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

{"title":"Personalized PHQ-9 test length using probability density estimation based on conditional probability and K-Nearest Neighbours","authors":"Zahraa Abdulhussein ,&nbsp;Marcia Scazufca ,&nbsp;Pepijn van de Ven","doi":"10.1016/j.invent.2026.100919","DOIUrl":"10.1016/j.invent.2026.100919","url":null,"abstract":"<div><div>The Patient Health Questionnaire-9 (PHQ-9) is a tool consisting of nine items designed to assess the severity of depression in individuals. Shorter versions have been developed such as the PHQ-DEP-4, which includes four items, and the PHQ-2, which consists of just two. These fixed-length formats have been developed to facilitate rapid screening, particularly for identifying individuals eligible for clinical trials. In this study, we propose and evaluate a dynamic version of the PHQ-9, in which the number of questions administered varies according to the respondent’s answers. This adaptive approach estimates the likelihood of depression conditional on the responses given thus far and can terminate the assessment early when a confident classification (depressed or non-depressed) can be made before all nine questions are completed. The model relies on a historical datasets of completed PHQ-9 interviews to inform these decisions. When a matching response pattern is not available in the historical data, a K-Nearest Neighbours (KNN) model is applied to estimate the probability density for this pattern. Experimental results demonstrate that the dynamic PHQ-9 model outperforms the PHQ-DEP-4, achieving higher sensitivity, specificity, and Youden index, while also reducing respondent burden by requiring fewer questions on average.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100919"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187877","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":"Improving adherence to an online intervention for low mood by a virtual coach or personalized motivational feedback messages: A three-arm pilot randomized controlled trial","authors":"Khadicha Amarti ,&nbsp;Marketa Ciharova ,&nbsp;Simon Provoost ,&nbsp;Mieke H.J. Schulte ,&nbsp;Annet Kleiboer ,&nbsp;Ali el Hassouni ,&nbsp;Gonçalo Gonçalves ,&nbsp;Heleen Riper","doi":"10.1016/j.invent.2025.100900","DOIUrl":"10.1016/j.invent.2025.100900","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Online psychological interventions like behavioural activation (BA) can be provided with or without human support. Unguided online interventions require no human contact and are therefore easier to implement on a large scale than guided interventions. However, effectiveness and adherence rates to these interventions are generally lower. One way to increase adherence to unguided online interventions is to offer automated motivational support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This pilot randomized controlled trial (RCT) examined whether adherence to unguided online BA for low mood could be improved by adding automated support in the form of smartphone-delivered personalized motivational messages or a motivational virtual coach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A three-arm pilot RCT (&lt;em&gt;n&lt;/em&gt; = 106) was conducted that compared an online intervention delivered with automated motivational support by a virtual coach (&lt;em&gt;n&lt;/em&gt; = 35), or by automated personalized messages on their smartphone (&lt;em&gt;n&lt;/em&gt; = 35), to the same intervention without support (control condition; &lt;em&gt;n&lt;/em&gt; = 36). The primary outcome was level of adherence, operationalized as (1) the number of webpages of the intervention visited, and (2) the number of mood ratings completed on the smartphone application, both retrieved from participants' logfiles. Secondary outcomes were satisfaction with the intervention (CSQ-I), usability (SUS) depression scores (HADS), and motivation for treatment (SMFL), measured through online questionnaires administered at baseline or after 4 weeks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Adherence was moderate overall, with participants visiting on average 23 pages of 55 webpages and completing on average 50 of 84 requested mood ratings. No evidence for differences in adherence rates were observed between the intervention conditions and the control condition. Satisfaction with the intervention was moderate to high. Usability scores were below the desirable threshold of 68. Depression symptoms did not change significantly across all participants (&lt;em&gt;p&lt;/em&gt; = .053). No significant changes in motivation were found over time or between groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Adding automated support to unguided online BA for depression