Predictors of adherence to a publicly available self-guided digital mental health intervention.

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL

ACS Applied Energy Materials Pub Date : 2024-04-15 DOI:10.1080/16506073.2024.2341807

Mercedes G. Woolley, Korena S. Klimczak, Carter H. Davis, Michael E. Levin

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引用次数: 0

Abstract

Low adherence to self-guided digital mental health interventions (DMHIs) have raised concerns about their real-world effectiveness. Naturalistic data from self-guided DMHIs are often not available, hindering our ability to assess adherence among real-world users. This study aimed to analyze 3 years of user data from the public launch of an empirically supported 12-session self-guided DMHI, to assess overall program adherence rates and explore predictors of adherence. Data from 984 registered users were analyzed. Results showed that only 14.8% of users completed all 12 modules and 68.6% completed less than half of the modules. Users who were younger, had milder depression, had never seen a mental health provider, and who rejected signing-up for weekly program emails completed significantly more modules. Results add to concerns about the generalizability of controlled research on DMHIs due to lower adherence outside of research trials. This study highlights the potential of user data in identifying key factors that may be related to adherence. By examining adherence patterns among different sub-sets of users, we can pinpoint and focus on individuals who may adhere and benefit more from self-guided programs. Findings could also have implications for guiding intervention personalization for individuals who struggle to complete DMHIs.

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坚持使用可公开获取的自助式数字心理健康干预措施的预测因素。

自我指导的数字心理健康干预（DMHIs）的依从性较低，这引起了人们对其实际效果的担忧。来自自我引导式数字心理健康干预的自然数据往往不可用，这阻碍了我们评估真实世界用户坚持使用的能力。本研究旨在分析一项经验支持的 12 个疗程的自助式 DMHI 公开发布 3 年来的用户数据，以评估总体计划坚持率并探索坚持率的预测因素。研究分析了 984 名注册用户的数据。结果显示，只有 14.8% 的用户完成了全部 12 个模块，68.6% 的用户完成了不到一半的模块。年龄较小、抑郁程度较轻、从未看过心理保健医生以及拒绝订阅每周计划电子邮件的用户完成的模块明显较多。研究结果加剧了人们对 DMHIs 受控研究可推广性的担忧，因为在研究试验之外，用户的坚持率较低。本研究强调了用户数据在确定可能与坚持治疗有关的关键因素方面的潜力。通过研究不同用户子集的坚持模式，我们可以精确定位并关注那些可能坚持自我指导计划并从中获益更多的人。研究结果还可能对指导那些难以完成 DMHIs 的个人进行个性化干预产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.