Racing towards a digital paradise or a digital hell?

Wykes, Til

doi:10.1080/09638237.2019.1581360

Cited by 24 publications

(8 citation statements)

References 25 publications

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“…This is illustrated by data that indicate that 96% of European youth (aged 16–24) use the internet regularly ( 31 ). Furthermore, research shows that young people report using the internet to find information pertaining to mental health ( 32 ), they have positive perceptions about using the internet for mental health related-issues ( 33 ), and clinicians hold positive attitudes toward using technology for treatment too ( 34 ). Moreover, online interventions hold the potential to decrease costs for the individual and the healthcare system.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Objective: Between the ages of 12 and 25 the onset of mental disorders typically occurs, and the burden of mental health problems is greatest for this group. Indicated preventive interventions to target individuals with subclinical symptoms to prevent the transition to clinical levels of disorders have gained considerable traction. However, the threshold to seek help appears to be high even when help is needed. Online interventions could offer a solution, especially during the COVID-19 pandemic. This scoping review will present an overview of the recent research of indicated online preventive interventions for youth (12–25 years) experiencing the early stages of mental health complaints with the aim of identifying the nature and extent of the research evidence.Methods: The 5-stage framework by Arksey and O'Malley was used. Academic literature published from 2013 onwards in printed or electronic format was included from Scopus, PsychINFO, and Ovid MEDLINE(R) ALL.Results: The search yielded 11,122 results, with the final selection resulting in inclusion of 30 articles for this review. In total, the articles included 4,950 participants. 26.7% of the selected articles focused on youth between 12 and 25 years. Of the articles 60% did not screen for, nor exclude participants with clinical levels of symptoms. Most studies used a common evidence-based therapy for the disorder-category targeted. More than half of the online interventions included some form of human support. Adherence levels ranged between 27.9 and 98%. The results indicate general effectiveness, usability and acceptability of online indicated preventive interventions. The most commonly used approach was CBT (n = 12 studies). Studies varied in their size, rigor of study, effectiveness and outcome measures. Online interventions with a combination of clinical and peer moderation (n = 3 studies) appear to result in the most stable and highest effect sizes.Conclusion: Online indicated preventive mental health interventions for youth with emerging mental health issues show promise in reducing various mental health complaints, and increasing positive mental health indicators such as well-being and resilience. Additionally, high levels of usability and acceptability were found. However, the included studies show important methodological shortcomings. Also, the research has mainly focused on specific diagnostic categories, meaning there is a lack of transdiagnostic approaches. Finally, clear definitions of- as well as instruments to measure- emerging or subclinical mental health symptoms in youth remain are missing.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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“…Resources for mental health services are scarce, and technology, such as smartphone apps, can be a way to use them efficiently ( Krausz et al, 2019 ; Wykes, 2019 ). Thousands of mental health and wellbeing apps are available ( Wykes and Schueller, 2019 ; Larsen et al, 2019 ) and they nearly always ask consumers to disclose personal data and to consent or assent to use these data ( Razaghpanah et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Terms and conditions apply: Critical issues for readability and jargon in mental health depression apps

Jilka

Simblett

Odoi

et al. 2021

Internet Interventions

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Background Mental health services are turning to technology to ease the resource burden, but privacy policies are hard to understand potentially compromising consent for people with mental health problems. The FDA recommends a reading grade of 8. Objective To investigate and improve the accessibility and acceptability of mental health depression app privacy policies. Methods A mixed methods study using quantitative and qualitative data to improve the accessibility of app privacy policies. Service users completed assessments and focus groups to provide information on ways to improve privacy policy accessibility, including identifying and rewording jargon. This was supplemented by comparisons of mental health depression apps with social media, music and finance apps using readability analyses and examining whether GDPR affected accessibility. Results Service users provided a detailed framework for increasing accessibility that emphasised having critical information for consent. Quantitatively, most app privacy policies were too long and complicated for ensuring informed consent (mental health apps mean reading grade = 13.1 (SD = 2.44)). Their reading grades were no different to those for other services. Only 3 mental health apps had a grade 8 or less and 99% contained service user identified jargon. Mental health app privacy policies produced for GDPR weren't more readable and were longer. Conclusions Apps specifically aimed at people with mental health difficulties are not accessible and even those that fulfilled the FDA's recommendation for reading grade contained jargon words. Developers and designers can increase accessibility by following a few rules and should, before launching, check whether the privacy policy can be understood.

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“…There have been warnings against the risk of seeing digital interventions in mental health as a panacea for long standing and complex problems (Wykes & Brown, 2016). Interventions may also be causing harm through overselling their benefits (Wykes, 2019) and as a result of being insufficiently sensitive to the often complex needs of people affected by serious mental health problems (Lipczynska, 2016). An increased focus on the duality of costs and benefits in digital interventions has been commented on in this journal (Guha, 2017) and the need to more rigorously review both costs and benefits of digital interventions for mental health has been highlighted elsewhere (Armontrout, Torous, Fisher, Drogin, & Gutheil, 2016;Naeem et al, 2015;Rozental et al, 2014;Torous, Nicholas, Larsen, Firth, & Christensen, 2018).…”

Section: Introductionmentioning

confidence: 99%

Adverse event monitoring in mHealth for psychosis interventions provides an important opportunity for learning

Bradstreet

Allan

Gumley

2019

Journal of Mental Health

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Racing towards a digital paradise or a digital hell?

Cited by 24 publications

References 25 publications

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

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

Terms and conditions apply: Critical issues for readability and jargon in mental health depression apps

Adverse event monitoring in mHealth for psychosis interventions provides an important opportunity for learning

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