for outcomes related to both defined indicators of public acceptability. Three surveys used observational study designs, whereas one study was conducted as an experiment investigating the impact of brief educational information on attitudes. Taken together, the findings of included surveys suggested that e-mental health treatment services were perceived as less helpful than traditional face-to-face interventions. Additionally, intentions to future use e-mental health treatments were overall smaller in comparison to face-to-face services. Professional support was essential for help-seeking intentions in case of psychological distress. Therapist-assisted e-mental health services were preferred over unguided programs. Unexpectedly, assumed associations between familiarity with Web-based self-help for health purposes or “e-awareness” and intentions to use e-mental health services were weak or inconsistent. Conclusions: Considering the marginal amount and heterogeneity of pilot studies focusing on public acceptability of e-mental health treatments, further research using theory-led approaches and validated measures is required to understand psychological facilitator and barriers for the implementation of innovative services into health care. [JMIR Ment Health 2017;4(2):e10]read more
Citations
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Adolescents accept digital mental health support in schools: a co-design and feasibility study of a school-based app for UK adolescents
Siobhan Hugh-Jones,Kirsty Pert,Sarah Kendal,Simon Eltringham,Christine Skelton,Nahel Yaziji,Robert West +6 more
TL;DR: In this article , a self-help, school hosted, digital intervention for adolescents showing early symptoms of deteriorating mental health was co-designed and feasibility tested in four UK high schools with n = 31 young people (15-17y).
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[Awareness and Use of Digital Health Services in Germany: A Cross-sectional Study Representative of the Population].
Bernhard Breil,Melina Dederichs,Lisanne Kremer,David Richter,David Richter,Peter Angerer,Jennifer Apolinário-Hagen +6 more
TL;DR: In this paper, the authors untersucht, ob Unterschiede in der Nutzung von Gesundheitsinformationen and psychologischer Online-Beratung auf Basis of soziodemografischer und gesundheitbezogener Merkmale in der deutschen bevolkerung bestehen.
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Videoconferencing versus face‐to‐face psychotherapy: Insights from patients and psychotherapists about comparability of therapeutic alliance, empathy and treatment characteristics
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Effectiveness of Smartphone-Based Cognitive Behavioral Therapy Among Patients With Major Depression: Systematic Review of Health Implications
TL;DR: Evidence for the treatment of depression using smartphone-based cognitive behavioral therapy is limited and additional research projects are needed to demonstrate the effects of smartphone- based cognitive Behavioral therapy in the context of evidence-based medicine and to enable its translation into standard care.
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Why urban Indians are interested in an internet based self-care app for depression? a brief pilot survey
Seema Mehrotra,C R Satish Kumar,Aditi Gandotra,Paulomi M. Sudhir,Jagadisha Thirthalli,Girish N Rao +5 more
TL;DR: Incorporating maximal flexibility, providing pointers to the most relevant components thereby minimizing time required, and focusing on preventive strategies (even for those who are currently seeking treatment) are aspects that need to be considered in development and dissemination of internet based self-help programs for depression in urban India.
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