Pub Date : 2025-04-19DOI: 10.1016/j.invent.2025.100830
Sara Winter , Sara Crocker , Tricia Rolls , Deanne Curtin , Jessica Haratsis , Irene Szollosi
In order to ensure access to insomnia treatment in our public health environment of increasing patient acuity, increasing demand and health care costs, we need to innovate and implement systematised models of care to achieve better outcomes and efficiencies.
The design of a new Stepped Care treatment model in the multidisciplinary sleep disorders service with consumer and stakeholder engagement is described. Patients, their referrers and staff were surveyed to explore their views and preferences towards Stepped Care, including digital transformation. A consensus group workshop using the Nominal Group Technique was undertaken with the multidisciplinary team to develop the model of care.
The team endorsed a hierarchy of treatment steps beginning with digital intervention, group and trainee interventions as first line, escalating to more intensive 1:1 ‘upstream’ for higher acuity presentations. Referrer surveys highlighted the need for education in primary care settings about the availability of evidence-based internet treatment options. While few patients were aware of the availability of digital insomnia intervention, they were largely supportive of digital transformation. Barriers and risks to the Stepped Care approach were identified which informed the refinement of the treatment pathway.
Stepped Care treatment models offer adaptability and flexibility, allowing for adjustments in interventions based on patients' response to treatment, and preventing unnecessary escalation of care while reducing costs and improving efficiencies.
{"title":"Stepped care and digital intervention service model design in the multidisciplinary sleep service","authors":"Sara Winter , Sara Crocker , Tricia Rolls , Deanne Curtin , Jessica Haratsis , Irene Szollosi","doi":"10.1016/j.invent.2025.100830","DOIUrl":"10.1016/j.invent.2025.100830","url":null,"abstract":"<div><div>In order to ensure access to insomnia treatment in our public health environment of increasing patient acuity, increasing demand and health care costs, we need to innovate and implement systematised models of care to achieve better outcomes and efficiencies.</div><div>The design of a new Stepped Care treatment model in the multidisciplinary sleep disorders service with consumer and stakeholder engagement is described. Patients, their referrers and staff were surveyed to explore their views and preferences towards Stepped Care, including digital transformation. A consensus group workshop using the Nominal Group Technique was undertaken with the multidisciplinary team to develop the model of care.</div><div>The team endorsed a hierarchy of treatment steps beginning with digital intervention, group and trainee interventions as first line, escalating to more intensive 1:1 ‘upstream’ for higher acuity presentations. Referrer surveys highlighted the need for education in primary care settings about the availability of evidence-based internet treatment options. While few patients were aware of the availability of digital insomnia intervention, they were largely supportive of digital transformation. Barriers and risks to the Stepped Care approach were identified which informed the refinement of the treatment pathway.</div><div>Stepped Care treatment models offer adaptability and flexibility, allowing for adjustments in interventions based on patients' response to treatment, and preventing unnecessary escalation of care while reducing costs and improving efficiencies.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100830"},"PeriodicalIF":3.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888140","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}
Pub Date : 2025-04-09DOI: 10.1016/j.invent.2025.100828
Kirsten Zantvoort , Jennifer J. Matthiesen , Pontus Bjurner , Marie Bendix , Ulf Brefeld , Burkhardt Funk , Viktor Kaldo
With the impetus of Digital Mental Health Interventions (DMHIs), complex data can be leveraged to improve and personalize mental health care. However, most approaches rely on a very limited number of often costly features. Computer mouse trajectories can be unobtrusively and cost-efficiently gathered and seamlessly integrated into current baseline processes. Empirical evidence suggests that mouse movements hold information on user motivation and attention, both valuable aspects otherwise difficult to measure at scale. Further, mouse trajectories can already be collected on pre-treatment questionnaires, making them a promising candidate for early predictions informing treatment allocation. Therefore, this paper discusses how to collect and process mouse trajectory data on questionnaires in DMHIs. Covering different complexity levels, we combine hand-crafted features with non-sequential machine learning models, as well as spatiotemporal raw mouse data with state-of-the-art sequential neural networks. The data processing pipeline for the latter includes task-specific pre-processing to convert the variable length trajectories into a single prediction per user. As a feasibility study, we collected mouse trajectory data from 183 patients filling out a pre-intervention depression questionnaire. While the hand-crafted features slightly improve baseline predictions, the spatiotemporal models underperform. However, considering our small data set size, we propose more research to investigate the potential value of this novel and promising data type and provide the necessary steps and open-source code to do so.
