ArticleImplementation research and practice
Evaluation of a pilot implementation of a digital cognitive behavioral therapy platform for isolated older adults in county mental health services.
Article in Implementation research and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- A scoping review of the characteristics, responsibilities, implementations and evaluations of digital navigators in healthcare.NPJ digital medicine · 2026Article
- Designing digital mental health interventions for older adults: a scoping review.NPJ digital medicine · 2026Article
- Characteristics Associated With the Use of the Mindfulness Meditation App Headspace in a Large Public Health Deployment: Cross-Sectional Survey Study.JMIR formative research · 2025Article
- Understanding the Role of Support in Digital Mental Health Programs With Older Adults: Users' Perspective and Mixed Methods Study.JMIR formative research · 2022Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Technology-enabled services (TESs) have the potential to increase access to mental healthcare. However, little research has focused on how TESs can be integrated into publicly funded service settings. As part of the state-wide Help@Hand project, Marin County conducted a pilot implementation of myStrength, a digital cognitive behavioral therapy platform, to explore its potential to reduce loneliness among isolated older adults. We evaluated the pilot impact using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Method: A single-site 6-month pilot implementation recruited English ( Results: Reach: Compared to overall county demographics, platform users were majority female (93.1% vs. 50.5%), ethnoracialized (62.1% vs. 24.2%), and of lower socioeconomic status ( Conclusions: Successes included reaching the target population, reducing loneliness, and user adoption. However, pilot staff invested significant time to support those with lower digital literacy skills. As such, although TESs may address unmet needs, their use with underserved populations may require upfront and ongoing support provided by the settings where they are implemented. Plain Language Summary Title: Testing a New Digital Therapy Tool for Isolated Older Adults in County Mental Health Services.
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