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Adherence to e-mental health among youth: Considerations for intervention development and research design

E-mental health programmes have great potential to provide young people with access to mental health support. However, it is commonly reported that adherence to these programmes is low. Low adherence can be problematic, particularly if young people do not receive the full benefits of a programme. In...

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Autores principales: Achilles, Melinda R, Anderson, Melissa, Li, Sophie H, Subotic-Kerry, Mirjana, Parker, Belinda, O’Dea, Bridianne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249594/
https://www.ncbi.nlm.nih.gov/pubmed/32547775
http://dx.doi.org/10.1177/2055207620926064
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author Achilles, Melinda R
Anderson, Melissa
Li, Sophie H
Subotic-Kerry, Mirjana
Parker, Belinda
O’Dea, Bridianne
author_facet Achilles, Melinda R
Anderson, Melissa
Li, Sophie H
Subotic-Kerry, Mirjana
Parker, Belinda
O’Dea, Bridianne
author_sort Achilles, Melinda R
collection PubMed
description E-mental health programmes have great potential to provide young people with access to mental health support. However, it is commonly reported that adherence to these programmes is low. Low adherence can be problematic, particularly if young people do not receive the full benefits of a programme. In a research trial setting, non-adherence to treatment recommendations can prevent researchers from drawing strong conclusions about effectiveness. Although adherence has been recognised as an issue in need of attention, many of the reviews available are focused on adults and lack clear direction towards what strategies to employ. This paper presents a broad review of the adherence literature, focusing on factors associated with improving adherence to e-mental health among youth. Our view on the key elements to improve adherence identified from the existing literature are presented, and key recommendations for e-mental health intervention design are provided. These include: developing and communicating adherence guidelines based on individuals’ needs and symptom severity, including customisable features to provide a tailored experience and promote a sense of agency, including engagement checks and adopting a user-centred approach by utilising strategies such as co-design. This paper provides guidance to intervention designers and researchers by outlining recommendations and considerations for intervention development and research design.
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spelling pubmed-72495942020-06-15 Adherence to e-mental health among youth: Considerations for intervention development and research design Achilles, Melinda R Anderson, Melissa Li, Sophie H Subotic-Kerry, Mirjana Parker, Belinda O’Dea, Bridianne Digit Health Opinion Piece E-mental health programmes have great potential to provide young people with access to mental health support. However, it is commonly reported that adherence to these programmes is low. Low adherence can be problematic, particularly if young people do not receive the full benefits of a programme. In a research trial setting, non-adherence to treatment recommendations can prevent researchers from drawing strong conclusions about effectiveness. Although adherence has been recognised as an issue in need of attention, many of the reviews available are focused on adults and lack clear direction towards what strategies to employ. This paper presents a broad review of the adherence literature, focusing on factors associated with improving adherence to e-mental health among youth. Our view on the key elements to improve adherence identified from the existing literature are presented, and key recommendations for e-mental health intervention design are provided. These include: developing and communicating adherence guidelines based on individuals’ needs and symptom severity, including customisable features to provide a tailored experience and promote a sense of agency, including engagement checks and adopting a user-centred approach by utilising strategies such as co-design. This paper provides guidance to intervention designers and researchers by outlining recommendations and considerations for intervention development and research design. SAGE Publications 2020-05-21 /pmc/articles/PMC7249594/ /pubmed/32547775 http://dx.doi.org/10.1177/2055207620926064 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0/ Creative Commons NonCommercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Opinion Piece
Achilles, Melinda R
Anderson, Melissa
Li, Sophie H
Subotic-Kerry, Mirjana
Parker, Belinda
O’Dea, Bridianne
Adherence to e-mental health among youth: Considerations for intervention development and research design
title Adherence to e-mental health among youth: Considerations for intervention development and research design
title_full Adherence to e-mental health among youth: Considerations for intervention development and research design
title_fullStr Adherence to e-mental health among youth: Considerations for intervention development and research design
title_full_unstemmed Adherence to e-mental health among youth: Considerations for intervention development and research design
title_short Adherence to e-mental health among youth: Considerations for intervention development and research design
title_sort adherence to e-mental health among youth: considerations for intervention development and research design
topic Opinion Piece
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249594/
https://www.ncbi.nlm.nih.gov/pubmed/32547775
http://dx.doi.org/10.1177/2055207620926064
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