did not improve overall adherence. The limited effectiveness may reflect a misalignment between the motivational strategies and the needs of the target population, who reported mild symptoms and high intrinsic motivation. The findings highlight the need to further improve both the quality of automated support and the usability of online platforms. Future research should explore additional adherence-related factors and investigate how personalization can better address different symptom severities in unguided mental health interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Trial registration&lt;/h3&gt;&lt;div&gt;International Clinical Trials Registry Platform: trialsearch.who.int/Trial2.aspx?TrialID=NL8110.&lt;","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100900"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939555","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":"Engagement of people with lived experience in the design and development of digital mental health interventions: A scoping review of engagement characteristics and impacts","authors":"Alana Fisher ,&nbsp;Noni Jervis ,&nbsp;Madelyne Bisby ,&nbsp;Milena Gandy ,&nbsp;Andreea I. Heriseanu ,&nbsp;Taylor Hathway ,&nbsp;Atria Rezwan ,&nbsp;Nickolai Titov ,&nbsp;Blake Dear","doi":"10.1016/j.invent.2026.100914","DOIUrl":"10.1016/j.invent.2026.100914","url":null,"abstract":"<div><h3>Background</h3><div>Digital mental health interventions (DMHIs) aim to increase access to mental healthcare for people who would otherwise not access it. Accordingly, the design and development of DMHIs may particularly benefit from engaging people with lived experience (PwLE).</div></div><div><h3>Methods</h3><div>A scoping review involving systematic database searches identified and synthesised original research reporting PwLE engagement in the design and development of DMHIs (published January 2000– April 2024). Articles were independently title/abstract screened by two authors, and full-text screened by one author. Included article data were extracted, independently checked, and descriptively synthesised.</div></div><div><h3>Results</h3><div>Twenty-nine studies were included, published 2012–2024, in high-income countries. Engagement was mostly via ‘consultation’ level activities (e.g., focus groups), followed by ‘involvement’ or ‘collaboration’. In almost half of studies, engagement spanned multiple engagement levels across the different development stages. Reported impacts included changes to content, design, and delivery (e.g., revised language). Authors credited engagement with improved DMHI relevance, acceptability, and inclusivity, while noted challenges include limited diversity among engaged PwLE and resource demands. For reported DMHI outcomes, studies reported positive findings related to use, and attitudes towards using DMHIs. However, reported findings were more mixed for mental health outcomes (e.g., symptom improvement). Additionally, it was not possible to directly link outcomes to PwLE engagement.</div></div><div><h3>Conclusions</h3><div>Review findings highlight the increasing but predominantly consultative engagement of PwLE in developing DMHIs. Future research directions include more transparent and consistent reporting of engagement, deliberative decision-making around engagement levels/types, and more rigorous evaluation of engagement to investigate its association with DMHI outcomes.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100914"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077568","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":"Guided internet-based treatment for anxiety and depression in Norwegian primary care: a randomized non-inferiority effectiveness trial","authors":"Marit Knapstad ,&nbsp;Otto Robert Smith","doi":"10.1016/j.invent.2026.100913","DOIUrl":"10.1016/j.invent.2026.100913","url":null,"abstract":"<div><h3>Objective</h3><div>Meta-analyses suggest that therapist-guided internet-based cognitive behavioural therapy (iCBT) is as effective as face-to-face CBT for anxiety and depression, yet its non-inferiority in routine primary care settings is scarcely examined. We examined the non-inferiority of the therapist-guided program “Assisted self-help” (AS-iCBT) compared to treatment as usual within the Norwegian Prompt Mental Health Care (TAU-PMHC).</div></div><div><h3>Methods</h3><div>A pragmatic, parallel-group, randomized controlled non-inferiority trial with 1:2 (AS-iCBT: TAU-PMHC) allocation was conducted. Participants (<em>n</em> = 390, 37.4% of eligible) were adults considered for PMHC admission for anxiety and/or mild to moderate depression between October 2021, and December 2023. TAU-PMHC was predominantly individual face-to-face therapy (78%). Primary outcomes were change in symptoms of depression (PHQ-9) and anxiety (GAD-7) at six months follow-up. Symptom trajectories were analysed using latent growth curve models with robust maximum likelihood estimator (MLR), employing a non-inferiority margin of <em>d</em> &gt; −0.30.