The effectiveness of an online multimodal intervention for mental health promotion: A randomised controlled trial

Przybylko, Geraldine; Morton, Darren; Kent, Lillian; Morton, Jason K; Hinze, Jason; Beamish, Peter; Renfrew, Melanie

doi:10.21203/rs.2.12991/v1

Cited by 3 publications

(1 citation statement)

References 54 publications

(77 reference statements)

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“…However, more research is required to understand the nature and impact of integrating these approaches for better health. Recently, Przybylko et al (2021) tested a 10week intervention that combined PP and LM, which resulted in increased levels of flourishing in the experimental group compared with the control group, thus suggesting that LM and PPI can complement each other to enhance positive outcomes (Przybylko et al, 2021). Briefly, 510 participants were recruited into a randomized controlled trial (RCT) designed to test the capacity of a lifestyle intervention, to increase flourishing, compared to a wait-list control group.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle medicine pillars as predictors of psychological flourishing

Burke

Dunne

2022

Front. Psychol.

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Positive Psychology Interventions (PPI) are widely applied to improving wellbeing and helping individuals flourish. At the same time, Lifestyle Medicine (LM) offers an opportunity to boost PPI and psychological research, by expanding its capacity beyond psychology, to include the body and social environment. However, little is known about the relationship between LM and positive psychology flourishing models. Flourishing is as a stage of optimal human functioning that goes beyond moderate wellbeing. The objective of this cross-sectional study was to, (1) identify which of the six LM pillars (sleep, physical exercise, eating well, alcohol intake, social engagement, stress management) best-predicted flourishing; (2) examine the relationship between the number of LM pillars used by individuals and flourishing; and (3) determine the odds of using LM pillars by flourishers. A total of 1,112 participants, mostly female professionals (73%), aged 40–59 (77%), based in Ireland, completed an online survey. Regression analysis showed that all six LM pillars predicted flourishing as measured by the PERMA Profiler (including the Physical Health component) and the Mental Health Continuum (MHC). Moreover, the chi-square and odds ratio analysis showed that those who flourished were three times more likely to use 3–6 LM pillars than those who were moderately well; and nine times more likely than languishers. The results are discussed in the context of their contribution to enhancing the population’s health and wellbeing.

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Section: Introductionmentioning

confidence: 99%

Lifestyle medicine pillars as predictors of psychological flourishing

Burke

Dunne

2022

Front. Psychol.

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Understanding Engagement Strategies in Digital Interventions for Mental Health Promotion: Scoping Review

Saleem¹,

Kühne²,

Santis³

et al. 2021

JMIR Ment Health

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Background Digital interventions offer a solution to address the high demand for mental health promotion, especially when facing physical contact restrictions or lacking accessibility. Engagement with digital interventions is critical for their effectiveness; however, retaining users’ engagement throughout the intervention is challenging. It remains unclear what strategies facilitate engagement with digital interventions that target mental health promotion. Objective Our aim is to conduct a scoping review to investigate user engagement strategies and methods to evaluate engagement with digital interventions that target mental health promotion in adults. Methods This scoping review adheres to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews. The search was conducted in 7 electronic databases from inception to April 2020. The inclusion criteria for studies were as follows: adult (aged ≥18 years) users of digital interventions for mental health promotion from the general population; any digital intervention for mental health promotion; and user engagement strategies described in the intervention design. We extracted the following data items: study characteristics, digital intervention (type and engagement strategy), evaluation of engagement strategy (method and result specifying whether the strategy was effective at facilitating engagement), and features of engagement (extent of use and subjective experience of users). Results A total of 2766 studies were identified, of which 16 (0.58%) met the inclusion criteria. The 16 studies included randomized controlled trials (6/16, 37%), studies analyzing process data (5/16, 31%), observational studies (3/16, 19%), and qualitative studies (2/16, 13%). The digital interventions for mental health promotion were either web based (12/16, 75%) or mobile app based (4/16, 25%). The engagement strategies included personalized feedback about intervention content or users’ mental health status; guidance regarding content and progress through e-coaching; social forums, and interactivity with peers; content gamification; reminders; and flexibility and ease of use. These engagement strategies were deemed effective based on qualitative user feedback or responses on questionnaires or tools (4/16, 25%), usability data (5/16, 31%), or both (7/16, 44%). Most studies identified personalized support in the form of e-coaching, peer support through a social platform, personalized feedback, or joint videoconference sessions as an engaging feature. Conclusions Personalized support during the intervention, access to social support, and personalized feedback seem to promote engagement with digital interventions for mental health promotion. These findings need to be interpreted with caution because the included studies were heterogeneous, had small sample sizes, and typically did not address engagement as the primary outcome. Despite the importance of user engagement for the effectiveness of digital interventions, this field has not yet received much attention. Further research is needed on the effectiveness of different strategies required to facilitate user engagement in digital interventions for mental health promotion.

