Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

{"title":"Risk level prediction for problematic internet use: A digital health perspective","authors":"Youngjung Suh ,&nbsp;Jinwon Yoo","doi":"10.1016/j.invent.2025.100863","DOIUrl":"10.1016/j.invent.2025.100863","url":null,"abstract":"<div><div>Problematic Internet Usage (PIU) research has long been a topic of interest across disciplines, and numerous theoretical and empirical studies have been conducted over the past decade. This study systematically reviews the existing literature to identify key research objectives, datasets, methodologies, and applications, and to highlight important gaps and challenges. To improve understanding and detection of PIU, we designed a comprehensive machine learning pipeline that combines detailed preprocessing, feature extraction, modeling, and performance validation strategies. Systematic evaluations demonstrate that model performance is significantly improved by addressing missing values and data imbalance. In particular, we identified key predictive features such as physiological indicators, physical activity, sleep quality, and Internet usage patterns, and clearly elucidated the differences in the positive or negative impact of these key features on PIU detection at different severity levels. These results have practical implications, especially for promoting early detection and enabling tailored interventions. Ultimately, this study contributes to digital health initiatives by providing actionable insights for the development of effective Internet addiction prevention and intervention programs.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100863"},"PeriodicalIF":3.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a guided internet-based psychological intervention for patients with ischemic heart disease and comorbid anxiety and/or depression: A patient and public involvement study","authors":"Robert Ahm ,&nbsp;Nina Rottmann ,&nbsp;Søren Jensen Skovbakke ,&nbsp;Charlotte Helmark ,&nbsp;Christina Antoinetta Vasilescu ,&nbsp;Susanne S. Pedersen","doi":"10.1016/j.invent.2025.100864","DOIUrl":"10.1016/j.invent.2025.100864","url":null,"abstract":"<div><h3>Introduction</h3><div>Ischemic heart disease (IHD) is a leading cause of mortality that is very often accompanied by comorbid anxiety and depression. The aim of this study was to develop MY-CHOICE, a guided internet-based psychological intervention for the treatment of anxiety and depression in IHD patients using patient and public involvement (PPI).</div></div><div><h3>Method</h3><div>We used the framework recommended by the Medical Research Counsel for developing and evaluating complex interventions to develop MY-CHOICE. Patient representatives with IHD and comorbid anxiety and/or depression (<em>n</em> = 5) were recruited from Odense University Hospital and invited to a series of workshops to gather their feedback on the MY-CHOICE prototype. The workshops used the MUST method for the planning, facilitation, data generation and analysis. The MoSCoW principles were used to help the patient representatives in prioritizing among their suggestions. Data were collected by means of audio recordings and observational notes.</div></div><div><h3>Results</h3><div>This study revealed the need for new treatment modules, including how to manage chronic pain and how to navigate the healthcare system. The patient representatives emphasized the importance of shared decision-making in customizing treatment to individual preferences and needs.</div></div><div><h3>Discussion</h3><div>MY-CHOICE represents a patient focused approach to improving mental health in patients with IHD. By integrating patient feedback through PPI, MY-CHOICE aims to deliver tailored psychological treatment, possibly increasing relevance and adherence.</div></div><div><h3>Conclusion</h3><div>This study highlights the necessity of addressing comprehensive needs in IHD patients, including chronic pain, and emphasizes the importance of using shared decision-making to optimize patient engagement and adherence to treatment.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100864"},"PeriodicalIF":3.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of digital interventions for eight mental disorders: A meta-analytic synthesis","authors":"Mathias Harrer ,&nbsp;Clara Miguel ,&nbsp;Lingyao Tong ,&nbsp;Paula Kuper ,&nbsp;Antonia A. Sprenger ,&nbsp;Yuki Furukawa ,&nbsp;Yingying Wang ,&nbsp;Wouter van Ballegooijen ,&nbsp;Marketa Ciharova ,&nbsp;Olga M. Panagiotopoulou ,&nbsp;Ioana Cristea ,&nbsp;Jessica L. Hamblen ,&nbsp;Paula P. Schnurr ,&nbsp;Heleen Riper ,&nbsp;Marit Sijbrandij ,&nbsp;Eirini Karyotaki ,&nbsp;Annemieke van Straten ,&nbsp;Toshi A. Furukawa ,&nbsp;Davide Papola ,&nbsp;Stefan Leucht ,&nbsp;Pim Cuijpers","doi":"10.1016/j.invent.2025.100860","DOIUrl":"10.1016/j.invent.2025.100860","url":null,"abstract":"<div><h3>Objectives</h3><div>In this unified series of meta-analyses, we integrate the effects of digital interventions in adults with mental disorders compared to inactive controls. We cover eight indications: depressive disorder, insomnia, specific phobias, generalized anxiety, panic, social anxiety, obsessive-compulsive, and posttraumatic stress disorder.