Jmir Mental Health最新文献

{"title":"Effects of YouTube Health Videos on Mental Health Literacy in Adolescents and Teachers: Randomized Controlled Trial.","authors":"Rebekka Schröder, Tim Hamer, Victoria Kruzewitz, Ellen Busch, Ralf Suhr, Lars König","doi":"10.2196/76004","DOIUrl":"https://doi.org/10.2196/76004","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a critical period for mental health development, yet prevalences of mental health problems are high among young people. Enhancing mental health literacy in school settings could be an effective strategy for the promotion of mental well-being and prevention of mental health struggles. One promising approach to achieving this goal involves equipping both students and teachers with accessible multimedia resources-such as YouTube Health videos-to enhance their mental health literacy.</p><p><strong>Objective: </strong>The study evaluates the effectiveness of a short educational YouTube Health video for promoting mental health literacy in adolescents and teachers.</p><p><strong>Methods: </strong>Two independent samples of 352 adolescents and 502 teachers from Germany were recruited from a large panel, representative of the German population with internet access. Participants of each sample were allocated to an experimental group (176 adolescents and 254 teachers) and a control group (176 adolescents and 248 teachers) through randomization. The experimental group watched a YouTube Health video designed to increase mental health literacy, while the control group watched a video similar in style but on a different topic. Before and after watching the publicly available YouTube Health videos, mental health knowledge was assessed as a primary outcome through topic-specific quizzes and a self-report in a web-based survey. In addition, all participants were asked to rate the educational, visual, and overall quality of the YouTube Health videos and their usability in school settings. The primary hypotheses were tested with ANOVAs. The quality and usability items were analyzed descriptively.</p><p><strong>Results: </strong>For the adolescents, there were significant main effects of time (F<sub>1,350</sub>=46.34, P<.001, η<sup>2</sup><sub>p</sub>=0.117) and group (F<sub>1,350</sub>=6.05, P=.01, η<sup>2</sup><sub>p</sub>=0.017) and a significant time×group interaction (F<sub>1,350</sub>=39.15, P<.001, η<sup>2</sup><sub>p</sub>=0.101) on stress-specific knowledge, indicating a higher increase in knowledge in the experimental group than in the control group. Similarly, for teachers, significant main effects of time (F<sub>1,500</sub>=107.31, P<.001, η<sup>2</sup><sub>p</sub>=0.177) and group (F<sub>1,500</sub>=58.07, P<.001, η<sup>2</sup><sub>p</sub>=0.104) and a significant time×group interaction (F<sub>1,500</sub>=82.59, P<.001, η<sup>2</sup><sub>p</sub>=0.142) were found. The same pattern of results was observed for the knowledge self-reports in both the students (time: F<sub>1,347</sub>=103.65, P<.001, η<sup>2</sup><sub>p</sub>=0.230; group: F<sub>1,347</sub>=8.59, P=.004, η<sup>2</sup><sub>p</sub>=0.024; time×group interaction: F<sub>1,347</sub>=29.11, P<.001, η<sup>2</sup><sub>p</sub>=0.077) and teachers (time: F<sub>1,500</sub>=115.40, P<.001, η<sup>2</sup><sub>p</sub>=0.188; group: F<sub>1,500</sub>=41.16, P<.0","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e76004"},"PeriodicalIF":5.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761822","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":"Objectively Measured Smartphone Use and Nonsuicidal Self-Injury Among College Students: Cross-Sectional Study.","authors":"Wenhua Wang, Mingyang Wu, Xiaoxiao Yuan, Xue Wang, Le Ma, Lu Li, Lei Zhang","doi":"10.2196/71264","DOIUrl":"10.2196/71264","url":null,"abstract":"<p><strong>Background: </strong>The impact of smartphone use on mental health is being rigorously debated. Some questionnaire-based research suggests that smartphone use correlates with nonsuicidal self-injury (NSSI). Self-reported data seem unlikely to capture actual smartphone use precisely, requiring objective measures to advance this field.</p><p><strong>Objective: </strong>The aim of the study is to examine whether objectively measured smartphone use was associated with NSSI among college students.</p><p><strong>Methods: </strong>This multicenter cross-sectional study was conducted from 2022 to 2024, enrolling college students from 559 classes across 6 universities in China. NSSI was measured by the Ottawa Self-Injury Inventory including 10 items of NSSI without suicidal intent within the past month. Participants answering \"ever\" were classified as having NSSI. Objectively measured smartphone screen time and number of smartphone unlocks were obtained from screenshots of smartphone use records. The association between objectively measured smartphone use and NSSI was analyzed using binary logistic regression models and restricted cubic spline regression.