Evidence map›Paper›PMID 34420928›Full record

ArticleJMIR mental health2021

Integration of Digital Tools Into Community Mental Health Care Settings That Serve Young People: Focus Group Study.

Ashley A Knapp, Katherine Cohen, Jennifer Nicholas, David C Mohr, Andrew D Carlo, Joshua J Skerl, Emily G Lattie

Abstract read
In one paragraph

Article in JMIR mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  10. Evaluation of the Use of Digital Mental Health Platforms and Interventions: Scoping Review.International journal of environmental research and public health · 2022
    Article
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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

7 authors.

Ashley A KnappFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-0073-1466
Katherine CohenFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-7668-0108
Jennifer NicholasOrygen Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0003-1889-1107
David C MohrFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-5443-7596
Andrew D CarloFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4349-9644
Joshua J SkerlOhio Guidestone Organization, Berea, OH, United States.ORCID https://orcid.org/0000-0002-4684-1345
Emily G LattieFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-3069-5996

Funding

Technology Enabled Services for Coordinated Care of Depression in Healthcare SettingsP50MH119029 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Rachel Kornfield · 2020 to 2026
$10.7M
Multidisciplinary Training Program in Digital Mental HealthT32MH115882 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Darren Gergle, DAVID CURTIS MOHR · 2018 to 2026
$2.4M
Technology-Enabled Prevention Service for At-Risk Youth Life Event SupplementK01MH121854 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KNAPP, ASHLEY AREHART · 2020 to 2025
$927k
Expanding College Student Mental Health with Stress Management Mobile TechnologiesK08MH112878 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LATTIE, EMILY GARDINER · 2017 to 2021
$746k
NIMH NIH HHS K01 MH121854NIMH NIH HHS K08 MH112878NIMH NIH HHS P50 MH119029NIMH NIH HHS T32 MH115882
6 · The paper itself

Abstract

backgroundDigital mental health tools have substantial potential to be easily integrated into people's lives and fundamentally impact public health. Such tools can extend the reach and maximize the impact of mental health interventions. Before implementing digital tools in new settings, it is critical to understand what is important to organizations and individuals who will implement and use these tools. Given that young people are highly familiar with technology and many mental health concerns emerge in childhood and adolescence, it is especially crucial to understand how digital tools can be integrated into settings that serve young people.

objectiveThis study aims to learn about considerations and perspectives of community behavioral health care providers on incorporating digital tools into their clinical care for children and adolescents.

methodsData were analyzed from 5 focus groups conducted with clinicians (n=37) who work with young people at a large community service organization in the United States. This organization provides care to more than 27,000 people annually, most of whom are of low socioeconomic status. The transcripts were coded using thematic analysis.

resultsClinicians first provided insight into the digital tools they were currently using in their treatment sessions with young people, such as web-based videos and mood-tracking apps. They explained that their main goals in using these tools were to help young people build skills, facilitate learning, and monitor symptoms. Benefits were expressed, such as engagement of adolescents in treatment, along with potential challenges (eg, accessibility and limited content) and developmental considerations (eg, digital devices getting taken away as punishment). Clinicians discussed their desire for a centralized digital platform that securely connects the clinician, young person, and caregivers. Finally, they offered several considerations for integrating digital tools into mental health care, such as setting up expectations with clients and the importance of human support.

conclusionsYoung people have unique considerations related to complex accessibility patterns and technology expectations that may not be observed when adults are the intended users of mental health technologies. Therefore, these findings provide critical insights to inform the development of future tools, specifically regarding connectivity, conditional restraints (eg, devices taken away as punishment and school restrictions), expectations of users from different generations, and the blended nature in which digital tools can support young people.

Indexed as

adolescentschildrencommunity mental health caredigital mental healthmobile phonetreatmentyoung people

Identifiers

PMID34420928
PMCPMC8414307

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.