</div></div><div><h3>Methods</h3><div>Digital intervention trials in patients with a diagnosed mental disorder (confirmed by clinical interviews) were extracted from the Metapsy living databases for psychological treatments. Standardized meta-analyses were conducted to pool effects for each disorder, as well as separately for guided and unguided treatments. We also examined study dropout rates, conducted meta-regression analyses stratified by disorder, and identified treatments that have since become available as prescribable digital therapeutics in routine care.</div></div><div><h3>Results</h3><div>In total, 168 studies (22,144 patients) were included. Moderate effect sizes were observed for PTSD (<em>g</em> = 0.57), depression (<em>g</em> = 0.62), and obsessive-compulsive disorder (<em>g</em> = 0.68). Large effects emerged for generalized anxiety (<em>g</em> = 0.80), social anxiety (<em>g</em> = 0.84), insomnia (<em>g</em> = 0.94), panic disorder (<em>g</em> = 1.05), and specific phobias (<em>g</em> = 1.18). Pooled study dropout rates were generally moderate (≤20 %), but higher in intervention arms (<em>RR</em> = 1.13–2.66). Trials with low risk of bias and care-as-usual comparisons were limited across indications. We found 16 trials evaluating a prescribable digital therapeutic (<em>g</em> = 0.33–1.60).</div></div><div><h3>Conclusions</h3><div>Digital interventions can be effective across a wide range of diagnosed mental disorders. For some indications, more high-quality trials and comparisons against care-as-usual are needed to confirm the robustness of the effect, particularly for unguided treatments. Digital interventions are increasingly commercialized as prescribable digital therapeutics. Rising industry involvement may present both opportunities and new challenges for the field.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100860"},"PeriodicalIF":3.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A culturally adapted mobile cognitive behavioral therapy for individuals with Hepatitis B on depression, anxiety and stress: A pilot randomized controlled trial","authors":"Chao Kei Lao ,&nbsp;Xi Wang ,&nbsp;Xinyi Li ,&nbsp;Zhongqing Wang ,&nbsp;Guangyu Zhou","doi":"10.1016/j.invent.2025.100862","DOIUrl":"10.1016/j.invent.2025.100862","url":null,"abstract":"<div><div>Hepatitis B Virus (HBV) is a major global public health concern, with chronic infection affecting physical, psychological, social and work functioning, often leading to depression, anxiety, and stress. However, tailored online psychological interventions remain limited. This pilot randomized controlled trial aimed to evaluate the feasibility, acceptability and efficacy of a culturally-adapted four-week mobile cognitive-behavioral intervention for reducing depression, anxiety, and stress levels among individuals with HBV in China. Thirty-seven HBV-positive participants (age 18–65) with moderate to severe depression, anxiety or stress were recruited through an online platform. Participants were randomly assigned to an intervention group (<em>n</em> = 19) or waitlist control (<em>n</em> = 18). The intervention included animated psychoeducation, interactive exercises, and weekly feedback from trained clinical psychology graduates. Primary outcomes—depression, anxiety, and stress—were assessed weekly (T0–T4), while secondary outcomes—fatigue, cognitive flexibility, and post-traumatic stress—were measured at baseline (T0) and post-intervention (T4). Results showed that the intervention was feasible, with no serious adverse events reported. Participants in the intervention group completed an average of 43.2 % of the program and reported high satisfaction with it. Intention-to-treat repeated-measures ANOVA indicated significant improvements in depression and anxiety for both groups but found no significant differences between groups in primary or secondary psychological outcomes. This pilot study underscores the need to refine intervention content and delivery methods. Larger trials are needed to evaluate the efficacy of online psychological interventions for individuals with HBV and to explore strategies for enhancing engagement and adherence.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100862"},"PeriodicalIF":3.