Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review

Doorn, Marilon van; Nijhuis, Laurens A.; Egeler, Mees; Daams, Joost G.; Popma, Arne; Amelsvoort, Thérèse van; McEnery, Carla; Gleeson, John; Öry, Ferko; Avis, Kate Anne; Ruigt, Emma; Jaspers, Monique W. M.; Álvarez‐Jiménez, Mario; Nieman, Dorien H.

doi:10.3389/fpsyt.2021.580843

Cited by 27 publications

(25 citation statements)

References 86 publications

(110 reference statements)

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“…Interestingly, however, all studies reported an improvement of mental health symptoms, independent of the length of the intervention (ranging from one session to up to 10 sessions), or type of intervention (online, app, selfadministered, group-based). These findings confirm the ameliorating effects of online/app-based mental health interventions reported in the literature (e.g., [59][60][61][62] ). Given that the pandemic is still ongoing and the overall follow-up period in the included studies is very short, longitudinal results are needed to investigate whether these positive effects can be sustained over time.…”

Section: Discussionsupporting

confidence: 89%

“…Most of the tools for achieving these goals are already present: online interventions can be an effective and inexpensive alternative or supplement to therapy that is delivered using more traditional modes, overcoming barriers that may prevent people from accessing treatment 79 . The outcome of internet-delivered treatments is generally, but especially in younger people, very promising [59][60][61] . Therefore, available interventions need to be synthesized and structured in an easy and user-friendly manner.…”

Section: Prevention and Intervention: A Synthesizing Websitementioning

confidence: 99%

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The need for accessible mental health interventions for young adults in the COVID-19 pandemic: A student psychologists’ perspective and rapid systematic review

Antesberger¹,

Blum²,

Böswald³

et al. 2021

Preprint

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Importance: Although young adults are on average less affected by the physical consequences of COVID-19 infections, showing less severe disease progression and lower mortality risk, they suffer strongly from the mental health impact of the pandemic.Objective: We, a group of psychology students experiencing these impacts, aim to provide an overview of the existing literature on prevention and intervention efforts to effectively reduce the development of, or suffering from, mental health problems in young adults (18-35) during the COVID-19 pandemic.Evidence Review: A rapid systematic review was conducted to identify studies focusing on the implementation of mental health interventions for young adults of the general population during the COVID-19 pandemic. Literature was searched with Pubmed and Web of Science on June 17, 2021. The quality of each study was assessed by two reviewers with the Standard Quality Assessment Criteria for Evaluating Primary Research Papers.Findings: Of N = 76 records initially screened, eight studies met the inclusion criteria. Six applied web-based interventions, of which four were randomized controlled trials. Interventions were based on Cognitive Behavioral Therapy approaches (n = 5), mindfulness practices, logo-autobiography, and synergistic thinking methods. The interventions varied in length from single sessions to multiple sessions over a period of up to 10 weeks. All interventions were effective in reducing depression and anxiety symptoms, as well as stress with small to medium effect sizes and a symptom reduction up to 78.9%. With only three studies being of high quality, the overall quality was low.Conclusions and Relevance: Research on mental health interventions for young adults in the general population during the pandemic is sparse. However, all interventions resulted in symptoms reductions and thus have been shown to be effective ways of counteracting the potential development of mental disorders during times of uncertainty, with high levels of stress, such as during a pandemic. Therefore, we propose a concept for an innovative and cost-effective web-based platform to structure and raise awareness for existing measures.

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Section: Discussionsupporting

confidence: 89%

Section: Prevention and Intervention: A Synthesizing Websitementioning

confidence: 99%

The need for accessible mental health interventions for young adults in the COVID-19 pandemic: A student psychologists’ perspective and rapid systematic review

Antesberger¹,

Blum²,

Böswald³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…However, there was insufficient recruitment and retention of participants – a personal approach to participant engagement was recommended. Controlled studies are required to increase the effectiveness of CBT in reducing suicidal ideation ( Büscher et al, 2020 ) but it is the most used digital intervention ( Van Doorn et al, 2021 ).…”

Section: Current State Of the Art – Digital Tools And Technologymentioning

confidence: 99%

The Potential Impact of Adjunct Digital Tools and Technology to Help Distressed and Suicidal Men: An Integrative Review

Balcombe

Leo

2022

Front. Psychol.