</p><p><strong>Results: </strong>Of 16,668 included participants, 627 (3.8%) reported NSSI. Mean (SD) smartphone screen time and number of smartphone unlocks were 48.8 (28.8) hours per week and 271.6 (291.0) times per week. The models adjusted for different factors showed a significant association between smartphone use and NSSI. Compared to participants with 0-21 hours per week of smartphone screen time, those with ≥63 hours per week of smartphone screen time had higher odds of NSSI (odds ratio [OR] 1.63, 95% CI 1.32-2.01). Likewise, compared to participants with 0-50 times per week of smartphone unlocks, those with ≥400 times per week of smartphone unlocks had higher odds of NSSI (OR 1.53, 95% CI 1.25-1.88). No significant NSSI risk increase was observed for participants with 21-42 and 42-63 hours per week of smartphone screen time nor for those with 50-150 and 150-400 times per week of smartphone unlocks. Moreover, restricted cubic spline analyses showed that the increasing risk of NSSI was associated with elevated smartphone screen time and number of smartphone unlocks.</p><p><strong>Conclusions: </strong>These findings emphasize that ≥63 hours per week of smartphone screen time and ≥400 times per week of smartphone unlocks are risk factors for NSSI among college students, and interventions targeting NSSI should consider the apparent association with smartphone use.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e71264"},"PeriodicalIF":5.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Without Cost? Effects and Side Effects of an Internet-Based Intervention for Depression: Randomized Controlled Trial.","authors":"Anna Baumeister, Lea Schuurmans, Alina Bruhns, Steffen Moritz","doi":"10.2196/71274","DOIUrl":"10.2196/71274","url":null,"abstract":"<p><strong>Background: </strong>Internet-based interventions for depression are increasingly integrated into health care due to their effectiveness, availability, and cost-effectiveness. However, negative effects have largely been ignored.</p><p><strong>Objective: </strong>This study aimed to evaluate both positive and negative effects of an unguided intervention.</p><p><strong>Methods: </strong>In total, 303 participants were analyzed using mixed models for repeated measures to assess changes in depressive symptoms via Beck Depression Inventory-II (primary outcome) after 12 weeks compared to waitlist controls with care as usual. Secondary endpoints included depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]), self-esteem, and quality of life. Negative effects were evaluated using the positive and negative effects of psychotherapy scale for internet-based interventions (PANEPS-I). Moderation analyses were conducted to explore influential effects on treatment outcomes.</p><p><strong>Results: </strong>The intervention group showed greater reduction in depressive symptoms compared to controls, with small to medium effect sizes (g=0.30-0.42) with averaged 14 logins. Although improvements in self-esteem and quality of life were not observed in intention-to-treat analyses, the completer sample indicated higher self-esteem in the intervention group. Negative effects were reported by 22% (22/100) to 68% (66/97), with the highest rates for program-related effects (eg, not addressing personal problems). No moderation effects were identified.</p><p><strong>Conclusions: </strong>The intervention effectively reduces depressive symptoms. Although negative effects were present, they did not impact treatment outcome, tentatively suggesting that overall benefits may outweigh the negative effects for users.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e71274"},"PeriodicalIF":5.8,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Digital Addiction: Umbrella Review.","authors":"Yun Han, Jiamin Qiu, Chengbin Shi, Shiqi Huang, Haokun Huang, Xinman Wang, Sui Zhu, Da-Lin Lu, Peng Lu, Fangfang Zeng","doi":"10.2196/66950","DOIUrl":"10.2196/66950","url":null,"abstract":"<p><strong>Background: </strong>Digital addiction, affecting a significant portion of the population, particularly young people, is linked to psychological issues and social problems, making its prevention and management a crucial public health issue.</p><p><strong>Objective: </strong>This umbrella review aimed to comprehensively analyze the factors influencing digital addiction by re-evaluating the methodologies and evidence quality of existing meta-analyses.