Three Problems With Current Digital Mental Health Research . . . and Three Things We Can Do About Them

Published on Apr 17, 2017in Psychiatric Services3.084
· DOI :10.1176/APPI.PS.201600541
David C. Mohr93
Estimated H-index: 93
(NU: Northwestern University),
Ken R. Weingardt1
Estimated H-index: 1
(NU: Northwestern University)
+ 1 AuthorsStephen M. Schueller41
Estimated H-index: 41
(NU: Northwestern University)
An increasingly large body of randomized controlled trials has demonstrated the efficacy of mental health technologies, such as Web-based and mobile interventions, to prevent and treat mental disorders and increase psychological well-being. However, there is little evidence that these tools can be successfully implemented in clinical settings. The authors highlight three widely held misconceptions that they believe are holding back the field, and they reconceptualize the issues to strengthen the path toward implementation and accelerate innovation.
📖 Papers frequently viewed together
26 Authors (Eirini Karyotaki, ..., Pim Cuijpers)
7 Authors (Joseph Firth, ..., Jerome Sarris)
#1Annika Kuester (FU: Free University of Berlin)H-Index: 3
#2Helen Niemeyer (FU: Free University of Berlin)H-Index: 12
Last. Christine Knaevelsrud (FU: Free University of Berlin)H-Index: 33
view all 3 authors...
Posttraumatic stress disorder (PTSD) is a prevalent and highly distressing affliction, but access to trauma-focused psychotherapy is limited. Internet-based interventions (IBIs) could improve the delivery of and access to specialized mental health care. Currently, no meta-analytical evidence is available on IBIs for PTSD. We conducted a meta-analysis of 20 randomized controlled studies, including 21 comparisons, in order to summarize the current state of efficacy for the treatment of PTSD and to...
#1Simon Gilbody (Ebor: University of York)H-Index: 82
#2Elizabeth Littlewood (Ebor: University of York)H-Index: 15
Last. Debbie Tallon (UoB: University of Bristol)H-Index: 22
view all 21 authors...
Study question How effective is supported computerised cognitive behaviour therapy (cCBT) as an adjunct to usual primary care for adults with depression? Methods This was a pragmatic, multicentre, three arm, parallel randomised controlled trial with simple randomisation. Treatment allocation was not blinded. Participants were adults with symptoms of depression (score ≥10 on nine item patient health questionnaire, PHQ-9) who were randomised to receive a commercially produced cCBT programme (“Beat...
#1Cristina Botella (James I University)H-Index: 69
#2Berenice Serrano (James I University)H-Index: 5
Last. Azucena García-Palacios (James I University)H-Index: 50
view all 4 authors...
The essential feature of post-traumatic stress disorder (PTSD) is the development of characteristic symptoms following exposure to one or more traumatic events. According to evidence-based intervention guidelines and empirical evidence, one of the most extensively researched and validated treatments for PTSD is prolonged exposure to traumatic events; however, exposure therapy can present some limitations. Virtual reality (VR) can help to improve prolonged exposure because it creates fictitious, ...
#1Julia Hirschberg (Columbia University)H-Index: 75
#2Christopher D. Manning (Stanford University)H-Index: 142
Natural language processing employs computational techniques for the purpose of learning, understanding, and producing human language content. Early computational approaches to language research focused on automating the analysis of the linguistic structure of language and developing basic technologies such as machine translation, speech recognition, and speech synthesis. Today’s researchers refine and make use of such tools in real-world applications, creating spoken dialogue systems and speech...
#1Sohrab Saeb (NU: Northwestern University)H-Index: 12
#2Mi Zhang (MSU: Michigan State University)H-Index: 25
Last. David C. Mohr (NU: Northwestern University)H-Index: 93
view all 7 authors...
Background: Depression is a common, burdensome, often recurring mental health disorder that frequently goes undetected and untreated. Mobile phones are ubiquitous and have an increasingly large complement of sensors that can potentially be useful in monitoring behavioral patterns that might be indicative of depressive symptoms. Objective: The objective of this study was to explore the detection of daily-life behavioral markers using mobile phone global positioning systems (GPS) and usage sensors...
#1David C. Mohr (NU: Northwestern University)H-Index: 93
Last. Ken Cheung (Columbia University)H-Index: 20
view all 9 authors...
In recent years, there has been increasing discussion of the limitations of traditional randomized controlled trial (RCT) methodologies for the evaluation of eHealth and mHealth interventions, and in particular, the requirement that these interventions be locked down during evaluation. Locking down these interventions locks in defects and eliminates the opportunities for quality improvement and adaptation to the changing technological environment, often leading to validation of tools that are ou...
#1Nickolai TitovH-Index: 60
#2Blake F. DearH-Index: 44
Last. Olav NielssenH-Index: 42
view all 14 authors...
Objective:The main objective of this study was to report the feasibility of delivering online cognitive-behavioral therapy (iCBT) treatments for anxiety and depression in a national public mental health service.Methods:A prospective noncontrolled cohort study was conducted of all patients who began assessment or treatment at the MindSpot Clinic from January through December 2013. Clinic services were used by a representative cross-section of the Australian population. Mean age at assessment was ...
