Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review
Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user�...
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| Published in | Journal of medical Internet research Vol. 23; no. 3; p. e24387 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Canada
JMIR Publications
24.03.2021
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user's uptake and sustained interactions with these interventions.
This systematic review aims to identify common barriers and facilitators that influence user engagement with DMHIs.
A systematic search was conducted in the SCOPUS, PubMed, PsycINFO, Web of Science, and Cochrane Library databases. Empirical studies that report qualitative and/or quantitative data were included.
A total of 208 articles met the inclusion criteria. The included articles used a variety of methodologies, including interviews, surveys, focus groups, workshops, field studies, and analysis of user reviews. Factors extracted for coding were related to the end user, the program or content offered by the intervention, and the technology and implementation environment. Common barriers included severe mental health issues that hampered engagement, technical issues, and a lack of personalization. Common facilitators were social connectedness facilitated by the intervention, increased insight into health, and a feeling of being in control of one's own health.
Although previous research suggests that DMHIs can be useful in supporting mental health, contextual factors are important determinants of whether users actually engage with these interventions. The factors identified in this review can provide guidance when evaluating DMHIs to help explain and understand user engagement and can inform the design and development of new digital interventions. |
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| AbstractList | BackgroundDigital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user’s uptake and sustained interactions with these interventions. ObjectiveThis systematic review aims to identify common barriers and facilitators that influence user engagement with DMHIs. MethodsA systematic search was conducted in the SCOPUS, PubMed, PsycINFO, Web of Science, and Cochrane Library databases. Empirical studies that report qualitative and/or quantitative data were included. ResultsA total of 208 articles met the inclusion criteria. The included articles used a variety of methodologies, including interviews, surveys, focus groups, workshops, field studies, and analysis of user reviews. Factors extracted for coding were related to the end user, the program or content offered by the intervention, and the technology and implementation environment. Common barriers included severe mental health issues that hampered engagement, technical issues, and a lack of personalization. Common facilitators were social connectedness facilitated by the intervention, increased insight into health, and a feeling of being in control of one’s own health. ConclusionsAlthough previous research suggests that DMHIs can be useful in supporting mental health, contextual factors are important determinants of whether users actually engage with these interventions. The factors identified in this review can provide guidance when evaluating DMHIs to help explain and understand user engagement and can inform the design and development of new digital interventions. Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user's uptake and sustained interactions with these interventions. This systematic review aims to identify common barriers and facilitators that influence user engagement with DMHIs. A systematic search was conducted in the SCOPUS, PubMed, PsycINFO, Web of Science, and Cochrane Library databases. Empirical studies that report qualitative and/or quantitative data were included. A total of 208 articles met the inclusion criteria. The included articles used a variety of methodologies, including interviews, surveys, focus groups, workshops, field studies, and analysis of user reviews. Factors extracted for coding were related to the end user, the program or content offered by the intervention, and the technology and implementation environment. Common barriers included severe mental health issues that hampered engagement, technical issues, and a lack of personalization. Common facilitators were social connectedness facilitated by the intervention, increased insight into health, and a feeling of being in control of one's own health. Although previous research suggests that DMHIs can be useful in supporting mental health, contextual factors are important determinants of whether users actually engage with these interventions. The factors identified in this review can provide guidance when evaluating DMHIs to help explain and understand user engagement and can inform the design and development of new digital interventions. |
| Author | Sorkin, Dara H De Leon, Cinthia Schneider, Margaret Stadnick, Nicole Schueller, Stephen M Borghouts, Judith Eikey, Elizabeth Mukamel, Dana Zheng, Kai Mark, Gloria |
| AuthorAffiliation | 1 University of California Irvine Irvine, CA United States 2 University of California San Diego San Diego, CA United States |
| AuthorAffiliation_xml | – name: 2 University of California San Diego San Diego, CA United States – name: 1 University of California Irvine Irvine, CA United States |
| Author_xml | – sequence: 1 givenname: Judith orcidid: 0000-0001-9716-0147 surname: Borghouts fullname: Borghouts, Judith organization: University of California Irvine, Irvine, CA, United States – sequence: 2 givenname: Elizabeth orcidid: 0000-0002-3099-8081 surname: Eikey fullname: Eikey, Elizabeth organization: University of California San Diego, San Diego, CA, United States – sequence: 3 givenname: Gloria orcidid: 0000-0003-2492-2424 surname: Mark fullname: Mark, Gloria organization: University of California Irvine, Irvine, CA, United States – sequence: 4 givenname: Cinthia orcidid: 0000-0002-6059-8388 surname: De Leon fullname: De Leon, Cinthia organization: University of California Irvine, Irvine, CA, United States – sequence: 5 givenname: Stephen M orcidid: 0000-0002-1003-0399 surname: Schueller fullname: Schueller, Stephen M organization: University of California Irvine, Irvine, CA, United States – sequence: 6 givenname: Margaret orcidid: 0000-0002-8314-0732 surname: Schneider fullname: Schneider, Margaret organization: University of California Irvine, Irvine, CA, United States – sequence: 7 givenname: Nicole orcidid: 0000-0001-6520-2920 surname: Stadnick fullname: Stadnick, Nicole organization: University of California San Diego, San Diego, CA, United States – sequence: 8 givenname: Kai orcidid: 0000-0003-4121-4948 surname: Zheng fullname: Zheng, Kai organization: University of California Irvine, Irvine, CA, United States – sequence: 9 givenname: Dana orcidid: 0000-0003-4147-5785 surname: Mukamel fullname: Mukamel, Dana organization: University of California Irvine, Irvine, CA, United States – sequence: 10 givenname: Dara H orcidid: 0000-0003-0742-9240 surname: Sorkin fullname: Sorkin, Dara H organization: University of California Irvine, Irvine, CA, United States |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33759801$$D View this record in MEDLINE/PubMed |
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| Snippet | Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health... BACKGROUNDDigital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental... BackgroundDigital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental... |
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| Title | Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review |
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