</p><p><strong>Methods: </strong>Databases including PubMed, Web of Science, the Cochrane Library, and Embase were systematically searched for reviews and meta-analyses related to factors associated with digital addiction up to September 24, 2024. The methodological quality of the identified studies was assessed using the modified \"A Measurement Tool to Assess Systematic Reviews 2\" (AMSTAR 2) tool, while the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool was used to evaluate the quality of the evidence presented in the literature.</p><p><strong>Results: </strong>A total of 18 articles were included in the review, with AMSTAR 2 assessments revealing 6 moderate-quality, 4 low-quality, and 8 very low-quality studies. In total, 29 significant factors associated with digital addiction were identified. Notably, 4 studies achieved both moderate AMSTAR 2 and GRADE ratings, indicating that positive parent-child relationship (r=-0.15, 95% CI-0.18 to -0.11; P<.05) effectively mitigate the risks of digital addiction. Conversely, urban residence (odds ratio [OR] 2.32, 95% CI 1.19-4.53; P<.001), adverse childhood experiences (r=0.21, 95% CI 0.18-0.24; P<.001), and social anxiety (r=0.34, 95% CI 0.19-0.48; P<.001) were identified as factors that may increase the risk of developing digital addiction.</p><p><strong>Conclusions: </strong>This study found that social factors such as urban residence were associated with an increased risk of digital addiction, whereas social support served as a protective factor against this risk. Nonetheless, the methodologies used in analyzing the factors related to digital addiction require further refinement.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e66950"},"PeriodicalIF":5.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the Infrastructure for Sustainable Digital Mental Health: It Is \"Prime Time\" for Implementation Science.","authors":"Gillian Strudwick, Iman Kassam, John Torous, Sean Patenaude","doi":"10.2196/78791","DOIUrl":"10.2196/78791","url":null,"abstract":"<p><strong>Unlabelled: </strong>Despite the growing enthusiasm for and a proliferation of digital mental health innovations, their integration into routine clinical care remains limited-often stalled at the pilot, research, or demonstration stage. This editorial argues that the successful adoption, scale-up, and sustainability of digital mental health innovations require intentional infrastructure, not just technology. Using the Non-Adoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) implementation science framework, we examine how challenges across the seven framework domains (condition, technology, value proposition, adopters, organization, wider context, and their interactions over time) continue to hinder meaningful progress. We describe a focused digital mental health innovation infrastructure as a model for overcoming these barriers. Drawing on experiences from the Digital Innovation Hub at Canada's largest mental health and addictions teaching hospital, we illustrate how investing in the right infrastructure may move digital mental health innovations from \"promising\" to \"impactful.\" We call for global collaboration to share knowledge and accelerate the real-world integration of digital innovations in routine mental health clinical care.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e78791"},"PeriodicalIF":5.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Remediation for Psychosis in Virtual Reality (ThinkTactic VR): Qualitative, Iterative, and User-Centered Codevelopment Study.","authors":"Jasmin Yee, Hannah Matheson, Bryce J M Bogie, Émilie Du Perron, Alexandra Thérond, Maëlle Charest, Catheleine van Driel, Marika Goyette, Ya Ting Lei, Chelsea Noël, Kagusthan Ariaratnam, Greg Collins, Chris Gorman, Ana-Maria Cretu, Simon Tremblay, Marie-Christine Rivard, Catherine Cullwick, Crystal Morris, David G Attwood, Alexandra Baines, Angela Stewart, Stéphane Bouchard, Christopher R Bowie, Synthia Guimond","doi":"10.2196/69359","DOIUrl":"10.2196/69359","url":null,"abstract":"<p><strong>Background: </strong>Cognitive remediation improves cognition and psychosocial functioning in individuals with psychotic disorders. The use of virtual reality (VR) to deliver cognitive remediation in immersive environments that mimic real cognitively challenging situations has the potential to increase engagement to treatment and further enhance its impact on functioning.</p><p><strong>Objective: </strong>We aimed to codevelop a cognitive remediation program in VR with individuals with psychotic disorders and health care professionals to identify and address their needs.