</div></div><div><h3>Results</h3><div>Both groups showed clinically significant reductions in PHQ-9 (<em>d</em>_w: AS-iCBT = −1.15, TAU-PMHC = -1.26) and GAD-7 (d_w: AS-iCBT = −0.92, TAU-PMHC = −1.11) at 6 months follow-up. However, AS-iCBT was not non-inferior to TAU-PMHC for primary outcomes (PHQ-9: <em>d</em>_b = −0.11 [95% CI -0.40; 0.19]; GAD-7: <u>d</u>_b = −0.19 [95% CI -0.43; 0.04]) and several secondary outcomes. Non-inferiority was demonstrated in client-rated but not therapist-rated alliance. AS-iCBT required approximately 46% less therapist time per client than TAU-PMHC.</div></div><div><h3>Conclusion</h3><div>AS-iCBT did not meet the pre-defined criteria for non-inferiority compared to usual PMHC care for most outcomes. Nevertheless, AS-iCBT showed potential as a resource-efficient treatment option, requiring less therapist time while achieving clinically significant improvements. Further research should focus on optimizing its implementation, particularly for anxiety-related conditions.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100913"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187879","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":"Skepticism and excitement when co-designing just-in-time mental health apps with minoritized youth","authors":"Caroline A. Figueroa ,&nbsp;Kathleen W. Guan ,&nbsp;Dimpy Gupta ,&nbsp;Neslihan Can ,&nbsp;Kayla Green ,&nbsp;Jiwon Jung ,&nbsp;Eva Thalassinou ,&nbsp;Gerben Kuiper ,&nbsp;Niko Vegt","doi":"10.1016/j.invent.2026.100924","DOIUrl":"10.1016/j.invent.2026.100924","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental health issues among young people have surged post-COVID-19. Mental health apps can offer accessible preventive support on a large scale, yet the perspective of minoritized youth–such as those from low socioeconomic and ethnic/racial backgrounds–are underexplored. This risks low uptake and effectiveness, and exacerbating health inequities. This study aimed to understand the needs and concerns of minoritized youth in the Netherlands using a participatory approach.</div></div><div><h3>Methods</h3><div>We conducted 3 co-creation sessions with 17 adolescents (16 females, majority Dutch Moroccan background) aged 11–22 years, recruited through community centers in lower-income neighborhoods in The Netherlands, with the help of community workers. We also organized a discussion session with 26 preventive youth workers to explore their perspectives regarding implementation. A subset of youth (<em>n</em> = 10) analyzed the data in 2 co-thematic analysis workshops. We compared youth and researcher themes.</div></div><div><h3>Results</h3><div>Youth saw data-driven mental health apps as useful for short-term stress relief through motivational quotes, social activity suggestions, and homework support, but unable to solve more severe issues. In the co-analysis, youth analyzed based on emotion and functions, whereas researchers employed a more technical lens. Key themes included identity-based (such as religion, gender, and age) and contextual tailoring (to school/home schedules), compassionate communication as opposed to fake support (robots), safety, and the role of social media.</div></div><div><h3>Conclusion</h3><div>These findings highlight the need to examine how app design for young people can prioritize authentic, compassionate communication, safety–including transparency about data–tailoring to identify aspects, adapting the timing and frequency of notifications, and integrating social connections and social media. Participatory approaches are promising to better understand the needs of youth from minoritized backgrounds for digital mental health technologies, with the aim of equitable digital solutions.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100924"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356225","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":"Evaluating a mobile-enhanced cognitive behavioral therapy program for university students with irritable bowel syndrome","authors":"Hyo Kyung Kim ,&nbsp;Hyunjung Kim ,&nbsp;Aram Lee","doi":"10.1016/j.invent.2026.100905","DOIUrl":"10.1016/j.invent.2026.100905","url":null,"abstract":"<div><h3>Background</h3><div>Irritable bowel syndrome (IBS) is a chronic condition prevalent in university students. It significantly affects quality of life (QOL) and requires effective interventions to appropriately manage its symptoms in this population.