{"title":"The promise and challenges of computer mouse trajectories in DMHIs – A feasibility study on pre-treatment dropout predictions","authors":"Kirsten Zantvoort , Jennifer J. Matthiesen , Pontus Bjurner , Marie Bendix , Ulf Brefeld , Burkhardt Funk , Viktor Kaldo","doi":"10.1016/j.invent.2025.100828","DOIUrl":"10.1016/j.invent.2025.100828","url":null,"abstract":"<div><div>With the impetus of Digital Mental Health Interventions (DMHIs), complex data can be leveraged to improve and personalize mental health care. However, most approaches rely on a very limited number of often costly features. Computer mouse trajectories can be unobtrusively and cost-efficiently gathered and seamlessly integrated into current baseline processes. Empirical evidence suggests that mouse movements hold information on user motivation and attention, both valuable aspects otherwise difficult to measure at scale. Further, mouse trajectories can already be collected on pre-treatment questionnaires, making them a promising candidate for early predictions informing treatment allocation. Therefore, this paper discusses how to collect and process mouse trajectory data on questionnaires in DMHIs. Covering different complexity levels, we combine hand-crafted features with non-sequential machine learning models, as well as spatiotemporal raw mouse data with state-of-the-art sequential neural networks. The data processing pipeline for the latter includes task-specific pre-processing to convert the variable length trajectories into a single prediction per user. As a feasibility study, we collected mouse trajectory data from 183 patients filling out a pre-intervention depression questionnaire. While the hand-crafted features slightly improve baseline predictions, the spatiotemporal models underperform. However, considering our small data set size, we propose more research to investigate the potential value of this novel and promising data type and provide the necessary steps and open-source code to do so.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100828"},"PeriodicalIF":3.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821312","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}
Pub Date : 2025-04-09DOI: 10.1016/j.invent.2025.100829
Dror Ben-Zeev , Joel Agorinya , Alexa Beaulieu , Emmanuel Quame Sottie , Anna Larsen , Dzifa Abra Attah , Michele Bedard-Gilligan , Sammy Ohene , Pamela Y. Collins , Kristen P. Lindgren , Angela Ofori-Atta , Debra Kaysen , Kwadwo Obeng
Sexual violence against vulnerable populations is common worldwide. Many survivors of sexual assault experience long-term mental health difficulties. This study evaluated sexual violence exposure among women with mental illness in Ghana and examined their readiness to engage in mobile health interventions. We surveyed 200 women receiving inpatient or outpatient treatment at a large psychiatric hospital. Survey results indicated that 41.0 % reported having experienced sexual violence in the past. Over two-thirds of respondents had a high probability of PTSD (68.4 %) and these proportions were higher among those who experienced sexual violence (77.5 %). The majority were interested in mobile health resources that could provide them with support (73.2 %). Respondents' top topics of interest were information about managing stress and improving mood. The skill they were most interested in was relaxation. Video and audio content were rated as preferred intervention modalities. Most of the sample reported owning a mobile phone (86.4 %), with most being smartphones (76.1 %). Almost all respondents reported having access to electricity (99.5 %), a majority had a data plan (86.2 %), and all reported daily mobile phone use (100.0 %). Our findings suggest that there are significant unmet mental health needs among female survivors of sexual violence who are already receiving care in Ghana; most female survivors of sexual assault are open to using mobile health interventions; and most women with mental illness have access to the resources necessary for deployment of mobile interventions in their communities. Smartphone applications that leverage video and audio content may be particularly suitable for this context.