</p><p><strong>Methods: </strong>Individuals with lived experience of a psychosis-spectrum condition (n=11) met 9 times and the health care professionals (n=7) met 3 times. Participants discussed personal and professional opinions on the challenges associated with cognitive difficulties in individuals with psychotic disorders. They also provided feedback on the program development.</p><p><strong>Results: </strong>We discerned 4 themes from the content expert working groups: the need for a program to address cognitive impairments, the key program design elements to support cognitive rehabilitation, the importance of leveraging technology as an intervention tool, and the need to improve community functioning. In total, 3 themes were identified for the health care professionals: the need for a clinically relevant program that addresses the research-to-practice gap, the need to improve patient engagement in services, and the need for a program that addresses the limited resources in health care. The needs of our end-user experts were placed at the center of the program development process. When possible, we also integrated their suggestions, like the incorporation of a virtual coach within the immersive environment.</p><p><strong>Conclusions: </strong>Individuals with lived experience and health care professionals have distinct needs, which have informed the co-design of a novel cognitive remediation program in VR, ThinkTactic VR. To our knowledge, ThinkTactic VR is one of the first co-designed and codeveloped cognitive remediation programs in VR using an iterative, user-centered approach involving both individuals with psychotic disorders and health care professionals.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e69359"},"PeriodicalIF":5.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12299945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Care Guidelines for Telemedicine During the COVID-19 Pandemic: Scoping Review.","authors":"Julia Ivanova, Triton Ong, Hattie Wilczewski, Mollie Cummins, Hiral Soni, Janelle Barrera, Brandon Welch, Brian Bunnell","doi":"10.2196/56534","DOIUrl":"10.2196/56534","url":null,"abstract":"<p><strong>Background: </strong>Mental health care providers have widely adopted telemedicine since the onset of the COVID-19 pandemic. Some providers have reported difficulties in implementing telemedicine and are still assessing its sustainability for their practices. Recommendations, best practices, and guidelines for telemedicine-based mental health care (ie, telemental health care [TMH]) have been published, but the nature and extent of this guidance have not been assessed.</p><p><strong>Objective: </strong>We aimed to determine (1) the form of TMH guidelines and recommendations presented to providers, (2) the most commonly presented recommendations and guidelines, and (3) the perceived benefits and challenges of these TMH guidelines and recommendations.</p><p><strong>Methods: </strong>Through our scoping review of practice guidelines, we aimed to identify themes in TMH guidelines and clinical recommendations published between 2020 and 2024 in peer-reviewed journals. This review focused on the first 2 years of the COVID-19 pandemic to identify and characterize the available TMH guidance. We searched PubMed/MEDLINE and ScienceDirect for articles in peer-reviewed journals published between January 1, 2020, and July 16, 2024. We included articles that were available in English and presented recommendations, best practices, or guidelines for TMH. We excluded duplicates, articles unrelated to telehealth, brief editorial introductions, and those not publicly available. We applied the Healthcare Provider Taxonomy of the National Uniform Claim Committee to article titles and abstracts to identify records relevant to mental health. We used content and thematic analyses to identify key themes.</p><p><strong>Results: </strong>Of the 1348 articles retrieved, we identified 76 that matched our criteria. Through content and thematic analyses, we identified 3 main themes-along with subthemes and topics-related to Facilitators, Concerns, and Changes Advised. The majority of articles called for further research (59/76) and for telemental health education and innovation in some form (43/76) regarding advised changes. Twenty-four articles included specific guidelines, recommendations, or checklists for providers.</p><p><strong>Conclusions: </strong>The results highlight the need for further large-scale research to support the development of effective guidelines and protocols for therapy plans. Although TMH care is widespread, scholarly work emphasizes the need for a stronger evidence base that includes testing protocols in diverse settings and populations. The results also underscore the importance of increasing health professionals' knowledge of regulatory compliance and providing them with adequate TMH practice education.