</div></div><div><h3>Objectives</h3><div>To develop and evaluate the effectiveness of an integrated cognitive behavioral therapy (CBT) program using a mobile application to alleviate symptoms and enhance the QOL of university students with IBS.</div></div><div><h3>Methods</h3><div>This quasi-experimental study included 58 participants from two universities in South Korea, who were divided into three groups: the CBT only group, the CBT with application group, and the control group that received a single educational session. An integrated eight-session CBT program and a mobile application for IBS self-management were developed and implemented. Outcomes, including the IBS Severity Scoring System (IBS-SSS), academic stress, depression, IBS-QOL, and heart rate variability, were evaluated at baseline, post-intervention, and at the 16-week follow-up.</div></div><div><h3>Results</h3><div>Significant interactions between group and time were observed for IBS-SSS (Wald χ² = 13.49, <em>p</em> = 0.009). Although the short-term effects for IBS-SSS were greater in the CBT group than in the control group, the long-term effects for IBS-SSS at 16 weeks were more sustained in the CBT with application group. Both the CBT and CBT with application groups demonstrated improvements in academic stress, depression, and QOL, but not in heart rate variability, whereas the control group demonstrated limited changes.</div></div><div><h3>Conclusions</h3><div>The integrated CBT program, with or without a mobile application, effectively reduced the severity of IBS symptoms, depression, and academic stress among university students. This combined approach may provide long-term benefits for symptom management and psychosocial well-being. Further research is warranted to optimize the use of mobile device applications for CBT delivery.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100905"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037851","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":"The effectiveness of online acceptance and commitment therapy-based interventions on depression, burnout, anxiety and stress in occupational contexts: A systematic narrative review","authors":"Veera Sofia Lampinen ,&nbsp;Ella Kämper ,&nbsp;Viktória Roxána Balla ,&nbsp;Nina Katajavuori ,&nbsp;Henna Asikainen","doi":"10.1016/j.invent.2026.100909","DOIUrl":"10.1016/j.invent.2026.100909","url":null,"abstract":"<div><div>Declining employee mental health has led to an interest in Acceptance and Commitment Therapy (ACT)-based interventions that aim to develop psychological flexibility. While existing literature primarily focuses on face-to-face interventions, evidence on online ACT interventions in occupational settings remains limited. This systematic narrative review synthesized findings on the outcomes of online ACT-based interventions for employees. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 and Synthesis Without Meta-analysis (SWiM) guidelines, six databases were searched, yielding 11 randomized controlled trials targeting burnout, depression, anxiety, and stress. Most studies reported modest but significant improvements in these outcomes, often sustained at follow-up. Psychological flexibility consistently emerged as the principal mechanism of change. Intervention formats and engagement varied widely; partially guided programs demonstrated higher adherence than fully self-guided formats, though time constraints and workload frequently hindered participation. Online ACT-based interventions appear tentatively promising for improving employee well-being, but methodological heterogeneity, limited cultural diversity, and short follow-up periods constrain firm conclusions. Future studies should employ standardized protocols, process-based measures, and longer follow-ups to clarify the mechanisms and sustainability of change.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100909"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077566","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":"Low-burden preventative digital mental health interventions for first-year college students: A pilot feasibility microrandomized trial","authors":"Adam G. Horwitz ,&nbsp;Shriya Anand ,&nbsp;Megan Chen ,&nbsp;Kaitlyn McCarthy ,&nbsp;Stephen M. Schueller ,&nbsp;Maureen Walton ,&nbsp;Srijan Sen ,&nbsp;Cheryl A. King","doi":"10.1016/j.invent.2026.100912","DOIUrl":"10.1016/j.invent.2026.100912","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental health problems among college students have increased significantly and barriers to care contribute to a substantial treatment gap. Digital mental health interventions (DMHIs) show promise for overcoming barriers, but engagement with DMHIs is challenging, underscoring the need for low-burden strategies.