{"title":"Sexual trauma and interest in mobile health among women with mental illness in Ghana","authors":"Dror Ben-Zeev , Joel Agorinya , Alexa Beaulieu , Emmanuel Quame Sottie , Anna Larsen , Dzifa Abra Attah , Michele Bedard-Gilligan , Sammy Ohene , Pamela Y. Collins , Kristen P. Lindgren , Angela Ofori-Atta , Debra Kaysen , Kwadwo Obeng","doi":"10.1016/j.invent.2025.100829","DOIUrl":"10.1016/j.invent.2025.100829","url":null,"abstract":"<div><div>Sexual violence against vulnerable populations is common worldwide. Many survivors of sexual assault experience long-term mental health difficulties. This study evaluated sexual violence exposure among women with mental illness in Ghana and examined their readiness to engage in mobile health interventions. We surveyed 200 women receiving inpatient or outpatient treatment at a large psychiatric hospital. Survey results indicated that 41.0 % reported having experienced sexual violence in the past. Over two-thirds of respondents had a high probability of PTSD (68.4 %) and these proportions were higher among those who experienced sexual violence (77.5 %). The majority were interested in mobile health resources that could provide them with support (73.2 %). Respondents' top topics of interest were information about managing stress and improving mood. The skill they were most interested in was relaxation. Video and audio content were rated as preferred intervention modalities. Most of the sample reported owning a mobile phone (86.4 %), with most being smartphones (76.1 %). Almost all respondents reported having access to electricity (99.5 %), a majority had a data plan (86.2 %), and all reported daily mobile phone use (100.0 %). Our findings suggest that there are significant unmet mental health needs among female survivors of sexual violence who are already receiving care in Ghana; most female survivors of sexual assault are open to using mobile health interventions; and most women with mental illness have access to the resources necessary for deployment of mobile interventions in their communities. Smartphone applications that leverage video and audio content may be particularly suitable for this context.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100829"},"PeriodicalIF":3.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814793","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}
Pub Date : 2025-04-08DOI: 10.1016/j.invent.2025.100827
Stefanie Bartha, Silke Schmidt, Samuel Tomczyk
The Best Possible Self intervention (BPS) has demonstrated efficacy in promoting well-being in various populations, yet its impact in adolescence is under-researched. Our study investigated the feasibility and efficacy of the BPS in early adolescence (11–15 years) to promote positive affect and reduce negative affect. We conducted a randomized controlled online trial (N = 200, Mage = 14.01 years, SD = 1.19, 78.5 % female). Participants were assigned to the BPS group (n = 59), a writing control group (n = 68), or a non-writing control group (n = 73). Affect (PANAS-C-SF) was measured immediately before and after the intervention. The BPS demonstrated feasibility in our sample and significantly increased positive affect post-intervention compared to both control groups, suggesting a mood-boosting effect. The BPS did not significantly reduce negative affect post-intervention relative to the control groups. Our findings provide initial evidence that the BPS is a feasible and effective intervention for enhancing positive affect in early adolescence. Future research should explore its long-term effects, repeated administration, and potential for implementation in group settings to maximize its impact.
{"title":"Impact of the best possible self intervention on affective well-being in early adolescence: A randomized controlled online trial","authors":"Stefanie Bartha, Silke Schmidt, Samuel Tomczyk","doi":"10.1016/j.invent.2025.100827","DOIUrl":"10.1016/j.invent.2025.100827","url":null,"abstract":"<div><div>The Best Possible Self intervention (BPS) has demonstrated efficacy in promoting well-being in various populations, yet its impact in adolescence is under-researched. Our study investigated the feasibility and efficacy of the BPS in early adolescence (11–15 years) to promote positive affect and reduce negative affect. We conducted a randomized controlled online trial (<em>N</em> = 200, <em>M</em><sub><em>age</em></sub> = 14.01 years, <em>SD</em> = 1.19, 78.5 % female). Participants were assigned to the BPS group (<em>n</em> = 59), a writing control group (<em>n</em> = 68), or a non-writing control group (<em>n</em> = 73). Affect (PANAS-C-SF) was measured immediately before and after the intervention. The BPS demonstrated feasibility in our sample and significantly increased positive affect post-intervention compared to both control groups, suggesting a mood-boosting effect. The BPS did not significantly reduce negative affect post-intervention relative to the control groups. Our findings provide initial evidence that the BPS is a feasible and effective intervention for enhancing positive affect in early adolescence. Future research should explore its long-term effects, repeated administration, and potential for implementation in group settings to maximize its impact.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100827"},"PeriodicalIF":3.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821313","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}
Pub Date : 2025-04-05DOI: 10.1016/j.invent.2025.100821
Solveig Behr , Laura Martinez Garcia , Julia Lucas , Esther Kohlhase , Marie Puetz , Johanna Boettcher , Carmen Schaeuffele , Christine Knaevelsrud
Introduction
Internet-based interventions (IBI) increase access to evidence-based treatments for mental disorders, but knowledge of their mechanisms of change is limited. Self-efficacy, a key factor in psychotherapy, is especially relevant in IBI due to its self-help focus. We investigated self-efficacy and related constructs as outcomes, predictors/moderators, and mediators in randomized controlled trials.
Methods
A systematic search was conducted across PsycINFO, PubMed, CINAHL, and Web of Science. Two reviewers selected studies, extracted data, and assessed bias. Effects were quantified using random effect models and supplemented by narrative syntheses and box score visualizations.
Results
70 studies (N = 17,407 participants) were included. IBI showed moderate effects on self-efficacy in within (d = 0.47) and between (d = 0.46) comparisons, with guided interventions having the largest effect (d = 0.66). Findings on self-efficacy as a predictor/moderator were mixed, though some studies suggested individuals with lower self-efficacy benefit more. Self-efficacy emerged as a mediator through which IBI affected treatment outcomes.
Conclusion
Self-efficacy appears influential in IBI efficacy and may itself be a valuable treatment target. However, mixed results and methodological limitations in mediator studies highlight the need for further research, particularly on long-term effects.