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e56534"},"PeriodicalIF":5.8,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Suicide-Related Internet Use Among Suicidal Mental Health Patients in the United Kingdom: Cross-Sectional Questionnaire Study.","authors":"Lana Bojanić, Isabelle M Hunt, Sandra Flynn, Saied Ibrahim, Pauline Turnbull","doi":"10.2196/70458","DOIUrl":"10.2196/70458","url":null,"abstract":"<p><strong>Background: </strong>The dual nature of suicide-related internet use (SRIU) as preventative or harmful is well-documented, but its characteristics in the mental health patient population remain underresearched. Some evidence suggests mental health patients engage in SRIU differently from the general population.</p><p><strong>Objective: </strong>This study aims to explore the types, motivations, frequency, and perceived impacts of SRIU in suicidal mental health patients, as well as their engagement with web-based prevention resources.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using an anonymous web-based survey distributed between June and December 2023. Participants (n=696) were UK adults with secondary mental health service contact and recent suicidal thoughts or behaviors. Of these, 523 (75%) participants engaged in SRIU. Collected data included sociodemographic details, clinical history, types and motivations for SRIU, and interactions with suicide prevention resources. Analysis used descriptive statistics, chi-square, and Wilcoxon tests, with multiple testing corrections applied.</p><p><strong>Results: </strong>The most common SRIU type was searching for suicide-related content (456/523, 87.4%), followed by connecting with others (271/523, 51.8%). Motivations included seeking information on suicide methods (313/523, 60.8%) and support for suicidality (271/523, 57.2%), with significant overlap. Participants perceived SRIU as neither harmful nor helpful overall, with those seeking suicide methods rating it as more harmful. Most participants encountered suicide prevention messaging, but less than half engaged with it. Only 27.5% (n=144) participants disclosed their SRIU to clinicians, with only 1 in 10 being asked about it by their clinician.</p><p><strong>Conclusions: </strong>This study underscores the dual role of SRIU as both a source of support and a potential risk for mental health patients. Despite high exposure to suicide prevention messaging, engagement was limited, suggesting inefficiencies in current intervention designs. Clinicians rarely inquired about SRIU, and voluntary disclosure by patients was low, representing missed opportunities for intervention. Proactive discussions about SRIU in clinical settings could improve risk identification and support planning. Addressing its harmful aspects while leveraging its potential for support requires integrated online and offline strategies.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e70458"},"PeriodicalIF":4.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12262929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative Research on Digitalized Treatment Options for Older Adults With Mental Illness: Scoping Review.","authors":"Jennifer Anne Stanford, Sandra Anna Just","doi":"10.2196/70321","DOIUrl":"10.2196/70321","url":null,"abstract":"<p><strong>Background: </strong>Older adults with mental illness face specific physical and psychosocial challenges and inequities, reflected in limited access to advanced technology. This digital divide is alarming as mental health interventions increasingly depend on both patients' and clinicians' access to technology. However, digitalized treatments also present opportunities to enhance accessibility, effectiveness, and equity across age groups.</p><p><strong>Objective: </strong>This scoping review charted the state of quantitative research on digitalized treatment options for older people with mental illness. We focused specifically on how technology is integrated into existing nonpharmacological mental health interventions or leveraged to create new ones. We also summarized the state of the art on the feasibility and effectiveness of these interventions for various mental illnesses.</p><p><strong>Methods: </strong>This review was conducted in compliance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for systematic scoping reviews. A PubMed search conducted in April 2024 and updated in April 2025 identified 64 studies (15,644 participants; aged 40-97 years). Included studies were original quantitative studies or reviews of these studies looking into nonpharmacological treatments for older adults with a psychiatric diagnosis using any kind of technology.