Step-by-Step: a new WHO digital mental health intervention for depression

Carswell, Kenneth; Harper-Shehadeh, Melissa; Watts, Sarah; Hof, Edith Van’t; Ramia, Jinane Abi; Heim, Eva; Wenger, Andreas; Ommeren, Mark van

doi:10.21037/mhealth.2018.08.01

Cited by 70 publications

(87 citation statements)

References 16 publications

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“…In relation to the advantages of EMH as reported by the psychiatrists in our sample, the ability of EMH to reduce the physical and societal barriers to care was the most prevalent response. Similar advantages have been reported in the literature, including the potential for greater coverage, particularly for individuals in remote areas, and the capability to anonymously access services in order to avoid stigmatization and negative public perceptions surrounding mental illness and treatment [ 7 , 36 , 37 ]. Conversely, our findings revealed that psychiatrists believed privacy, confidentiality, and security to be the most important barriers to the implementation of EMH, similar to other studies [ 30 , 38 ].…”

Section: Discussionmentioning

confidence: 55%

Electronic Mental Health as an Option for Egyptian Psychiatry: Cross-Sectional Study

Mamdouh¹,

Westenberg²,

Choi³

et al. 2020

JMIR Ment Health

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Background Egypt is a country of nearly 100 million citizens, and there are less than 1000 registered psychiatrists. The mental health care system is under resourced and nearly inaccessible for the majority of the population. In addition, youth under the age of 25 years represent 50% of Egyptian citizens; however, there are no specific services addressing their unique needs. How can the needs of the largest population in the Middle East be effectively addressed? Is a web-based framework an option for Egyptian psychiatrists to serve the population? Objective The aims of this study were to better understand the opinions of psychiatrists on the current state of mental health care services in Egypt and their current knowledge on electronic mental health (EMH); assess the attitudes of Egyptian psychiatrists toward web-based interventions and telemedicine for mental health; and identify perceived advantages and barriers of EMH development in Egypt. Methods A cross-sectional survey was conducted online among 640 Egyptian psychiatrists. It included a total of 36 items within a set of 16 questions asking about EMH literacy, integrating EMH into the mental health care system, and the perceived priorities and barriers of EMH. The sampling was supported by Tanta University, a large academic institution close to Cairo. Statistical analysis was performed using SPSS 25 (IBM Corp). Descriptive statistics, the chi-square test, the independent sample t test, and analysis of variance were applied. Results A total of 188 participants responded (response rate of 29.4%), of which 54.2% (102/188) were female and 54.3% (102/188) were between 30 and 45 years old. Less than half of the participants thought that the current health care system was efficient for adults (69/155, 44.4%), and even less thought it was efficient for youth (44/155, 28.3%). Almost all participants agreed that EMH would be beneficial for patient care (147/155, 94.8%) and that integrating EMH into the current health care system would be a good idea (118/155, 76.2%). The highest rated utility of web-based solutions was documentation, followed by psychoeducation and communication with professionals. The main advantages were to improve access to care in rural areas of the country and its convenience. Conclusions There is scarcity of mental health resources in Egypt. Egyptian psychiatrists are interested in EMH and believe web-based platforms can become part of the solution for the Egyptian mental health care system.

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Section: Discussionmentioning

confidence: 55%

Electronic Mental Health as an Option for Egyptian Psychiatry: Cross-Sectional Study

Mamdouh¹,

Westenberg²,

Choi³

et al. 2020

JMIR Ment Health

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“…This element comes closest to what Chu and Leino (2017) considered to be peripheral aspects of psychological interventions, and what Resnicow et al (1999) described as surface adaptations. A large variety of descriptions of such adaptations has been delivered in literature, such as using culturally adapted language and metaphors (Ramaiya et al, 2017), providing culturally relevant illustrations and case examples (Verdeli et al, 2003), or using easy-to-understand texts (Carswell et al, 2018). Evidence on such adaptations has been summarised in systematic reviews (Chowdhary et al, 2014;Harper Shehadeh et al, 2016).…”