</div></div><div><h3>Objective</h3><div>This pilot trial evaluated the feasibility and acceptability of a six-week, low-burden, preventative DMHI that delivered supportive text messages and personalized feedback (PF) to first-semester college students.</div></div><div><h3>Method</h3><div>Students (<em>N</em> = 120, 64% women, 55% non-Hispanic White) who had mild-to-moderate depressive symptoms (PHQ-9 scores between 5 and 14) and were not engaged in formal mental health care were randomized to intervention (<em>n</em> = 90) or assessment-only (<em>n</em> = 30) conditions. Those in the intervention condition received a weekly PF report and/or supportive text messages at random intervals as part of an embedded micro-randomized trial (MRT). Primary outcomes were feasibility and acceptability of the intervention components. Exploratory analyses examined 1) clinical outcomes after six weeks for the intervention and assessment-only conditions, and 2) weekly clinical outcomes within the intervention group based on the MRT.</div></div><div><h3>Results</h3><div>The trial demonstrated high feasibility (95% enrollment; 87% retention) and strong intervention acceptability, especially for PF and assessment components. Exploratory analyses did not reveal consistent patterns in between- and within-group comparisons.</div></div><div><h3>Conclusions</h3><div>Low-burden strategies for assessment and intervention are feasible and acceptable to first-year college students at risk for depression. There is significant potential for integrating these lower-intensity strategies into a full-scale trial that adaptively delivers higher-intensity DMHIs and/or integrate human-delivered components in response to needs over time.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100912"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077570","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":"The end of “logging in”: The next 10 years of internet interventions","authors":"Per Carlbring","doi":"10.1016/j.invent.2026.100904","DOIUrl":"10.1016/j.invent.2026.100904","url":null,"abstract":"","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100904"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396888","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":"Online-delivered ‘Teaching Recovery Techniques’ for young people with PTSD symptoms who have experienced forced migration: a pilot study","authors":"Georgina Warner ,&nbsp;Sandra Gupta Löfving ,&nbsp;Emma Geijer-Simpson","doi":"10.1016/j.invent.2026.100918","DOIUrl":"10.1016/j.invent.2026.100918","url":null,"abstract":"<div><h3>Introduction</h3><div>Although there is a high need for mental health support among individuals with experience of forced migration, there are barriers to accessing in-person interventions. Online delivery offers an alternative. This study aimed to examine the feasibility and acceptability of online-delivered Teaching Recovery Techniques (TRT) for young people who had experienced forced migration and reported symptoms of PTSD.</div></div><div><h3>Methods</h3><div>The study used an open, single-arm trial design with a mixed-methods approach. Participants (<em>n</em> = 16; 62.5% male; 17–23 years) were recruited via an upper secondary school in Sweden. Fidelity checklists were used to capture adherence to the manual, psychological symptom and life satisfaction questionnaires were administered (<em>n</em> = 16), and a focus group discussion (<em>n</em> = 3) and interview (n = 1) explored participants' perspectives.</div></div><div><h3>Results</h3><div>High fidelity was observed, with all components delivered except for elements of the final session. Technical challenges were noted, including limited platform functionality for private communication and unstable internet connectivity, and privacy concerns were raised where participants lacked private spaces. The format was adapted, including merging groups, delivering sessions twice weekly rather than weekly, and reducing session duration from 90 to 60 min. Of 16 participants, 9 completed post-intervention measures; descriptive data suggested completers were less likely to be female and had higher symptom scores. Qualitative data indicated symptom improvements and emphasised facilitators' relational qualities, but benefits were described as transient and insufficient to address ongoing stressors, with participants preferring in-person delivery.</div></div><div><h3>Conclusion</h3><div>Online TRT needs enhanced technical support, privacy safeguards, and closure procedures; future trials should test efficacy and long-term outcomes.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"43 ","pages":"Article 100918"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311648","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}