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Background There is a high prevalence of children and young people (CYP) experiencing mental health (MH) problems. Owing to accessibility, affordability, and scalability, an increasing number of digital health interventions (DHIs) have been developed and incorporated into MH treatment. Studies have shown the potential of DHIs to improve MH outcomes. However, the modes of delivery used to engage CYP in digital MH interventions may differ, with implications for the extent to which findings pertain to the level of engagement with the DHI. Knowledge of the various modalities could aid in the development of interventions that are acceptable and feasible. Objective This review aimed to (1) identify modes of delivery used in CYP digital MH interventions, (2) explore influencing factors to usage and implementation, and (3) investigate ways in which the interventions have been evaluated and whether CYP engage in DHIs. Methods A literature search was performed in the Cochrane Library, Excerpta Medica dataBASE (EMBASE), Medical Literature Analysis and Retrieval System Online (MEDLINE), and PsycINFO databases using 3 key concepts “child and adolescent mental health,” “digital intervention,” and “engagement.” Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed using rigorous inclusion criteria and screening by at least two reviewers. The selected articles were assessed for quality using the mixed methods appraisal tool, and data were extracted to address the review aims. Data aggregation and synthesis were conducted and presented as descriptive numerical summaries and a narrative synthesis, respectively. Results This study identified 6 modes of delivery from 83 articles and 71 interventions for engaging CYP: (1) websites, (2) games and computer-assisted programs, (3) apps, (4) robots and digital devices, (5) virtual reality, and (6) mobile text messaging. Overall, 2 themes emerged highlighting intervention-specific and person-specific barriers and facilitators to CYP’s engagement. These themes encompassed factors such as suitability, usability, and acceptability of the DHIs and motivation, capability, and opportunity for the CYP using DHIs. The literature highlighted that CYP prefer DHIs with features such as videos, limited text, ability to personalize, ability to connect with others, and options to receive text message reminders. The findings of this review suggest a high average retention rate of 79% in studies involving various DHIs. Conclusions The development of DHIs is increasing and may be of interest to CYP, particularly in the area of MH treatment. With continuous technological advancements, it is important to know which modalities may increase engagement and help CYP who are facing MH problems. This review identified the existing modalities and highlighted the influencing factors from the perspective of CYP. This knowledge provides information that can be used to design and evaluate new interventions and offers important theoretical insights into how and why CYP engage in DHIs.

We present a range of evidence for the reliability and validity of data generated by the Personal Questionnaire (PQ), a client-generated individualized outcome measure, using five data sets from three countries. Overall pre-therapy mean internal

Fear of cancer recurrence (FCR) is a significant issue for most cancer survivors, which is now extensively confirmed by the scientific literature in the psycho-oncology field. We aimed to further explore the experience of having FCR from the point of view of patients by systematically reviewing qualitative studies. Following PRISMA guidelines, 64 qualitative studies were selected. All participants' quotes about FRC were identified, then analysed using a conceptual framework based on the emotion-focused therapy theory of emotion schemes, which consist of experienced/implicit emotions, along with perceptual-situational, bodily-expressive, symbolic-conceptual and motivationalbehavioral elements. FCR was found to be an intense, difficult, multi-dimensional experience. According to participant descriptions, FCR resembles a trauma-like phenomenon, including forms of re-experiencing, avoidance, negative thoughts and feelings, and arousal or reactivity related to cancer-related triggers or memories. Vivid metaphors expressing vulnerability and conflict also reflect the strong impact of FCR in patients' lives. Implications for psychotherapeutic work are discussed. Highlights• Qualitative data complement and can expand our current knowledge about fear of cancer recurrence. • FCR is described qualitatively by patients as a complex experience involving emotional, perceptual, conceptual, bodily and behavioral dimensions. • FCR is a post trauma-like phenomenon: it is an intense and extensive experience; it has a flashback-like quality in which painful episodic memories related to cancer return repeatedly; it is described through vivid metaphors of conflict and vulnerability that emphasize fragility and helplessness. • Humanistic-experiential therapeutic approaches might be considered for treating maladaptive FCR, which needs further investigation.

There has been an increasing interest in patient‐centered assessment of psychological treatments. This article reviews the existing patient‐generated measures (PGMs) that have been used by clinicians and psychotherapy researchers to collect evaluation data from the patient perspective. A systematic review of literature was performed to identify PGMs in empirical studies between 1990 and 2014. Twenty tools were identified, of which three were designed to assess the outcome and 17 to assess the process of therapy. The characteristics of each are described and discussed, including psychometric data and evidence of clinical utility. This review helps professionals and researchers to implement the recommendation of health policies that advocate the importance of patient‐centered care.