Section: Treatment Deliverymentioning

confidence: 99%

Cultural Adaptation of Scalable Psychological Interventions: A New Conceptual Framework

Heim

Kohrt

2019

CPE

Self Cite

117

110

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The worldwide mental health treatment gap calls for scaling-up psychological interventions, which requires effective implementation in diverse cultural settings. Evidence from the field of global mental health and cultural clinical psychology indicates cultural variation in how symptoms of common mental disorders are expressed, and how culturally diverse groups explain the emergence of such symptoms. An increasing number of studies have examined to what extent cultural adaptation enhances the acceptability and effectiveness of psychological interventions among culturally diverse groups. To date, this evidence is inconclusive, and there is a lack of studies that dismantle the multiple types of modifications involved in cultural adaptation. Based on empirical evidence from ethnopsychological studies, cultural adaptation research, and psychotherapy research, the present paper offers a new conceptual framework for cultural adaptation that lays the groundwork for future empirical research. The cultural adaptation framework encompasses three elements: i) cultural concepts of distress; ii) treatment components; and iii) treatment delivery. These three elements have been discussed in literature but rarely tested in methodologically rigorous studies. Innovative research designs are needed to empirically test the relevance of these adaptation elements, to better understand the substantial modifications that enhance acceptability and effectiveness of psychological interventions. Using a theory-driven approach and innovative experimental designs, research on cultural adaptation has the potential not only to make psychological treatments more accessible for culturally adverse groups, but also to further advance empirical research on the basic question about the “key ingredients” of psychotherapy. The phenomenology of common mental disorders, as well as mind-body concepts, vary across cultures. Cultural adaptation may enhance the acceptability and effectiveness of psychological interventions. There is a lack of empirical evidence on the substantial modifications in cultural adaptation. Theory-driven, experimental approaches are needed in cultural adaptation research. The phenomenology of common mental disorders, as well as mind-body concepts, vary across cultures. Cultural adaptation may enhance the acceptability and effectiveness of psychological interventions. There is a lack of empirical evidence on the substantial modifications in cultural adaptation. Theory-driven, experimental approaches are needed in cultural adaptation research.

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“…Die WHO hat in den vergangenen zwei Jahren eine solche Intervention zur Behandlung depressiver Symptome mit dem Namen Step-by-Step entwickelt [7].…”

Section: Mobile Selbsthilfe -Schritt Für Schrittunclassified

“…B. wird Zeina an einem Punkt weinend im Türrahmen eines Schlafzimmers dargestellt. Dabei wird nicht gesagt, ob sie den Tod eines nahen Angehörigen beweint oder sich generell abends vor dem Schlafengehen traurig fühlt, damit sich möglichst viele Personen in den Bildern wiederfinden [7]. Von großem Nutzen ist außerdem eine kürzlich eingerichtete 24-Stunden-Suizid-Hotline im Libanon.…”

Section: Zeina Und Karim Erzählen Aus Ihrem Lebenunclassified

Mobile Angebote für Geflüchtete

Heim¹,

Burchert²,

Wenger³

2018

PiD - Psychotherapie im Dialog

Self Cite

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E-Mental-Health-Angebote haben großes Potenzial, um Menschen in unterversorgten Gebieten mit niederschwelligen psychotherapeutischen Angeboten zu erreichen, insbesondere Geflüchtete. Solche Ansätze werden in verschiedenen Ländern getestet. Therapeutische Interventionen wie Verhaltensaktivierung oder Entspannungstechniken eignen sich gut und können an den kulturellen und sozialen Kontext angepasst werden.

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Step-by-Step: a new WHO digital mental health intervention for depression

Cited by 70 publications

References 16 publications

Electronic Mental Health as an Option for Egyptian Psychiatry: Cross-Sectional Study

Electronic Mental Health as an Option for Egyptian Psychiatry: Cross-Sectional Study

Cultural Adaptation of Scalable Psychological Interventions: A New Conceptual Framework

Mobile Angebote für Geflüchtete

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