Evidence map›Paper›PMID 36512387›Full record

ArticleJMIR formative research2022

Understanding the Role of Support in Digital Mental Health Programs With Older Adults: Users' Perspective and Mixed Methods Study.

Judith Borghouts, Elizabeth V Eikey, Cinthia De Leon, Stephen M Schueller, Margaret Schneider, Nicole A Stadnick, Kai Zheng, Lorraine Wilson, Damaris Caro, Dana B Mukamel and 1 more

Abstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

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

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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

11 authors.

Judith BorghoutsDepartment of Medicine, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0001-9716-0147
Elizabeth V EikeyHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United States.ORCID https://orcid.org/0000-0002-3099-8081
Cinthia De LeonDepartment of Medicine, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0002-6059-8388
Stephen M SchuellerDepartment of Psychological Science, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0002-1003-0399
Margaret SchneiderDepartment of Public Health, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0002-8314-0732
Nicole A StadnickDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, United States.ORCID https://orcid.org/0000-0001-6520-2920
Kai ZhengDepartment of Informatics, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0003-4121-4948
Lorraine WilsonDepartment of Health and Human Services, County of Marin, San Rafael, CA, United States.ORCID https://orcid.org/0000-0002-6166-1983
Damaris CaroDepartment of Health and Human Services, County of Marin, San Rafael, CA, United States.ORCID https://orcid.org/0000-0003-0764-0898
Dana B MukamelDepartment of Medicine, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0003-4147-5785
Dara H SorkinDepartment of Medicine, University of California, Irvine, Irvine, CA, United States.ORCID https://orcid.org/0000-0003-0742-9240

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
NRSA Training CoreTL1TR001415 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI CAIOZZO, VINCENT JAMES, HEAD, ELIZABETH · 2015 to 2023
$4.2M
NCATS NIH HHS TL1 TR001415NCATS NIH HHS UL1 TR001414
6 · The paper itself

Abstract

backgroundDigital mental health interventions have the potential to increase mental health support among isolated older adults. However, the older adult population can experience several barriers to accessing and using digital health resources and may need extra support to experience its benefits.

objectiveThis paper aimed to understand what older adults experience as an important aspect of support during engagement in a digital mental health program. The program entailed 3 months of staff support to participate in digital literacy training and engage with the digital mental health platform myStrength, which offers support for a range of mental health challenges, including depression and anxiety.

methodsA total of 30 older adults participated in surveys and interviews to assess their experience of participating in a digital mental health program provided by county mental health services. As part of the program, participants attended 4 classes of digital literacy training, had access to the digital mental health platform myStrength for 2 months with staff support (and 10 months after the program without support), and received support from program staff during the entire 3-month program. Survey data were analyzed using descriptive statistics, and interview data were analyzed using thematic analysis.

resultsA thematic analysis of the interview data revealed that participants valued ongoing support in 3 main areas: technical support to assist them in using technology, guided support to remind them to use myStrength and practice skills they had learned, and social support to enable them to connect with others through the program. Furthermore, participants reported that social connections was the most important aspect of the program and that they were mainly motivated to participate in the program because it was recommended to them by trusted others such as a community partner or because they believed it could potentially help others.

conclusionsOur findings can be used to inform the design of future digital mental health programs for older adults who may have unique support needs in terms of dedicated technical support and ongoing guided support to use technology and social support to increase social connectedness.

Indexed as

digital mental health interventionhuman supportmental healtholder adults

Identifiers

PMID36512387
PMCPMC9795392

What OpenQuestion holds

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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.