导言基于互联网的干预（IBI）增加了精神障碍循证治疗的可及性，但对其改变机制的了解却很有限。自我效能感是心理治疗中的一个关键因素，由于其自助性，它与 IBI 尤为相关。我们调查了随机对照试验中作为结果、预测因子/调节因子和中介因子的自我效能和相关构建。两名审稿人选择研究、提取数据并评估偏倚。采用随机效应模型对效果进行量化，并辅以叙述性综述和盒式评分可视化。结果共纳入 70 项研究（N = 17,407 名参与者）。在内部（d = 0.47）和之间（d = 0.46）比较中，综合干预对自我效能感的影响适中，其中引导式干预的影响最大（d = 0.66）。关于自我效能感作为预测因素/调节因素的研究结果不一，但一些研究表明，自我效能感较低的人受益更多。结论：自我效能感似乎对 IBI 的疗效有影响，其本身也可能是一个有价值的治疗目标。然而，中介研究的结果参差不齐且存在方法上的局限性，这凸显了进一步研究的必要性，尤其是对长期效果的研究。
{"title":"The role of self-efficacy in internet-based interventions for mental health: A systematic review and meta-analysis","authors":"Solveig Behr , Laura Martinez Garcia , Julia Lucas , Esther Kohlhase , Marie Puetz , Johanna Boettcher , Carmen Schaeuffele , Christine Knaevelsrud","doi":"10.1016/j.invent.2025.100821","DOIUrl":"10.1016/j.invent.2025.100821","url":null,"abstract":"<div><h3>Introduction</h3><div>Internet-based interventions (IBI) increase access to evidence-based treatments for mental disorders, but knowledge of their mechanisms of change is limited. Self-efficacy, a key factor in psychotherapy, is especially relevant in IBI due to its self-help focus. We investigated self-efficacy and related constructs as outcomes, predictors/moderators, and mediators in randomized controlled trials.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across PsycINFO, PubMed, CINAHL, and Web of Science. Two reviewers selected studies, extracted data, and assessed bias. Effects were quantified using random effect models and supplemented by narrative syntheses and box score visualizations.</div></div><div><h3>Results</h3><div>70 studies (<em>N</em> = 17,407 participants) were included. IBI showed moderate effects on self-efficacy in within (d = 0.47) and between (d = 0.46) comparisons, with guided interventions having the largest effect (d = 0.66). Findings on self-efficacy as a predictor/moderator were mixed, though some studies suggested individuals with lower self-efficacy benefit more. Self-efficacy emerged as a mediator through which IBI affected treatment outcomes.</div></div><div><h3>Conclusion</h3><div>Self-efficacy appears influential in IBI efficacy and may itself be a valuable treatment target. However, mixed results and methodological limitations in mediator studies highlight the need for further research, particularly on long-term effects.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100821"},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776554","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}
Pub Date : 2025-04-05DOI: 10.1016/j.invent.2025.100826
Anna Julià , Irene Jaén , Azucena García-Palacios , Juan Carlos Pascual , Anna Sintes , Anaís Lara , Iria Méndez , Soledad Romero , Joaquim Puntí , Joaquim Soler , Marta Banqué , Marina López-Solà , Jordi Solé-Casals , Daniel Vega
Introduction
Ecological momentary interventions (EMIs) delivered via smartphone apps have gained attention as a potential tool for addressing self-injurious thoughts and behaviors (SITB), particularly non-suicidal self-injury (NSSI). This systematic review aims to assess the efficacy and feasibility of smartphone-based EMIs in reducing SITB and improving mental health outcomes.
Methods
A systematic review was conducted, focusing on smartphone-based EMIs targeting SITB, with particular emphasis on those addressing NSSI. The latest search was made in February 2025.
Results
Sixteen studies featuring smartphone-based EMIs were included. Overall, these studies showed promising evidence for the reduction of SITB. Specifically, several studies reported reductions in NSSI frequency and improvements in emotional regulation among participants. Feasibility and acceptability data showed good results.
Limitations
Key limitations include small sample sizes, study heterogeneity, lack of follow-up, reliance on self-reports, and absence of standardized tools to distinguish NSSI from other self-injurious behaviors.
Conclusions
Results are promising, while the efficacy of smartphone-based EMIs SITB requires further validation through large-scale and well-designed studies. The integration of digital interventions into broader mental health care strategies offers a potential avenue for addressing the treatment gap in at-risk populations, particularly those with limited access to traditional care.
