Evidence map›Paper›PMID 34255665›Full record

ArticleJMIR formative research2021

Designing Asynchronous Remote Support for Behavioral Activation in Teenagers With Depression: Formative Study.

Arpita Bhattacharya, Ria Nagar, Jessica Jenness, Sean A Munson, Julie A Kientz

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Asynchronous Technologies in Mental Health Care and Education.Current treatment options in psychiatry · 2023
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Arpita Bhattacharya *Department of Informatics, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0001-8890-5557
Ria Nagar *Psychological Science, University of Glasgow, Glasgow, United Kingdom.ORCID https://orcid.org/0000-0002-8952-8041
Jessica Jenness *Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.ORCID https://orcid.org/0000-0002-5001-430X
Sean A Munson *Human Centered Design and Engineering, University of Washington, Seattle, WA, United States.ORCID https://orcid.org/0000-0002-0472-6138
Julie A Kientz *Human Centered Design and Engineering, University of Washington, Seattle, WA, United States.ORCID https://orcid.org/0000-0001-7437-7861
University of Washington · USUniversity of California, Irvine · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
UW ALACRITY Center for Psychosocial Interventions ResearchP50MH115837 · NIMH · UNIVERSITY OF WASHINGTON · PI Michael David Pullmann · 2018 to 2026
$18.2M
NCATS NIH HHS UL1 TR002319NIMH NIH HHS P50 MH115837
6 · The paper itself

Abstract

backgroundMany teenagers in the United States experience challenges with symptoms of depression, and they lack adequate resources for accessing in-person mental health care. Involving teens and clinicians in designing technologies that use evidence-based practices that reduce barriers to accessing mental health care is crucial. Interventions based on behavioral activation (BA) help teens understand the relationship between mood and activity, help them practice goal-directed behaviors to improve mood, and may be particularly well-suited to delivery via internet-based platforms.

objectiveThis study aims to understand the needs and challenges that teens and mental health clinicians face in depression management and involve them in the design process of a remote intervention that uses asynchronous remote communities. Our goal is to understand the benefits and challenges of adapting BA to an internet-based platform that supports the asynchronous remote community approach as a delivery tool for teen depression management.

methodsWe enrolled mental health clinicians (n=10) and teens (n=8) in separate, private, internet-based groups on Slack (Slack Technologies Inc). They participated in 20-minute design activities for 10 weeks and were then invited to interviews about their experiences in the study.

resultsBoth teen and clinician participants wanted internet-based support for BA as a supplement to in-person therapy. Although participants perceived the asynchronous format as conducive to supporting accessible care, teens and clinicians raised concerns about safety, privacy, and the moderating of the internet-based group. Design decisions that address these concerns need to be balanced with the potential benefits of learning coping skills, increasing access to mental health care, and promoting asynchronous human connection to support teens.

conclusionsWe discuss considerations for balancing tensions in privacy and safety while designing and selecting internet-based platforms to support remote care and integrating evidence-based support when designing digital technologies for the treatment of teens with depression.

Indexed as

asynchronous remote communitiesbehavioral activationmental healthteens

Identifiers

PMID34255665
PMCPMC8317030
OpenAlexW3180759401

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.