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of internet-based multimodal emotion recognition training in adolescents with and without autism: A pilot study","authors":"Nora Choque Olsson ,&nbsp;Julia Nordlander Björkman ,&nbsp;Rasmus Lackell ,&nbsp;Oliver Bergens ,&nbsp;Håkan Fischer ,&nbsp;Lillian Döllinger ,&nbsp;Jan Bergström ,&nbsp;Per Carlbring ,&nbsp;Petri Laukka","doi":"10.1016/j.invent.2025.100861","DOIUrl":"10.1016/j.invent.2025.100861","url":null,"abstract":"<div><h3>Background</h3><div>Research suggests that individuals with autism spectrum disorder (ASD) have difficulties in emotion recognition (ER), which could lead to social difficulties. ER can be enhanced through targeted interventions, but generalization to everyday functioning poses a challenge. Using dynamic multimodal emotional expressions for training may increase similarities to everyday situations. This pilot study investigated the feasibility of internet-based multimodal emotion recognition training (iMERAT) for adolescents with ASD.</div></div><div><h3>Method</h3><div>Eight adolescents with ASD and nine typically developing (TD) adolescents took part in the iMERAT intervention, which included brief online training sessions conducted each weekday during a 3-week period. Training was performed on dynamic facial, vocal and multimodal emotional expressions, with outcome feedback provided after each response. A survey was conducted to explore participants' experiences of the training. ER was measured pre- and post-training using a multimodal ER test.</div></div><div><h3>Results</h3><div>Participants reported that the training was moderately difficult, instructions were relatively easy to understand, and the duration of training was appropriate. Content analysis of open-ended responses suggested further adaptations, such as providing more explanations of emotions and further tailoring content and language for adolescents. ER increased from pre- to post-intervention, with large effect sizes for both ASD and TD adolescents.</div></div><div><h3>Conclusion</h3><div>Results suggest that the iMERAT intervention is feasible for adolescents with ASD. Gains in ER ability were observed, but the small sample size and lack of a control group render these findings tentative. Further research is required to assess the effectiveness of the iMERAT and possible impact on broader social skills.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100861"},"PeriodicalIF":3.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internet-based cognitive behavioral therapy for anxiety and depressive symptoms in Brazilian emerging adults: A pilot randomized controlled trial","authors":"Juliana Maltoni ,&nbsp;Carmem Beatriz Neufeld ,&nbsp;Victoria Aminoff ,&nbsp;Gerhard Andersson","doi":"10.1016/j.invent.2025.100854","DOIUrl":"10.1016/j.invent.2025.100854","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety and depressive disorders are highly prevalent in Brazil, with higher vulnerability among young adults. Despite the high prevalence, Brazil faces significant challenges in its mental health care system, with only a minority receiving treatment. Tailored internet-delivered cognitive behavioral therapy (ICBT) offers a promising strategy to address this treatment versus demand gap. This study examines the efficacy of individually tailored ICBT intervention with on-demand support for reducing anxiety and depressive symptoms in young adults.</div></div><div><h3>Methods</h3><div>This two-arm randomized controlled trial involved Brazilian young adults (aged 18–24 years) who were randomly assigned to either a treatment group (<em>n</em> = 46) or a waitlist control group (<em>n</em> = 46). The 8-week treatment included individually tailored ICBT with therapist support on-demand via chat, conducted on an online platform. Primary outcomes were symptoms of anxiety and depression. Secondary measures included stress, insomnia, smartphone and social media use, perfectionism, and quality of life. A six-month follow-up was conducted.</div></div><div><h3>Results</h3><div>Multiple regression analysis indicated that the treatment group, in comparison to the control group, showed significant reductions in anxiety, depression, stress, and insomnia, as well as improvements in quality of life, with moderate to large effects sizes.</div></div><div><h3>Conclusion</h3><div>ICBT is a viable intervention for young Brazilians experiencing common mental health symptoms. Further research is needed to explore implementation and impact on other populations.