{"title":"Delivering real-time support for self-injury: A systematic review on ecological momentary interventions","authors":"Anna Julià , Irene Jaén , Azucena García-Palacios , Juan Carlos Pascual , Anna Sintes , Anaís Lara , Iria Méndez , Soledad Romero , Joaquim Puntí , Joaquim Soler , Marta Banqué , Marina López-Solà , Jordi Solé-Casals , Daniel Vega","doi":"10.1016/j.invent.2025.100826","DOIUrl":"10.1016/j.invent.2025.100826","url":null,"abstract":"<div><h3>Introduction</h3><div>Ecological momentary interventions (EMIs) delivered via smartphone apps have gained attention as a potential tool for addressing self-injurious thoughts and behaviors (SITB), particularly non-suicidal self-injury (NSSI). This systematic review aims to assess the efficacy and feasibility of smartphone-based EMIs in reducing SITB and improving mental health outcomes.</div></div><div><h3>Methods</h3><div>A systematic review was conducted, focusing on smartphone-based EMIs targeting SITB, with particular emphasis on those addressing NSSI. The latest search was made in February 2025.</div></div><div><h3>Results</h3><div>Sixteen studies featuring smartphone-based EMIs were included. Overall, these studies showed promising evidence for the reduction of SITB. Specifically, several studies reported reductions in NSSI frequency and improvements in emotional regulation among participants. Feasibility and acceptability data showed good results.</div></div><div><h3>Limitations</h3><div>Key limitations include small sample sizes, study heterogeneity, lack of follow-up, reliance on self-reports, and absence of standardized tools to distinguish NSSI from other self-injurious behaviors.</div></div><div><h3>Conclusions</h3><div>Results are promising, while the efficacy of smartphone-based EMIs SITB requires further validation through large-scale and well-designed studies. The integration of digital interventions into broader mental health care strategies offers a potential avenue for addressing the treatment gap in at-risk populations, particularly those with limited access to traditional care.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100826"},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869407","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}
Pub Date : 2025-04-04DOI: 10.1016/j.invent.2025.100825
Hiten Naik , Kyla Pongratz , Michelle Malbeuf , Sonya Kung , Lori Last , Asuka Sugiyama , Esther Khor , Marlee McGuire , Adeera Levin , Karen C. Tran
Background
Long COVID is a relatively new condition for which patients are asked to employ self-management strategies to manage their symptoms. However, it can be challenging for individuals with long COVID to find reliable and actionable self-management resources. The objective of this project was to develop an online tool for individuals with long COVID that is patient-centered, accessible, and customizable to meet individual needs.
Methods
MyGuide Long COVID (www.longCOVIDguide.ca) was developed in British Columbia (BC), Canada, by a team that included long COVID clinicians and patient partners. Site visitors answer questions about their symptoms, and MyGuide generates a curated set of self-management resources tailored to their needs. Since its launch in August 2023, Google Analytics has been used to monitor website activity.
Results
Within the first year, MyGuide had 52,578 total page views and 8570 new users. The most popular method to access MyGuide was by computer (56.3 % of users), and the most represented city was Vancouver, BC (23.5 % of users). The most popular topics were “Post Exertional Malaise” (1339 sessions) and “What is long COVID?” (1257 sessions).
Conclusions
An online tool to support chronic disease self-management can be successfully co-developed with patient partners and engagement tracked using web analytics.
背景长COVID是一种相对较新的疾病，要求患者采用自我管理策略来控制症状。然而，对于长期感染COVID的个人来说，找到可靠和可操作的自我管理资源可能具有挑战性。该项目的目标是为患有长COVID的个人开发一个以患者为中心、可访问和可定制的在线工具，以满足个人需求。方法smyguide Long COVID （www.longCOVIDguide.ca）在加拿大不列颠哥伦比亚省（BC）由一个包括Long COVID临床医生和患者合作伙伴在内的团队开发。网站访问者回答有关他们症状的问题，MyGuide会根据他们的需要生成一套精心策划的自我管理资源。自2023年8月推出以来，谷歌Analytics已被用于监控网站活动。结果在第一年，我的指南有52578个总页面浏览量和8570个新用户。访问MyGuide最流行的方式是通过电脑（56.3%的用户），最具代表性的城市是BC省温哥华（23.5%的用户）。最受欢迎的话题是“劳累后不适”（1339次）和“什么是长COVID?”（1257次）。结论支持慢性疾病自我管理的在线工具可以成功地与患者合作伙伴共同开发，并使用web分析跟踪参与情况。
