ArticleNPJ digital medicine2025
Engagement and attrition in digital mental health: current challenges and potential solutions.
Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07499219 (Developing a Web-based Transdiagnostic Single Session Intervention for Patients on Waiting Lists for Psychological Treatment), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled 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.
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.
Developing a Web-based Transdiagnostic Single Session Intervention for Patients on Waiting Lists for Psychological Treatment: a Randomized Pilot Feasibility Trial
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethical implications of high attrition in AI-based mental health interventions: a systematic review and meta-analysis.BMC medical ethics · 2026Pooled it
- Correlates of Engagement and Associations With Outcomes in a Cannabis Harm-Reduction Mobile App for Youth With First-Episode Psychosis: Exploratory Analysis of the CHAMPS Pilot Randomized Controlled Trial.JMIR formative research · 2026Trial
- Sociodemographic and clinical predictors of digital mental health intervention engagement among treatment-seeking psychiatric outpatients.Journal of affective disorders · 2026Trial
- Smartphone CBT engagement and depressive symptoms: secondary analysis of the RESiLIENT trial using a time-varying exposure approach.Psychological medicine · 2026Trial
- An online randomised controlled trial to evaluate the effectiveness of an online intervention for parents/guardians of children aged 4-7 years old who are concerned about their children's emotional and behavioural development: EMERGENT study.Frontiers in psychology · 2026Trial
- Integrating Wearable Technology in Digital Therapy for People With Psychosis (SloMo): Mixed Methods Co-Design and Feasibility Study.JMIR human factors · 2026Article
- Association of an AI-Enabled Gamified Mobile Health App on Blood Pressure Outcomes in a Matched Cohort.Journal of general internal medicine · 2026Article
- Towards Human-Centered Digital Health Interventions.The Psychiatric clinics of North America · 2026Review
- Beyond Usage Time: Rethinking Therapeutic Dose and Effect in Digital Therapeutics.JMIR mental health · 2026Article
- Digital Mental Health Research Priorities, Revisited for the AI and Large Language Model Era.JMIR mental health · 2026Article
- Engagement and Outcomes Associated With Message-Based Psychotherapy Among Older and Younger Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026Article
- Internet-delivered cognitive behavioral therapy and FODMAP diet for adults with irritable bowel syndrome: A four-arm randomized controlled trial.Internet interventions · 2026Article
- Is More Always Better With Digital Health Interventions? Shifting Engagement From Maximizing Use to Supporting Health.Mayo Clinic proceedings. Digital health · 2026Review
- The future digital outpatient clinic for movement disorders: from technological innovation to ethical and systemic implementation-a position paper.Journal of neural transmission (Vienna, Austria : 1996) · 2026Review
- Digital health interventions for psychological outcomes among adolescents and young adults with cancer: a systematic review and meta-analysis.NPJ digital medicine · 2026Article
- Working Alliance and Subjective Engagement with a Digital Avatar CBT Platform (RITchBehavioral sciences (Basel, Switzerland) · 2026Article
- Virtual Reality-Based Social Musical Exergame Guided by Self-Determination Theory for Young Adults With Depression and Anxiety: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2026Article
- Integrating Data Visualizations Into Digital Mental Health Care for Adults With Anxiety and Depression: Participatory Design and Case Study.Journal of participatory medicine · 2026Article
- Strength of Evidence to Support Decision-Making on the Use of Digital Mental Health Technologies in NICE Evaluations: Cross-Sectional Analysis of Studies.JMIR mental health · 2026Article
- Designing Electronic Problem-Solving Training for Individuals With Traumatic Brain Injury: Mixed Methods, Community-Based, Participatory Research Case Study.Journal of medical Internet research · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
20 authors.
Funding
Abstract
In digital mental health engagement rates are consistently low, which may limit its effects. Using an international multidisciplinary consensus method, including lived experience expertise and a systematic review, we identified three key challenges: (i) lack of agreed metrics for engagement; (ii) lack of evidence on how better engagement improves outcomes; (iii) lack of standards for user involvement. Three potential solutions encompassed: (i) standardisation of frameworks for reporting engagement metrics and optimal doses of digital tools, (ii) measuring engagement with more precise reporting of outcomes, including potential harms; (iii) defining standards of user involvement (including appropriate diversity, and clinician as well as user input). Digital interventions have real potential in meeting the shortfall in service provision for mental health, but this will require focus on high quality research studies of the underlying mechanisms of engagement and optimal outcomes. Our findings identify and highlight the next best steps in this process.
Identifiers
What OpenQuestion holds
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.