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Suicidal men feel the need to be self-reliant and that they cannot find another way out of relationship or socioeconomic issues. Suicide prevention is of crucial importance worldwide. The much higher rate of suicide in men engenders action. The prelude is a subjective experience that can be very isolating and severely distressing. Men may not realize a change in their thinking and behaviors, which makes it more difficult to seek and get help, thereby interrupting a “downward spiral”. Stoicism often prevents men from admitting to their personal struggle. The lack of “quality” connections and “non-tailored” therapies has led to a high number of men “walking out” on traditional clinical approaches. But there are complicated relationships in motivations and formative behaviors of suicide with regards to emotional state, psychiatric disorders, interpersonal life events and suicidal behavior method selection. Middle-aged and older men have alternated as the most at-risk of suicide. There is no one solution that applies to all men, but digital tools may be of assistance (e.g., video conferences, social networks, telephone calls, and emails). Digital interventions require higher levels of effectiveness for distress and suicidality but self-guided approaches may be the most suitable for men especially where linked with an integrated online suicide prevention platform (e.g., quick response with online chats, phone calls, and emails). Furthermore, technology-enabled models of care offer promise to advance appropriate linking to mental health services through better and faster understanding of the specific needs of individuals (e.g., socio-cultural) and the type and level of suicidality experienced. Long-term evidence for suicidality and its evaluation may benefit from progressing human computer-interaction and providing impetus for an eminent integrated digital platform.

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“…Using a paired samples t-test with 80% power and an alpha of 0.01, we would need a sample of 43 subjects to find similar results. Drop-out rates for digital treatment interventions for young people with beginning mental health complaints have been found to range between 2 and 73% [55]. Inclusion of 125 subjects in the study would give us ample power to investigate our main hypothesis.…”

Section: Sample Sizementioning

confidence: 96%

ENgage YOung people earlY (ENYOY): a mixed-method study design for a digital transdiagnostic clinical – and peer- moderated treatment platform for youth with beginning mental health complaints in the Netherlands

et al. 2021

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Background The onset of mental disorders typically occurs between the ages of 12 and 25, and the burden of mental health problems is the most consequential for this group. Indicated prevention interventions to target individuals with subclinical symptoms to prevent the transition to clinical levels of disorders, even leading to suicide, have shown to be effective. However, the threshold to seek help appears to be high. Digital interventions could offer a solution, especially during the Covid-19 pandemic. This implementation study will investigate the digital indicated prevention intervention ENgage YOung people Early (ENYOY), the Dutch version of the original Moderated Online Social Therapy Platform (MOST+) from Australia. In addition, the relationship between stress biomarkers, symptoms and outcome measures of youth using the platform will be investigated in this study. Methods The MOST+ platform will be adapted, translated and developed for the situation in the Netherlands in collaboration with a Youth Panel. A prospective cohort of 125 young people (16–25 years) with beginning mental health complaints will be on the platform and followed for a year, of which 10 participants will have an additional smart watch and 10 participants will be asked to provide feedback about the platform. Data will be collected at baseline and after 3, 6 and 12 months. Outcome measures are Psychological Distress assessed with the Kessler Psychological Distress Scale (K10), Social and occupational functioning (measures by the SOFAS), positive mental health indicators measured by the Positive Health Instrument, stress biomarkers with a smart-watch, website journeys of visitors, and feedback of youth about the platform. It will be a mixed-method study design, containing qualitative and quantitative measures. Discussion This trial will specifically address young people with emerging mental health complaints, and offers a new approach for treatment in the Netherlands. Considering the waiting lists in (child and adolescent)-psychiatry and the increase in suicides among youth, early low-threshold and non-stigmatizing help to support young people with emerging psychiatric symptoms is of crucial importance. Moreover, this project aims to bridge the gap between child and adolescent and adult psychiatry. Trial registration Netherlands Trial Register ID NL8966, retrospectively registered on the 19th of October 2020.

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Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review

Cited by 27 publications

References 86 publications

The need for accessible mental health interventions for young adults in the COVID-19 pandemic: A student psychologists’ perspective and rapid systematic review

The need for accessible mental health interventions for young adults in the COVID-19 pandemic: A student psychologists’ perspective and rapid systematic review

The Potential Impact of Adjunct Digital Tools and Technology to Help Distressed and Suicidal Men: An Integrative Review

ENgage YOung people earlY (ENYOY): a mixed-method study design for a digital transdiagnostic clinical – and peer- moderated treatment platform for youth with beginning mental health complaints in the Netherlands

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