#1Stephen M. Schueller (NU: Northwestern University)H-Index: 41
#2Ricardo F. Muñoz (Palo Alto University)H-Index: 67
Last. David C. Mohr (NU: Northwestern University)H-Index: 93
view all 3 authors...
Behavioral intervention technologies (BITs) apply behavioral and psychological intervention strategies by using digital media to target behaviors, cognitions, and emotions in support of physical and mental health. BITs offer promising opportunities to expand psychological practice. However, to realize the potential of BITs, psychologists must understand both the possibilities and the limitations associated with using technology to advance psychology. We review examples of the most cutting-edge B...
#1Santosh Kumar (U of M: University of Memphis)H-Index: 89
#2Wendy Nilsen (NIH: National Institutes of Health)H-Index: 20
Last. Dallas Swendeman (UCLA: University of California, Los Angeles)H-Index: 29
view all 19 authors...
Creative use of new mobile and wearable health information and sensing technologies (mHealth) has the potential to reduce the cost of health care and improve well-being in numerous ways. These applications are being developed in a variety of domains, but rigorous research is needed to examine the potential, as well as the challenges, of utilizing mobile technologies to improve health outcomes. Currently, evidence is sparse for the efficacy of mHealth. Although these technologies may be appealing...
Background. One of the reasons for the slow and uncertain translation of research into practice is likely due to the emphasis in science on explanatory models and efficacy designs rather than more pragmatic approaches. Methods. Following a brief definition of what constitutes a pragmatic approach, I provide examples of pragmatic methods, measures, and models and how they have been applied. Results. Descriptions are provided of pragmatic trials and related designs, practical measures including pa...
Cited By118
#1John A. Naslund (Harvard University)H-Index: 27
#2Kelly A. Aschbrenner (Dartmouth College)H-Index: 25
ABSTRACT null null Background null : Digital technology holds promise for reaching young adults with serious mental illness. This study seeks to characterize technology use and explore interests in digital health interventions among young adults with serious mental illness. null null null Methods null : A survey was collected from participants age 18-35 enrolled in a lifestyle intervention trial about their technology ownership and use; technology use for mental health or other health reasons; a...
#1Emma Morton (UBC: University of British Columbia)H-Index: 8
#2Jennifer Nicholas (University of Melbourne)H-Index: 19
Last. Erin E. Michalak (UBC: University of British Columbia)H-Index: 34
view all 7 authors...
Abstract null null Background null : Smartphone apps have potential for delivering interventions and supporting self-management in bipolar disorder (BD), however clinical trials of mental health apps have high dropout rates and low sustained use in real-world contexts. To support the development of app-based interventions, we explored use of and attitudes towards apps amongst people with BD, specifically concerns about privacy and preferences for various app features. null null null Methods null...
#3Hannah A Carlon (UNM: University of New Mexico)
#1Maya M. Boustani (LLU: Loma Linda University)H-Index: 10
#2Stephanie Lunn (FIU: Florida International University)H-Index: 3
Last. Christine L. Lisetti (FIU: Florida International University)H-Index: 22
view all 4 authors...
Background null Digital health agents - embodied conversational agents designed specifically for health interventions - provide a promising alternative or supplement to behavioral health services by reducing barriers to access to care. null Objective null Our goals were to (1) develop an expressive, speech-enabled digital health agent operating in a 3-dimensional virtual environment to deliver a brief behavioral health intervention over the internet to reduce alcohol use and to (2) understand it...
#1Valerie Silfee (U.S. Steel)
#2Kelly WilliamsH-Index: 2
Last. Catherine Serio (U.S. Steel)
view all 7 authors...
BACKGROUND Despite the growing evidence indicating the efficacy of digital interventions for behavioral health treatment, broad and consistent use of such interventions has been limited by knowledge obtained in real-world settings, including factors that impact provider uptake/referral. Engaging providers early in the implementation process offers an opportunity to explore their needs and behaviors, integrate interventions into workflows, and better understand provider setting capabilities. OBJE...
#1Robyn Gallagher (USYD: University of Sydney)H-Index: 30
#2Ling Zhang (USYD: University of Sydney)H-Index: 4
Mobile health technologies are increasingly used by cardiovascular nurses and allied health clinicians to support behaviour change and self-care in patients. Randomized controlled trials provide rigorous methodology for evaluation but progress slowly, so the technology is often outdated by completion. A helpful modification to the trial design includes identification of the behaviour intervention principles involved and concurrently track in-app usage data, allowing updates to be made. These dat...
#1Felicia Mata-Greve (UW: University of Washington)H-Index: 1
#2Morgan Johnson (UW: University of Washington)H-Index: 1
Last. Patricia A. Areán (UW: University of Washington)H-Index: 64
view all 7 authors...
BACKGROUND COVID-19 has created serious mental health consequences for people who are designated as essential workers or have become unemployed as a result of the pandemic. Digital mental health tools have the potential to address this problem in a timely and efficient manner. OBJECTIVE The purpose of this study was to document the extent of digital mental health tool use (DMHT) by essential workers and those unemployed due to COVID-19, including asking participants to rate the usability and use...
#2Eliane M. BoucherH-Index: 6
Last. Acacia C. ParksH-Index: 18
view all 8 authors...
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.