Evidence map›Paper›PMID 36350704›Full record

SynthesisJournal of medical Internet research2022

Determination of Markers of Successful Implementation of Mental Health Apps for Young People: Systematic Review.

Holly Alice Bear, Lara Ayala Nunes, John DeJesus, Shaun Liverpool, Bettina Moltrecht, Lakshmi Neelakantan, Elinor Harriss, Edward Watkins, Mina Fazel

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05912439 (Smartphone Based Health Behaviour Intervention for Adolescents; Usage and Daily Attrition Rates.), which is not on this map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 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.

NCT05912439 naunknown statusnot on this map

Smartphone Based Health Behaviour Intervention for Adolescents; Usage and Daily Attrition Rates.

TypeinterventionalSponsorUniversity of IcelandRan2017 to 2023Enrolled670ConditionsHealthy Adolescents in School-based PopulationArmsSidekickHealth
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

9 authors.

Holly Alice BearDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-6737-6120
Lara Ayala NunesDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-5070-7731
John DeJesusDepartment of Psychology, York University, Toronto, ON, Canada.ORCID 0000-0002-3540-9151
Shaun LiverpoolFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom.ORCID 0000-0001-6419-8552
Bettina MoltrechtResearch Department for Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0002-1838-428X
Lakshmi NeelakantanDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-3913-3447
Elinor HarrissBodleian Health Care Libraries, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-4635-8959
Edward WatkinsSchool of Psychology, University of Exeter, Exeter, United Kingdom.ORCID 0000-0002-2432-5577
Mina FazelDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-9342-2365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmartphone apps have the potential to address some of the current issues facing service provision for young people's mental health by improving the scalability of evidence-based mental health interventions. However, very few apps have been successfully implemented, and consensus on implementation measurement is lacking.

objectiveThis review aims to determine the proportion of evidence-based mental health and well-being apps that have been successfully adopted and sustained in real-world settings. A secondary aim is to establish if key implementation determinants such as coproduction, acceptability, feasibility, appropriateness, and engagement contribute toward successful implementation and longevity.

methodsFollowing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, an electronic search of 5 databases in 2021 yielded 18,660 results. After full-text screening, 34 articles met the full eligibility criteria, providing data on 29 smartphone apps studied with individuals aged 15 to 25 years.

resultsOf 34 studies, only 10 (29%) studies were identified that were evaluating the effectiveness of 8 existing, commercially available mental health apps, and the remaining 24 (71%) studies reported the development and evaluation of 21 newly developed apps, of which 43% (9/21) were available, commercially or otherwise (eg, in mental health services), at the time of enquiry. Most studies addressed some implementation components including adoption, acceptability, appropriateness, feasibility, and engagement. Factors including high cost, funding constraints, and lengthy research processes impeded implementation.

conclusionsWithout addressing common implementation drivers, there is considerable redundancy in the translation of mobile mental health research findings into practice. Studies should embed implementation strategies from the outset of the planned research, build collaborations with partners already working in the field (academic and commercial) to capitalize on existing interventions and platforms, and modify and evaluate them for local contexts or target problems and populations.

trial registrationPROSPERO CRD42021224365; https://tinyurl.com/4umpn85f.

Indexed as

Mental Health ServicesMobile ApplicationsTelemedicineText MessagingAdolescentHumansMental Healthadolescent mental healthappsimplementation sciencemobile appsmobile phonesmartphones

Identifiers

PMID36350704
PMCPMC9685513

What OpenQuestion holds

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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.