Evidence map›Paper›PMID 34951593›Full record

ArticleJMIR formative research2021

Acceptability of an mHealth App for Youth With Substance Use and Mental Health Needs: Iterative, Mixed Methods Design.

Zachary Adams, Miyah Grant, Samantha Hupp, Taylor Scott, Amanda Feagans, Meredith Lois Phillips, Kristina Bixler, Phani Teja Nallam, Dorothy La Putt

Abstract 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 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  4. Trial
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Using Human-Centered Design Strategies to Identify Unmet Adolescent Sexual Health Wants and Needs.Prevention science : the official journal of the Society for Prevention Research · 2023
    Article
  12. 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

9 authors.

Zachary AdamsDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-0044-4926
Miyah GrantDepartment of Psychology, University of Indianapolis, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-7370-598X
Samantha HuppDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-1320-1798
Taylor ScottDepartment of Psychiatry, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0003-2218-1888
Amanda FeagansDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0003-1308-3450
Meredith Lois PhillipsDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-7130-9596
Kristina BixlerDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-3741-7681
Phani Teja NallamDepartment of Psychiatry, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-3765-6199
Dorothy La PuttDepartment of Psychiatry, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0003-2856-3254

Funding

M-Health Tools to Enhance Treatment of Teen Substance Abuse and Mental IllnessK23DA038257 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ADAMS, ZACHARY WILLIAM · 2015 to 2019
$906k
NIDA NIH HHS K23 DA038257
6 · The paper itself

Abstract

backgroundTreating substance use disorders (SUDs) during adolescence can prevent adult addiction and improve youth outcomes. However, it can be challenging to keep adolescents with SUDs engaged in ongoing services, thus limiting potential benefits. Developmentally appropriate tools are needed to improve treatment engagement during and between sessions for youth with SUDs and mental health disorders. Mobile health apps may augment or replace psychotherapy components; however, few have been developed specifically for youth with SUDs following user-guided design principles, which may limit their appropriateness and utility. Formative research on acceptability to intended end users is needed before the efficacy of such tools can be examined.

objectiveThis study involves user-centered, iterative development and initial user testing of a web-based app for adolescents with SUDs and mental health concerns.

methodsAdolescents aged 14 to 17 years with past-year involvement in outpatient psychotherapy and behavioral health clinicians with adolescent SUD treatment caseloads were recruited. Across 2 assessment phases, 40 participants (alpha: 10 youths and 10 clinicians; beta: 10 youths and 10 clinicians) viewed an app demonstration and completed semistructured interviews and questionnaires about app content and functionality.

resultsParticipants expressed positive impressions of the app and its potential utility in augmenting outpatient therapy for youth with SUDs and mental health concerns. Noted strengths included valuable educational content, useful embedded resources, and a variety of activities. Adolescents and clinicians favored the app over conventional (paper-and-pencil) modalities, citing convenience and familiarity. The app was found to be user-friendly and likely to improve treatment engagement. Adolescents suggested the inclusion of privacy settings, and clinicians recommended more detailed instructions and simplified language.

conclusionsThe novel app developed here appears to be a promising, acceptable, and highly scalable resource to support adolescents with SUDs and mental health concerns. Future studies should test the efficacy of such apps in enhancing adolescent behavioral health treatment engagement and outcomes.

Indexed as

adolescentscognitive behavioral therapyhomeworkmental healthmHealthmobile healthmobile phonesubstance use disorderstechnology acceptance modeltraumauser-centered design

Identifiers

PMID34951593
PMCPMC8742212

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.