ArticleJournal of medical Internet research2019
Digital Exclusion Among Mental Health Service Users: Qualitative Investigation.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 6 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
63 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The Associations Between Digital Exclusion and Physical or Cognitive Function in Middle-Aged and Older Adults: Systematic Review and Meta-Analysis.JMIR aging · 2026Pooled it
- Effectiveness and Experience of Implementing Digital Interventions to Promote Smoking Cessation Among Adults With Severe Mental Illness: A Systematic Review and Meta-analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Pooled it
- A systematic review of users experiences of using digital interventions within psychosis: a thematic synthesis of qualitative research.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Digital undergraduate medical education and patient and carer involvement: a rapid systematic review of current practice.BMC medical education · 2023Pooled it
- Use of Technology to Promote Health and Wellbeing of People Who Are Homeless: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Automated and partly automated contact tracing: a systematic review to inform the control of COVID-19.The Lancet. Digital health · 2020Pooled it
- Feasibility of Wearable Devices for Motivating Post-Stroke Patients.Sensors (Basel, Switzerland) · 2025Trial
- Using EMPOWER in daily life: a qualitative investigation of implementation experiences.BMC psychiatry · 2023Trial
- Digital smartphone intervention to recognise and manage early warning signs in schizophrenia to prevent relapse: the EMPOWER feasibility cluster RCT.Health technology assessment (Winchester, England) · 2022Trial
- The Development and Protocol for Testing a Co-Created Digital Intervention (Sentinel) to Improve Mental Well-Being and Help Manage and Prevent Trauma in First Responders.JMIR research protocols · 2026Article
- Digital exclusion in healthcare services: a scoping review.International journal for equity in health · 2026Review
- First 100 migrants seeking culturally inclusive internet-based treatment for PTSD: a Mind the Gap pilot outreach study.BMJ public health · 2026Article
- Advances in implementation strategies for treatment adherence in schizophrenia: a narrative review.Frontiers in psychiatry · 2026Review
- The psychological compensation effect: perceived digital exclusion, perceived lack of control, and their impact on consumption behaviors of elderly tourists.Frontiers in psychology · 2026Article
- When do health and social care practitioners consider digital healthcare to be 'good care' for people with co-occurring alcohol-use disorder and depression? a qualitative analysis of practitioners' accounts.BMC health services research · 2025Article
- Telepsychiatry in Africa: overcoming barriers to access and care.Discover mental health · 2025Review
- Patterns of Internet Use in People Diagnosed With Severe Mental Illness: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Exploring the implementation of a novel, transdiagnostic, hybrid ecological momentary intervention for improving resilience in youth (EMIcompass): A process evaluation in the realist framework.Psychology and psychotherapy · 2025Article
- Article
- Improving the Utility, Safety, and Ethical Use of a Passive Mood-Tracking App for People With Bipolar Disorder Using Coproduction: Qualitative Focus Group Study.JMIR formative research · 2025Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAccess to internet-enabled technology and Web-based services has grown exponentially in recent decades. This growth potentially excludes some communities and individuals with mental health difficulties, who face a heightened risk of digital exclusion. However, it is unclear what factors may contribute to digital exclusion in this population.
objectiveTo explore in detail the problems of digital exclusion in mental health service users and potential facilitators to overcome them.
methodsWe conducted semistructured interviews with 20 mental health service users who were deemed digitally excluded. We recruited the participants from a large secondary mental health provider in South London, United Kingdom. We employed thematic analysis to identify themes and subthemes relating to historical and extant reasons for digital exclusion and methods of overcoming it.
resultsThere were three major themes that appeared to maintain digital exclusion: a perceived lack of knowledge, being unable to access the necessary technology and services owing to personal circumstances, and the barriers presented by mental health difficulties. Specific facilitators for overcoming digital exclusion included intrinsic motivation and a personalized learning format that reflects the individual's unique needs and preferences.
conclusionsMultiple factors contribute to digital exclusion among mental health service users, including material deprivation and mental health difficulties. This means that efforts to overcome digital exclusion must address the multiple deprivations individuals may face in the offline world in addition to their individual mental health needs. Additional facilitators include fostering an intrinsic motivation to overcome digital exclusion and providing a personalized learning format tailored to the individual's knowledge gaps and preferred learning style.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.