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100854"},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital bridges to social connection: A systematic review and meta-analysis of digital interventions for loneliness and social isolation","authors":"Thomas Hansen ,&nbsp;Rune Johansen ,&nbsp;Benedicte Kirkøen ,&nbsp;Kim Stene-Larsen ,&nbsp;Melanie Straiton ,&nbsp;Ragnhild A. Tornes ,&nbsp;Anne Reneflot","doi":"10.1016/j.invent.2025.100856","DOIUrl":"10.1016/j.invent.2025.100856","url":null,"abstract":"<div><div>As loneliness and social isolation emerge as pressing public health concerns, identifying effective interventions is essential. Digital solutions offer flexible, scalable, and cost-effective approaches, yet their effectiveness remains uncertain. This systematic review and meta-analysis assess the impact of randomized controlled trials (RCTs) on digital interventions to reduce loneliness and social isolation. Following PRISMA 2020 guidelines, we searched seven databases and grey literature (2022–) and applied random-effects models to pool effect sizes by intervention type. A total of 40 RCTs involving 6062 participants were included, with one-third focusing on younger individuals. Loneliness was assessed in 36 studies, while eight examined social isolation. Interventions were classified as psychological (k = 25), social (k = 4), activity-based (k = 4), robot-based (k = 4), and social media reduction (k = 5). Psychological interventions—especially those with group or social components—along with group-based activities and robotic pets, were effective in reducing loneliness. In contrast, social contact interventions, self-guided individual activities, and conversational robots showed limited impact. Social media reduction interventions suggested potential benefits, though results were not statistically significant. The evidence base exhibited moderate to high risk of bias, heterogeneity, and limited long-term follow-up. We provide specific recommendations for future interventions and research, including leveraging digital technologies for enhanced personalization, using digital tools for signposting non-digital interventions, systematically comparing digital and non-digital versions of the same intervention, and, most critically, examining the impact of increasingly popular AI-driven and humanlike social chatbots.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100856"},"PeriodicalIF":3.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young people's compliance with the Experience Sampling Method (ESM): Examining patterns, predictors and associations with well-being and mental health","authors":"Julius März ,&nbsp;Lianne P. de Vries ,&nbsp;Hanneke Scholten ,&nbsp;Annabel Vreeker ,&nbsp;Jeroen S. Legerstee ,&nbsp;Loes Keijsers ,&nbsp;Brenda W.J.H. Penninx ,&nbsp;Manon H.J. Hillegers","doi":"10.1016/j.invent.2025.100859","DOIUrl":"10.1016/j.invent.2025.100859","url":null,"abstract":"<div><div>The Experience Sampling Method (ESM) can help young people gain insight into their fluctuating emotions through multiple daily surveys. This can act as an intervention to improve well-being and mental health. However, the effectiveness of ESM interventions is expected to depend on compliance, i.e., how often participants respond to these surveys. We aimed to understand compliance patterns among young people during an ESM-based intervention, explored predictors of these patterns, and examined if the intervention's impact on well-being and mental health varied with compliance levels.</div><div>Dutch adolescents and young adults (<em>N</em> = 1139, 12–25 years, mean age = 17.67; 79 % female) completed baseline questionnaires, responded to five daily ESM surveys over three weeks using the Grow It! app, and completed follow-up questionnaires.</div><div>Despite overall low compliance (mean compliance = 33.8 %), latent class growth analyses identified four compliance patterns: stable high (<em>N</em> = 176; M = 78.8 %), stable medium (<em>N</em> = 193; M = 50.1 %), high initial and decreasing (<em>N</em> = 272; M = 30.9 %), and low initial and decreasing (<em>N</em> = 498; M = 13.2 %). These patterns were not consistently associated with age, gender, education, baseline well-being, or depressive and anxiety symptoms, and did not influence the intervention's effect on well-being and mental health outcomes.</div><div>We identified specific ESM compliance patterns among young people but found no clear predictors or outcomes of these patterns. To improve compliance and intervention effectiveness, future ESM interventions can potentially be enhanced by personalized designs, incorporating intrinsic and extrinsic motivators, and investigating situational factors and additional participant characteristics.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100859"},"PeriodicalIF":3.