Trial reportTranslational behavioral medicine2020
Lessons learned from service design of a trial of a digital mental health service: Informing implementation in primary care clinics.
Trial report in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- Coached Mobile App Platform for the Treatment of Depression and Anxiety Among Primary Care Patients: A Randomized Clinical Trial.JAMA psychiatry · 2020Trial
- Therapists' time allocation in guided digital mental health interventions - A scoping review and case study.Internet interventions · 2026Review
- Development of Virtual Mental Health Stepped Care Service for a Heart Failure Remote Management Program: Qualitative Descriptive Study.JMIR formative research · 2026Article
- Digital interventions as part of routine addiction care in Sweden: healthcare staff perceptions of what works.Addiction science & clinical practice · 2025Article
- Acceptability and Usability of a Digital Behavioral Health Platform for Youth at Risk of Suicide: User-Centered Design Study With Patients, Practitioners, and Business Gatekeepers.JMIR formative research · 2025Article
- Article
- Engagement in child psychiatry department appointments: An analysis of electronic medical records in one safety-net hospital in New England, USA.Journal of health services research & policy · 2025Article
- Assessing rural populations' barriers to mental healthcare and perceptions towards prescription digital therapeutics: a cross-sectional survey.Frontiers in digital health · 2025Article
- Partnering With Food Pantries to Disseminate and Implement Eating Disorder Interventions.The International journal of eating disorders · 2024Article
- Effectiveness-implementation hybrid trial of Spanish language, digital cognitive-behavioral therapy (dCBT) intervention for depression and anxiety - protocol for the SUPERA (SUpport from PEeRs to expand Access) study.Contemporary clinical trials · 2024Article
- Cultural Responsivity in Technology-Enabled Services: Integrating Culture Into Technology and Service Components.Journal of medical Internet research · 2023Article
- Minimal Effect of Messaging on Engagement in a Digital Anxiety Intervention.Professional psychology, research and practice · 2023Article
- Facilitators of and Barriers to Integrating Digital Mental Health Into County Mental Health Services: Qualitative Interview Analyses.JMIR formative research · 2023Article
- Implementation and workflow strategies for integrating digital therapeutics for alcohol use disorders into primary care: a qualitative study.Addiction science & clinical practice · 2023Article
- Study protocol for a factorial-randomized controlled trial evaluating the implementation, costs, effectiveness, and sustainment of digital therapeutics for substance use disorder in primary care (DIGITS Trial).Implementation science : IS · 2023Article
- A framework to support the progressive implementation of integrated team-based care for the management of COPD: a collective case study.BMC health services research · 2022Article
- Implementation strategies for digital mental health interventions in health care settings.The American psychologist · 2020Article
- Engagement and Clinical Improvement Among Older Adult Primary Care Patients Using a Mobile Intervention for Depression and Anxiety: Case Studies.JMIR mental health · 2020Article
- Approaches for implementing digital interventions for alcohol use disorders in primary care: A qualitative, user-centered design study.Implementation research and practiceArticle
- The Implementation and Effectiveness of Digital Cognitive Behavioral Therapy for Insomnia in Primary Care: A Pilot Study.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
Implementing a digital mental health service in primary care requires integration into clinic workflow. However, without adequate attention to service design, including designing referral pathways to identify and engage patients, implementation will fail. This article reports results from our efforts designing referral pathways for a randomized clinical trial evaluating a digital service for depression and anxiety delivered through primary care clinics. We utilized three referral pathways: direct to consumer (e.g., digital and print media, registry emails), provider referral (i.e., electronic health record [EHR] order and provider recommendation), and other approaches (e.g., presentations, word of mouth). Over the 5-month enrollment, 313 individuals completed the screen and reported how they learned about the study. Penetration was 13%, and direct to consumer techniques, most commonly email, had the highest yield. Providers only referred 16 patients through the EHR, half of whom initiated the screen. There were no differences in referral pathway based on participants' age, depression severity, or anxiety severity at screening. Ongoing discussions with providers revealed that the technologic implementation and workflow design may not have been optimal to fully affect the EHR-based referral process, which potentially limited patient access. Results highlight the importance of designing and evaluating referral pathways within service implementation, which is important for guiding the implementation of digital services into practice. Doing so can ensure that sustained implementation is not left to post-evaluation bridge-building. Future efforts should assess these and other referral pathways implemented in clinical practice outside of a research trial.
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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.