Evidence map›Paper›PMID 41524509›Full record

ArticleHealth literacy research and practice2026

Health Literacy Recommendations for Digital Mental Health Treatments.

Alana C Fisher, Atria Rezwan, Danielle M Muscat, Julie Ayre, Madelyne Bisby, Taylor Hathway, Isabella Choi, Nickolai Titov, Blake F Dear

Abstract read
In one paragraph

Article in Health literacy research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Alana C FisherSchool of Psychological Sciences, eCentreClinic, Sydney, New South Wales, Australia.
Atria RezwanSchool of Psychological Sciences, eCentreClinic, Sydney, New South Wales, Australia.
Danielle M MuscatSydney School of Public Health, Sydney Health Literacy Lab, Sydney, New South Wales, Australia.
Julie AyreSydney School of Public Health, Sydney Health Literacy Lab, Sydney, New South Wales, Australia.
Madelyne BisbySchool of Psychological Sciences, eCentreClinic, Sydney, New South Wales, Australia.
Taylor HathwaySchool of Psychological Sciences, eCentreClinic, Sydney, New South Wales, Australia.
Isabella ChoiFaculty of Medicine and Health, Sydney, New South Wales, Australia.
Nickolai TitovSchool of Psychological Sciences, eCentreClinic, Sydney, New South Wales, Australia.
Blake F DearSchool of Psychological Sciences, eCentreClinic, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital mental health (dMH) treatments have garnered much attention for increasing access to treatment, yet real-world engagement with these treatments remains a challenge. In upscaling these treatments, we need to ensure that they are equitable and do not exclude groups who already experience inequities in health care, such as people with lower health literacy.

objectiveTo co-develop recommendations for the design and delivery of dMH treatments for people with a variety of health literacy levels.

methodsDrafted recommendations were based on a thematic analysis of 357 free-text comments (likes, dislikes/other suggestions) from 213 people ( KEY

resultsThe co-development process resulted in seven final recommendations: (1) Focus on informative and practical content; (2) Prioritize accessibility and ease of use; (3) Structure content in a progressive, layered way; (4) Enhance interactivity and engagement; (5) Employ strategies to enhance motivation and accountability; (6) Consider participants' emotional wellbeing; (7) Incorporate diverse modes of delivering content. Most recommendations were based on comments from people with lower and higher health literacy.

conclusionsThese recommendations advance both research and practice by outlining a flexible and practical framework for dMH treatment developers and service providers to meet the preferences and needs of people with diverse health literacy strengths and needs. Further research is needed to determine the feasibility and impact of implementing these recommendations across different dMH treatment delivery formats, settings, and populations.

Indexed as

Health LiteracyCognitive Behavioral TherapyDigital HealthDigital MediaFocus GroupsHumans

Identifiers

PMID41524509
PMCPMC12788875

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.