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      Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review.

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          Abstract

          Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user's uptake and sustained interactions with these interventions.

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          Most cited references244

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          User Acceptance of Information Technology: Toward a Unified View

          Davis, Venkatesh, Morris (2003)
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            Technology Acceptance Model 3 and a Research Agenda on Interventions

            Viswanath Venkatesh, Hillol Bala (2008)
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              Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review

              Amelia Gulliver, Kathleen Griffiths, Helen Christensen (2010)
              Background Adolescents and young adults frequently experience mental disorders, yet tend not to seek help. This systematic review aims to summarise reported barriers and facilitators of help-seeking in young people using both qualitative research from surveys, focus groups, and interviews and quantitative data from published surveys. It extends previous reviews through its systematic research methodology and by the inclusion of published studies describing what young people themselves perceive are the barriers and facilitators to help-seeking for common mental health problems. Methods Twenty two published studies of perceived barriers or facilitators in adolescents or young adults were identified through searches of PubMed, PsycInfo, and the Cochrane database. A thematic analysis was undertaken on the results reported in the qualitative literature and quantitative literature. Results Fifteen qualitative and seven quantitative studies were identified. Young people perceived stigma and embarrassment, problems recognising symptoms (poor mental health literacy), and a preference for self-reliance as the most important barriers to help-seeking. Facilitators were comparatively under-researched. However, there was evidence that young people perceived positive past experiences, and social support and encouragement from others as aids to the help-seeking process. Conclusions Strategies for improving help-seeking by adolescents and young adults should focus on improving mental health literacy, reducing stigma, and taking into account the desire of young people for self-reliance.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Med Internet Res
                Title: Journal of medical Internet research
                Publisher: JMIR Publications Inc.
                ISSN (Electronic): 1438-8871
                ISSN (Print): 1438-8871
                Publication date (Electronic): Mar 24 2021
                Volume: 23
                Issue: 3
                Affiliations
                [1 ] University of California Irvine, Irvine, CA, United States.
                [2 ] University of California San Diego, San Diego, CA, United States.
                Article
                Publisher Item ID: v23i3e24387
                DOI: 10.2196/24387
                PMC ID: 8074985
                PubMed ID: 33759801
                SO-VID: 9127f273-a1a2-422c-b08c-88142b6b6e66
                Copyright © ©Judith Borghouts, Elizabeth Eikey, Gloria Mark, Cinthia De Leon, Stephen M Schueller, Margaret Schneider, Nicole Stadnick, Kai Zheng, Dana Mukamel, Dara H Sorkin. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 24.03.2021.
                History

                Keywords: anxiety,behavior,depression,eHealth,mHealth,mental health,mobile phone
                Data availability:
                Keywords: anxiety, behavior, depression, eHealth, mHealth, mental health, mobile phone

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