Traditional and Nontraditional Mental Healthcare Services: Usage and Preferences Among Adolescents and Younger Adults

Cohen, Katherine; Stiles‐Shields, Colleen; Winquist, Nathan; Lattie, Emily G.

doi:10.1007/s11414-020-09746-w

Cited by 22 publications

(8 citation statements)

References 48 publications

(33 reference statements)

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“…Indeed, many youths already report using digital tools for their mental health. In a survey of adolescents and younger adults with mental health conditions, approximately one-third of participants reported using apps or online communities to manage their mental health condition ( Cohen et al, 2021 ). It is therefore crucial to understand retention of youth in digital mental health interventions both within and beyond the context of research.…”

Section: Introductionmentioning

confidence: 99%

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Cohen

Schleider

2022

Internet Interventions

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Section: Introductionmentioning

confidence: 99%

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Cohen

Schleider

2022

Internet Interventions

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“…Using the same cutoff, approximately 26.9% of individuals in a large sample of college students screened positive for depression ( Lipson et al, 2019 ). Not only do clinical disorders such as depression impact college students, but subthreshold symptoms of anxiety and low mood are common ( Duffy et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Uptake and effectiveness of a self-guided mobile app platform for college student mental health

Lattie

Cohen

Hersch

et al. 2022

Internet Interventions

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Background College students endorse high rates of mental health problems. While many colleges offer on-campus services, many students who could benefit from mental health services do not receive care. Indeed, nearly half of students who screen positive for depression, for example, do not receive treatment. Digital mental health programs, such as those delivered via mobile apps, may help expand access to mental health care and resources. This mixed-methods study aims to examine the uptake and effectiveness of an implementation of IntelliCare for College Students, a self-guided app-based mental health platform, on two university campuses. Methods Data on counseling center utilization was collected prior to the implementation of the app (pre-implementation phase) and while the app was available on campus (implementation phase). Data on app usage was collected throughout the implementation phase. A subset of participants ( n = 20), along with counseling center staff members ( n = 10), completed feedback interviews. Results Overall, uptake of the app platform was low. A total of 117 participants downloaded the app and registered their study ID during the implementation phase. Approximately 24% (28/117) of participants used the app only once. The number of days between the first and last day of app use ranged from 0 to 299, with a mean of 35.01 days and a median of 14 days. A relatively small portion of the sample (26.5%; 31/117) downloaded one or more of the IntelliCare interactive apps. In examining counseling center utilization, there were no significant changes in intake appointments, individual therapy sessions, or crisis appointments observed from the pre-implementation phase to the implementation phase of the study. Feedback interviews highlighted the significant level of disruption caused by the COVID-19 pandemic and shift to remote learning, including challenges disseminating information to students and a preference to spend less time with digital devices outside of class time. Conclusions Findings from this study indicate that there is an ongoing need to identify ways to reach college students and support student mental health and wellness for the remainder of the COVID-19 pandemic and beyond.

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“…In addition to young adults' propensity for phone use, young adults and college students specifically have reported interest in and willingness to engage with digital mental health services (Ahuvia et al 2021;Cohen et al 2021), and mHealth has been recommended by college students as a potential strategy for improving mental health care on college campuses (Cohen et al 2020). Despite college students' expressed interest in mental health apps and the potential benefits of incorporating apps into college mental health services, the intended impact cannot occur if engagement with such apps is low.…”

Section: Introductionmentioning

confidence: 99%

Digital Overload among College Students: Implications for Mental Health App Use

et al. 2021

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Mental health phone applications (apps) provide cost-effective, easily accessible support for college students, yet long-term engagement is often low. Digital overload, defined as information burden from technological devices, may contribute to disengagement from mental health apps. This study aimed to explore the influence of digital overload and phone use preferences on mental health app use among college students, with the goal of informing how notifications could be designed to improve engagement in mental health apps for this population. A semi-structured interview guide was developed to collect quantitative data on phone use and notifications as well as qualitative data on digital overload and preferences for notifications and phone use. Interview transcripts from 12 college students were analyzed using thematic analysis. Participants had high daily phone use and received large quantities of notifications. They employed organization and management strategies to filter information and mitigate the negative effects of digital overload. Digital overload was not cited as a primary barrier to mental health app engagement, but participants ignored notifications for other reasons. Findings suggest that adding notifications to mental health apps may not substantially improve engagement unless additional factors are considered, such as users’ motivation and preferences.

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Traditional and Nontraditional Mental Healthcare Services: Usage and Preferences Among Adolescents and Younger Adults

Cited by 22 publications

References 48 publications

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Uptake and effectiveness of a self-guided mobile app platform for college student mental health

Digital Overload among College Students: Implications for Mental Health App Use

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