{"title":"MyGuide long COVID: An online self-management tool for people with long COVID","authors":"Hiten Naik , Kyla Pongratz , Michelle Malbeuf , Sonya Kung , Lori Last , Asuka Sugiyama , Esther Khor , Marlee McGuire , Adeera Levin , Karen C. Tran","doi":"10.1016/j.invent.2025.100825","DOIUrl":"10.1016/j.invent.2025.100825","url":null,"abstract":"<div><h3>Background</h3><div>Long COVID is a relatively new condition for which patients are asked to employ self-management strategies to manage their symptoms. However, it can be challenging for individuals with long COVID to find reliable and actionable self-management resources. The objective of this project was to develop an online tool for individuals with long COVID that is patient-centered, accessible, and customizable to meet individual needs.</div></div><div><h3>Methods</h3><div><em>MyGuide Long COVID</em> (<span><span>www.longCOVIDguide.ca</span><svg><path></path></svg></span>) was developed in British Columbia (BC), Canada, by a team that included long COVID clinicians and patient partners. Site visitors answer questions about their symptoms, and <em>MyGuide</em> generates a curated set of self-management resources tailored to their needs. Since its launch in August 2023, Google Analytics has been used to monitor website activity.</div></div><div><h3>Results</h3><div>Within the first year, MyGuide had 52,578 total page views and 8570 new users. The most popular method to access <em>MyGuide</em> was by computer (56.3 % of users), and the most represented city was Vancouver, BC (23.5 % of users). The most popular topics were “Post Exertional Malaise” (1339 sessions) and “What is long COVID?” (1257 sessions).</div></div><div><h3>Conclusions</h3><div>An online tool to support chronic disease self-management can be successfully co-developed with patient partners and engagement tracked using web analytics.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100825"},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799973","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}
Pub Date : 2025-04-02DOI: 10.1016/j.invent.2025.100824
Johanna Löchner , Per Carlbring , Björn Schuller , John Torous , Lasse Bosse Sander
As e-health offerings rapidly expand, they are transforming and challenging traditional mental health care systems globally, presenting both promising opportunities and significant risks. This article critically examines the potential and pitfalls of integrating digital technologies into mental health care, particularly in the realms of diagnosis, prevention, and treatment. It explores current advancements and evidence-based practices, and provides a vision for how future technologies can evolve responsibly to meet mental health needs. The article concludes with the TEQUILA framework, addressing essential elements and challenges for fostering a beneficial and ethical future. A responsible future for digital mental health requires building Trust by ensuring data privacy, security, and transparency in AI-driven decisions, along with Evidence-based and robust regulatory oversight to maintain Quality. Usability, design, usability tailored to diverse needs, and ethical alignment with users' Interests will all be essential, while Liability and Accreditation standards will safeguard accountability in this evolving landscape.
{"title":"Digital interventions in mental health: An overview and future perspectives","authors":"Johanna Löchner , Per Carlbring , Björn Schuller , John Torous , Lasse Bosse Sander","doi":"10.1016/j.invent.2025.100824","DOIUrl":"10.1016/j.invent.2025.100824","url":null,"abstract":"<div><div>As e-health offerings rapidly expand, they are transforming and challenging traditional mental health care systems globally, presenting both promising opportunities and significant risks. This article critically examines the potential and pitfalls of integrating digital technologies into mental health care, particularly in the realms of diagnosis, prevention, and treatment. It explores current advancements and evidence-based practices, and provides a vision for how future technologies can evolve responsibly to meet mental health needs. The article concludes with the TEQUILA framework, addressing essential elements and challenges for fostering a beneficial and ethical future. A responsible future for digital mental health requires building <em>Trust</em> by ensuring data privacy, security, and transparency in AI-driven decisions, along with <em>Evidence-based</em> and robust regulatory oversight to maintain <em>Quality</em>. <em>Usability</em>, design, usability tailored to diverse needs, and ethical alignment with users' <em>Interests</em> will all be essential, while <em>Liability</em> and <em>Accreditation</em> standards will safeguard accountability in this evolving landscape.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100824"},"PeriodicalIF":3.6,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851527","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}
Pub Date : 2025-03-29DOI: 10.1016/j.invent.2025.100822
Juan He , Yidong Shen , Zengyu Chen , Yusheng Tian , Yanting Hou , Yamin Li , Jianjun Ou
Background
Adolescents hospitalised for non-suicidal self-injury (NSSI) represent a particularly severe subset within psychiatric care. The NSSI imposes significant challenges on parents, including lack of knowledge, ineffective coping strategies, and negative emotions, exacerbated by stigma. Parental empowerment is crucial for supporting adolescent recovery; however, current interventions often neglect parents. Single-session interventions (SSIs) may offer an accessible and promising approach to address this gap.