</p><p><strong>Results: </strong>The technologies examined ranged from web-based psychotherapy platforms and digital devices for daily challenges to robots for social interaction. Few studies (5/64, 7%) examined the newest advances in digital mental health, such as artificial intelligence or virtual reality. Most studies (37/64, 58%) evaluated dementia-related interventions using small, nonrandomized samples and uncontrolled designs.</p><p><strong>Conclusions: </strong>The current state of the field, despite the promises of technology to reduce inequities between age groups, still largely excludes older adults from research on technological advances in mental health and their benefits. The field needs to overcome this selective bias and fight the \"digital gray divide\" in mental health.</p>","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e70321"},"PeriodicalIF":4.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Theory-Driven Messaging to Overcome the Barriers to Meditation: Large-Scale Digital Field Experiment.","authors":"Michael Bowen, Michael Beam, Joakim Semb, Dong Whi Yoo","doi":"10.2196/71732","DOIUrl":"10.2196/71732","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The general public is largely aware of meditation, and there is compelling evidence the practice has health benefits. But many people who are aware of meditation have not tried it, and those who do often struggle to establish a regular practice. The barriers to meditation are generally understood and include a lack of knowledge, a lack of time, and unclear benefits. These barriers present an impediment to self-efficacy in establishing a meditation practice. Despite these challenges, current strategies for promoting meditation may fail to address these barriers, leaving a gap in our knowledge about health communication efforts aimed at fostering meditation practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this research is to leverage a large-scale, real-world digital platform to understand whether breaking down the theory-based barriers to meditation can serve as an effective strategy for encouraging meditation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This research is a digital messaging-based experiment that includes approximately 1.33 million people, aged 18 years and older, in the United States. The experiment was conducted on the Spotify mobile app and includes 1 control condition and 4 test conditions. Each of the test conditions was a message that attempted to address a specific barrier to meditation. The control message only included the call-to-action without any theory-based messaging accompaniment. When users clicked the message, they were redirected to meditation content. The click-through rate and the activation rate of each message were the dependent variables in the experiment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The most effective message, which was designed to break down the pragmatic barriers to meditation, had a click-through rate odds ratio (OR) of 1.57 (95% CI 1.52-1.62) and an activation rate OR of 1.55 (95% CI 1.45-1.65), relative to the control. The least effective, which was designed to break down knowledge barriers, had a click-through rate OR of 0.91 (95% CI 0.88-0.94) and an activation rate OR of 0.66 (95% CI 0.61-0.71), compared to the control. After 7 days, the differences in people's engagement with the meditation content itself between experimental conditions had substantively diminished.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Theory-driven messaging can potentially encourage people to explore meditation content, but not universally so, given 2 of the experimental conditions performed better than and 2 performed worse than the control. The most successful message broke down the barrier that meditation requires being alone and in a quiet place. Addressing this barrier may have boosted self-efficacy by aligning the practice with everyday settings that fit into people's busy lifestyles. Future researchers might consider how to encourage people to engage in meditation during their daily activities. In addition, breaking down the barriers to meditation through messaging can drive interest and ","PeriodicalId":48616,"journal":{"name":"Jmir Mental Health","volume":"12 ","pages":"e71732"},"PeriodicalIF":5.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12284605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}