A Framework for the Implementation of Digital Mental Health Interventions: The Importance of Feasibility and Acceptability Research

Susanna Y Park, Chloe Nicksic Sigmon, Debra Boeldt, Susanna Y Park, Chloe Nicksic Sigmon, Debra Boeldt

Abstract

Digital mental health interventions (DMHIs) have the potential to serve a significantly wider portion of the population in need of mental health services. The coronavirus disease 2019 (COVID-19) pandemic has especially highlighted the exacerbation of mental health disparities among minoritized populations. Innovations and research on DMHIs continue to expand, reinforcing the need for a more systemic process of DMHI implementation. In practice, DMHI implementation often skips the fundamental steps of conducting acceptability and feasibility studies. We propose a DMHI implementation framework that identifies an acceptability and feasibility study as an essential first step, simultaneously centering equitable processes that address populations disproportionately affected by mental illness.

Keywords: acceptability; digital mental health; feasibility; implementation; mental health; mental health technology.

Conflict of interest statement

The authors have declared that no competing interests exist.

Copyright © 2022, Park et al.

Figures

Figure 1. Framework for Implementation of Digital…
Figure 1. Framework for Implementation of Digital Mental Health Interventions

References

    1. Digital mental health interventions for child and adolescent anxiety. Khanna MS, Carper M. Cogn Behav Pract. 2022;29:60–68.
    1. Scaling evidence-based treatments through digital mental health. Schueller SM, Torous J. Am Psychol. 2020;75:1093–1104.
    1. Digital mental health and COVID- 19: using technology today to accelerate the curve on access and quality tomorrow. Torous J, Jän Myrick K, Rauseo-Ricupero N, Firth J. JMIR Ment Health. 2020;7:0.
    1. DuCharme J. Teletherapy aimed to make mental health care more inclusive. The data show a different story. [ Jun; 2022 ]. 2021.
    1. Study of mental health treatment trends early in pandemic. [ Jul; 2022 ]. 2021.
    1. Mobile fact sheet. [ Jul; 2022 ].
    1. Recommendations for methodology of virtual reality clinical trials in health care by an international working group: iterative study. Birckhead B, Khalil C, Liu X, et al. JMIR Ment Health. 2019;6:0.
    1. Feasibility, acceptability, and sustainability of telepsychiatry for children and adolescents. Myers KM, Valentine JM, Melzer SM. Psychiatr Serv. 2007;58:1493–1496.
    1. Cost-effectiveness evidence of mental health prevention and promotion interventions: a systematic review of economic evaluations. Le LK, Esturas AC, Mihalopoulos C, Chiotelis O, Bucholc J, Chatterton ML, Engel L. PLoS Med. 2021;18:0.
    1. Leveraging implementation science to understand factors influencing sustained use of mental health apps: a narrative review. Connolly SL, Hogan TP, Shimada SL, Miller CJ. J Technol Behav Sci. 2021;6:184–196.
    1. Digital mental health amid COVID-19. Balcombe L, de Leo D. MDPI. 192021;1:1047–1057.
    1. Pilot studies: common uses and misuses. [ Jul; 2022 ].
    1. Implementation science. A brief overview and a look ahead. Ogden T, Fixsen DL. Zeitschrift für Psychologie. 2014;222:4–11.
    1. The words behind our work: the source for definitions of digital inclusion terms. [ Jul; 2022 ]. 2022.
    1. Perrin A, Atske S. Americans with disabilities less likely than those without to own some digital devices. [ Jul; 2022 ]. 2021.
    1. Vogels EA. Digital divide persists even as Americans with lower incomes make gains in tech adoption. [ Jul; 2022 ]. 2021.
    1. Resolving key barriers to advancing mental health equity in rural communities using digital mental health interventions. Graham AK, Weissman RS, Mohr DC. JAMA Health Forum. 2021;2:211149.
    1. Vogels EA. Some digital divides persist between rural, urban and suburban America. Some Digital Divides Persist between Rural, Urban and Suburban America. [ Jul; 2022 ]. 2021.
    1. It is time to REACT: opportunities for digital mental health apps to reduce mental health disparities in racially and ethnically minoritized groups. Friis-Healy EA, Nagy GA, Kollins SH. JMIR Ment Health. 2021;8:0.
    1. Digital mental health interventions for college students of color: understanding uptake and enhancing engagement. Kodish TA. eScholarship. 2022;[Epub]
    1. State of digital health 2021 report. [ Jul; 2022 ]; 2022 of:2021–2022.
    1. Barriers to and facilitators of user engagement with digital mental health interventions: systematic review. Borghouts J, Eikey E, Mark G, et al. J Med Internet Res. 2021;23:0.
    1. Digital clinics and mobile technology implementation for mental health care. Connolly SL, Kuhn E, Possemato K, Torous J. Curr Psychiatry Rep. 2021;23:38.
    1. Translating clinical training into practice in complex mental health systems: toward opening the 'black box' of implementation. Sullivan G, Blevins D, Kauth MR. Implement Sci. 2008;3:33.
    1. Pragmatic approaches to analyzing qualitative data for implementation science: an introduction. Ramanadhan S, Revette AC, Lee RM, Aveling EL. Implement Sci Commun. 2021;2:70.
    1. Integrating implementation science in clinical research to maximize public health impact: a call for the reporting and alignment of implementation strategy use with implementation outcomes in clinical research. Rudd BN, Davis M, Beidas RS. Implement Sci. 2020;15:103.
    1. Video conferencing dysmorphia: assessment of pandemic-related body dysmorphia and implications for the post-lockdown era. Sarangi A, Yadav S, Gude J, Amor W. Cureus. 2022;14:0.
    1. From digital mental health interventions to digital “addiction”: where the two fields converge. Aboujaoude E, Gega L. Front Psychiatry. 2019;10:1017.

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