Methods
This mixed-methods study assessed the short-term effects of project CSH-P: a mobile-based, self-guided SSI aimed at empowering parents of adolescents hospitalised for NSSI. 88 participants were randomly assigned to CSH-P (n = 46) or control group (n = 42). Online assessments measuring knowledge, attitudes, and stigma were administered at baseline, immediately post-intervention, and one week later. Additionally, semi-structured individual interviews were conducted with participants who received CSH-P post-intervention.
Results
Compared to the control group, participants who received CSH-P showed significant improvements in NSSI-related knowledge (Cohen’s d = .42, p = .027) and more positive attitudes toward their adolescents (Cohen’s d = - .31, p = .047). Qualitative findings confirmed these results, with parents reporting highly positive engagement and perceived empowerment across cognitive, emotional, and behavioural dimensions. Furthermore, parents provided constructive feedback for further enhancing the intervention’s impact.
Conclusions
Project CSH-P demonstrates the potential to enhance parental empowerment in managing adolescent self-injurious behaviours. Its brevity, low cost, and ease of dissemination make it a promising strategy for widely applicable prevention and treatment efforts. Future research should explore the long-term sustainability of these improvements and assess the broader impact on parenting practices and adolescent treatment outcomes.
背景：因非自杀性自伤（NSSI）住院的青少年在精神科护理中是一个特别严重的子集。自伤给父母带来了巨大的挑战，包括缺乏知识、无效的应对策略和负面情绪，这些都因耻辱而加剧。父母赋权对于支持青少年康复至关重要；然而，目前的干预措施往往忽视了父母。单次会议干预（ssi）可能为解决这一差距提供了一种容易获得和有希望的方法。这项混合方法研究评估了CSH-P项目的短期效果：一个基于移动的、自我指导的自伤项目，旨在增强因自伤住院的青少年的父母的能力。88名参与者随机分为CSH-P组（n = 46）和对照组（n = 42）。测量知识、态度和污名的在线评估分别在基线、干预后立即和一周后进行。此外，对干预后接受CSH-P的参与者进行了半结构化的个人访谈。结果与对照组相比，接受CSH-P的参与者在自伤相关知识方面有显著改善（Cohen’s d = 0.42, p = 0.027），对青少年的态度更积极（Cohen’s d = - 0.31, p = 0.047）。定性研究结果证实了这些结果，父母报告了在认知、情感和行为方面高度积极的参与和感知赋权。此外，家长提供了建设性的反馈意见，以进一步提高干预的效果。结论CSH-P项目展示了在管理青少年自伤行为方面增强父母赋权的潜力。它的简洁性、低成本和易于传播使其成为广泛适用的预防和治疗工作的有希望的策略。未来的研究应该探索这些改善的长期可持续性，并评估对育儿实践和青少年治疗结果的更广泛影响。
{"title":"A mobile-based, single-session intervention to empower parents of adolescents hospitalised for non-suicidal self-injury: A mixed-methods randomised controlled trial","authors":"Juan He , Yidong Shen , Zengyu Chen , Yusheng Tian , Yanting Hou , Yamin Li , Jianjun Ou","doi":"10.1016/j.invent.2025.100822","DOIUrl":"10.1016/j.invent.2025.100822","url":null,"abstract":"<div><h3>Background</h3><div>Adolescents hospitalised for non-suicidal self-injury (NSSI) represent a particularly severe subset within psychiatric care. The NSSI imposes significant challenges on parents, including lack of knowledge, ineffective coping strategies, and negative emotions, exacerbated by stigma. Parental empowerment is crucial for supporting adolescent recovery; however, current interventions often neglect parents. Single-session interventions (SSIs) may offer an accessible and promising approach to address this gap.</div></div><div><h3>Methods</h3><div>This mixed-methods study assessed the short-term effects of project CSH-P: a mobile-based, self-guided SSI aimed at empowering parents of adolescents hospitalised for NSSI. 88 participants were randomly assigned to CSH-P (n = 46) or control group (n = 42). Online assessments measuring knowledge, attitudes, and stigma were administered at baseline, immediately post-intervention, and one week later. Additionally, semi-structured individual interviews were conducted with participants who received CSH-P post-intervention.</div></div><div><h3>Results</h3><div>Compared to the control group, participants who received CSH-P showed significant improvements in NSSI-related knowledge (Cohen’s d = .42, p = .027) and more positive attitudes toward their adolescents (Cohen’s d = - .31, p = .047). Qualitative findings confirmed these results, with parents reporting highly positive engagement and perceived empowerment across cognitive, emotional, and behavioural dimensions. Furthermore, parents provided constructive feedback for further enhancing the intervention’s impact.</div></div><div><h3>Conclusions</h3><div>Project CSH-P demonstrates the potential to enhance parental empowerment in managing adolescent self-injurious behaviours. Its brevity, low cost, and ease of dissemination make it a promising strategy for widely applicable prevention and treatment efforts. Future research should explore the long-term sustainability of these improvements and assess the broader impact on parenting practices and adolescent treatment outcomes.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100822"},"PeriodicalIF":3.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725698","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}
Pub Date : 2025-03-28DOI: 10.1016/j.invent.2025.100823
Noelia Jiménez-Orenga , Amanda Díaz-García , Rosa Lorente-Català , Alberto González-Robles , Macarena Paredes-Mealla , Azucena García-Palacios , Juana Bretón-López
Introduction
The transdiagnostic approach and Internet-based administration can help to implement evidence-based treatments for emotional disorders (ED). However, not all patients benefit from online format and dropout rates are high. Blended format combines the strengths of face-to-face and Internet self-applied interventions to help overcome these barriers. Group format can also help to overcome these difficulties and improve the cost-effectiveness binomial. This study aimed to analyze the feasibility, acceptability, and preliminary efficacy of a blended transdiagnostic group CBT for ED.