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User engagement in a digital health intervention designed for young people who have experienced technology-assisted sexual abuse (i-Minds trial)","authors":"Sandra Bucci ,&nbsp;Xiaolong Zhang ,&nbsp;Kaja Dabrowska ,&nbsp;Amanda Larkin ,&nbsp;Ethel Quayle ,&nbsp;Matthias Schwannauer ,&nbsp;Filippo Varese ,&nbsp;Pauline Whelan","doi":"10.1016/j.invent.2025.100858","DOIUrl":"10.1016/j.invent.2025.100858","url":null,"abstract":"<div><h3>Background</h3><div>Technology-assisted sexual abuse (TASA) mostly involves the production and non-consensual sharing of sexual images; however, evidence-based support for young people (YP) who have experienced TASA is scant. Digital Health Interventions (DHIs) have the potential to increase access to support and provide timely therapeutic input in a familiar format to YP. However, studies describing engagement with DHIs is nascent. Our objective is to describe engagement patterns for YP people who used the i-Minds app.</div></div><div><h3>Methods</h3><div>The i-Minds app is a co-designed mentalisation-based DHI for YP who have experienced TASA. Usage data was collected during the 6-week intervention window using Matomo analytics software and analysed according to the AMUsED framework.</div></div><div><h3>Results</h3><div>Forty-one participants were onboarded to the app. Of these, 95 % completed the introductory mandatory module, and nearly half completed the remaining three modules. Median duration of app engagement was 33 days. Most participants used the app on weekdays in the afternoon. Demographic variables, namely gender not matching with sex assigned at birth/prefer not to disclose and higher baseline clinical severity were associated with higher app engagement.</div></div><div><h3>Conclusions</h3><div>Participants showed high module completeness and engagement duration, suggesting the potential for real-world use. Potential participant-level predictors of engagement, such as gender identity and severity of TASA related traumatic stress and emotional distress, were identified. Achieving satisfactory engagement in DHIs is challenging yet necessary for delivering effective interventions. Future studies should explore participant-level predictors of engagement to inform real-world use of DHIs with a diverse sample.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100858"},"PeriodicalIF":3.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key questions to ask before implementing a Digital Mental Health Service (DMHS): A primer for policy makers","authors":"Nickolai Titov ,&nbsp;Blake F. Dear ,&nbsp;Lauren Staples ,&nbsp;Alana Fisher ,&nbsp;Heather D. Hadjistavropoulos ,&nbsp;Olav Nielssen","doi":"10.1016/j.invent.2025.100857","DOIUrl":"10.1016/j.invent.2025.100857","url":null,"abstract":"<div><h3>Background</h3><div>The proven success of treating high prevalence mental disorders via the internet by digital mental health services (DMHSs) has created enormous interest in the implementation of these services. In response, there are now excellent guides to support the “how” of DMHS implementation.</div></div><div><h3>Method</h3><div>Drawing on the authors' experiences of successfully implementing high volume DMHSs and reflecting on planning sessions with decision makers and funders, the authors identified important questions that should be considered by policy makers, funders and healthcare managers before implementing a DMHS. These questions are more concerned with the “why” of implementation and are questions not typically examined or discussed in existing implementation guides and frameworks.</div></div><div><h3>Results</h3><div>The authors describe eleven questions categorised by theme: 1. The nature of mental health and treatments, 2. The nature of DMHSs, and 3. Governance and eco-system. Questions include which mental health conditions to address, whether the condition even requires treatment, what type of services should be offered, where would the DMHS fit into the broader mental health system, how will they integrate with other health services, what is the optimal funding model, how will they employ technology, and what governance is required.</div></div><div><h3>Conclusions</h3><div>Policy makers and funders have the challenging task of determining resource allocation among competing priorities in a complex and ever-changing world. We propose that navigating the complexities of DMHSs can be facilitated by developing a robust program logic that addresses these and other important questions. It is noted that the long-term success DMHSs requires not only a clear vision and careful planning, but realistic and stable funding, and a commitment to ongoing evaluation and development.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100857"},"PeriodicalIF":3.6,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}