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Understanding Engagement Strategies in Digital Interventions for Mental Health Promotion: Scoping Review (Preprint)

Saleem¹,

Kühne²,

Santis³

et al. 2021

Preprint

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BACKGROUND Digital interventions offer one solution to address the high demand for mental health promotion, especially when facing physical contact restrictions or lacking accessibility. Engagement with digital interventions is critical for their effectiveness, however, retaining users’ engagement throughout the intervention is challenging. It remains unclear what strategies facilitate the engagement with digital interventions targeting mental health promotion. OBJECTIVE We conducted a scoping review to investigate user engagement strategies and methods to evaluate engagement with digital interventions targeting mental health promotion in adults. METHODS This scoping review adheres to the PRISMA guidelines for scoping reviews. The search was conducted in seven electronic databases until April 2020. The inclusion criteria for studies were: 1) adult (18 years+) users of digital interventions for mental health promotion from the general population, 2) any digital intervention for mental health promotion, 3) user engagement strategies described in intervention design. We extracted the following data items: study characteristics, digital intervention (type, engagement strategy), evaluation of engagement strategy (method and result specifying if the strategy was effective at facilitating engagement) and features of engagement (usage extent and subjective experience of users). RESULTS A total of 2766 studies were identified, and k = 16 studies met the inclusion criteria. The 16 studies included randomized controlled trials (k=6), studies analyzing process data (k=5), observational studies (k=3), and qualitative studies (k=2). Digital interventions for mental health promotion were either web-based (75%) or mobile-app-based (25%). The engagement strategies included: personalized feedback about intervention content or users’ mental health status; guidance of content and progress through e-coaching; social forum and interactivity with peers; content gamification; reminders; goal setting and rewards. The engagement strategies were deemed effective based on qualitative user feedback or responses on questionnaires/tools (k=4), usability data (k=5) or both (k=7). Most studies identified personalized support in the form of e-coaching, peer support through a social platform, automated personalized feedback, or joint video conference session as an engaging feature. CONCLUSIONS Personalized support during the intervention, access to social support, and personalized feedback appear to promote engagement with digital interventions for mental health promotion. These findings need to be interpreted with caution because the included studies were heterogeneous, had small sample sizes, and typically did not address engagement as the primary outcome. Despite the importance of user engagement for the effectiveness of digital interventions, this field has not yet received much attention. Further research is needed on the effectiveness (and cost-effectiveness) of different strategies required to facilitate user engagement in digital interventions for mental health promotion. CLINICALTRIAL Protocol registered in Open Science Framework from the Centre for Open Science (https://osf.io/egyv8).

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The effectiveness of an online multimodal intervention for mental health promotion: A randomised controlled trial

Cited by 3 publications

References 54 publications

Lifestyle medicine pillars as predictors of psychological flourishing

Lifestyle medicine pillars as predictors of psychological flourishing

Understanding Engagement Strategies in Digital Interventions for Mental Health Promotion: Scoping Review

Understanding Engagement Strategies in Digital Interventions for Mental Health Promotion: Scoping Review (Preprint)

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