Methods
A single-group, open-trial design with three measurement points: pre-treatment, post-treatment and 3-month follow-up. A total of 34 adults (mean age = 32.21 years; 79.4 % female) from a community sample with at least one ED diagnosis according to DSM-5-TR criteria participated in the study. The intervention combined 8 group sessions delivered via videoconference with the completion of 16 online modules in a web-platform.
Results
Of the total participants, 67.6 % completed the treatment and another 14.7 % completed at least half of the modules and attended at least half of the group sessions. The expectations and satisfaction with the treatment were high (47.39 and 49.39 out of 60, respectively). The system usability was above desirable and around ‘excellent’ (84.02 out of 100 after the first use of the platform and 80.98 out of 100 at post-treatment). Opinions on the online modules and videoconference sessions were good. Participants completed an average of 12.91 online modules out of 16 and attended an average of 5.44 sessions out of 8. There was a significant reduction in anxious and depressive symptomatology at post-treatment and follow-up compared to baseline. There was also a significant change in other secondary clinical measures.
Conclusions
A transdiagnostic protocol applied in blended and group formats seems to be feasible, acceptable and preliminary effective in addressing ED. However, more research is needed to test the efficacy of this innovative format.
{"title":"Feasibility, acceptability, and preliminary efficacy of a blended transdiagnostic group CBT for the treatment of emotional disorders","authors":"Noelia Jiménez-Orenga , Amanda Díaz-García , Rosa Lorente-Català , Alberto González-Robles , Macarena Paredes-Mealla , Azucena García-Palacios , Juana Bretón-López","doi":"10.1016/j.invent.2025.100823","DOIUrl":"10.1016/j.invent.2025.100823","url":null,"abstract":"<div><h3>Introduction</h3><div>The transdiagnostic approach and Internet-based administration can help to implement evidence-based treatments for emotional disorders (ED). However, not all patients benefit from online format and dropout rates are high. Blended format combines the strengths of face-to-face and Internet self-applied interventions to help overcome these barriers. Group format can also help to overcome these difficulties and improve the cost-effectiveness binomial. This study aimed to analyze the feasibility, acceptability, and preliminary efficacy of a blended transdiagnostic group CBT for ED.</div></div><div><h3>Methods</h3><div>A single-group, open-trial design with three measurement points: pre-treatment, post-treatment and 3-month follow-up. A total of 34 adults (mean age = 32.21 years; 79.4 % female) from a community sample with at least one ED diagnosis according to DSM-5-TR criteria participated in the study. The intervention combined 8 group sessions delivered via videoconference with the completion of 16 online modules in a web-platform.</div></div><div><h3>Results</h3><div>Of the total participants, 67.6 % completed the treatment and another 14.7 % completed at least half of the modules and attended at least half of the group sessions. The expectations and satisfaction with the treatment were high (47.39 and 49.39 out of 60, respectively). The system usability was above desirable and around ‘excellent’ (84.02 out of 100 after the first use of the platform and 80.98 out of 100 at post-treatment). Opinions on the online modules and videoconference sessions were good. Participants completed an average of 12.91 online modules out of 16 and attended an average of 5.44 sessions out of 8. There was a significant reduction in anxious and depressive symptomatology at post-treatment and follow-up compared to baseline. There was also a significant change in other secondary clinical measures.</div></div><div><h3>Conclusions</h3><div>A transdiagnostic protocol applied in blended and group formats seems to be feasible, acceptable and preliminary effective in addressing ED. However, more research is needed to test the efficacy of this innovative format.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"40 ","pages":"Article 100823"},"PeriodicalIF":3.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747821","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}
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