The use of e‐health applications for anxiety and depression in young people: challenges and solutions

Abstract

Optimal methods for implementing these applications will require further targeted research.

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

“…However, additional factors such as the level of training provided to an end-user [7], [9], [13] after an eHealth service has been implemented should also be considered. Further barriers such as negative user engagement and technological disconnect [14], [15], [16], [17] need to be measured and can be overcome by putting greater importance on the development of new user skills as well as uniting such ideas with organisational changes e.g. providing regular on-thejob training (theory and practical).…”

Developing a roadmap for the translation of e-mental health services for depression

“…Research gaps are evident (Musiat and Tarrier, 2014) in the areas of costeffectiveness (Andrews, 2006;Hedman et al, 2012;Lokkerbol et al, 2014) and other potential benefits of integration of online depression programmes, such as reduced demand on therapist time (Andrews and Williams, 2014), reduced stigma (Griffiths et al, 2014), reduced wait times and greater accessibility for people living in rural areas (Williams and Andrews, 2013) and for other vulnerable populations (Choi et al, 2012;Shand et al, 2013). Suboptimal adherence to openly accessible online programmes (Christensen et al, 2009(Christensen et al, , 2011 suggests additional knowledge gaps in engaging users. Furthermore, the gap between technological advancements and the development of new online programmes becomes magnified by the relatively slow progress of efficacy and effectiveness research trials (Glasgow et al, 2014).…”

“…For consumers, reluctance to use these services may stem from the stigma of depression (Gulliver et al, 2010), stigma of seeking help (Schomerus and Angermeyer, 2008), low mental health literacy and poor symptom recognition (Jorm et al, 2006), lack of awareness of existing evidence-based e-mental health programmes as an effective treatment source, scepticism regarding the performance of e-mental health services over traditional approaches (Kay-Lambkin et al, 2011) and a lack of established pathways to using e-mental health services in the community. For clinicians, resistance to e-mental health services may instead arise (Christensen et al, 2011;Dever Fitzgerald et al, 2010;Spurgeon and Wright, 2010) from a lack of awareness of e-mental health services, lack of training, resistance to changes in practice, concerns around efficacy, confidentiality and safety (indemnity), lack of the financial incentives that are currently available for face-to-face services, viewing e-mental health as a threat to face-to-face services, viewing e-mental health technologies as damaging or impeding the patient-clinician therapeutic relationship and lack of established pathways to provision of e-mental health services.…”

“…The use of Internet treatments diminishes many key barriers to service use, including lower costs to the consumer, less stigma through anonymity and greater accessibility. However, e-mental health services exist largely independently of traditional service settings, with healthcare providers underutilising e-mental health systems in their practice (Christensen et al, 2011;Spurgeon and Wright, 2010).…”

Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study (Preprint)

“…The pervasiveness of anxiety and noted barriers to treatment [6,7] highlight the importance and potential value of evidence-based, population-level early interventions.…”