Preventive digital mental health interventions for children and young people: a review of the design and reporting of research

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

  • Aislinn D. Bergin, University of Nottingham
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  • Elvira Perez Vallejos, University of Nottingham
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  • E. Bethan Davies, University of Nottingham
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  • David Daley, University of Nottingham
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  • Tamsin Ford, University of Cambridge
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  • Gordon Harold, University of Cambridge, Cardiff University, Trinity College Dublin
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  • Sarah Hetrick, The University of Auckland, University of Melbourne
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  • Megan Kidner, University of Exeter
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  • Yunfei Long, University of Nottingham, University of Essex
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  • Sally Merry, The University of Auckland
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  • Richard Morriss, University of Nottingham, NIHR Applied Research Centre East Midlands
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  • Kapil Sayal, University of Nottingham, NIHR Applied Research Centre East Midlands
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  • Edmund Sonuga-Barke, King's College London
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  • Jo Robinson, University of Melbourne, Centre for Youth Mental Health
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  • John Torous, Harvard Medical School
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  • Chris Hollis, University of Nottingham, NIHR Applied Research Centre East Midlands

Digital health interventions (DHIs) have frequently been highlighted as one way to respond to increasing levels of mental health problems in children and young people. Whilst many are developed to address existing mental health problems, there is also potential for DHIs to address prevention and early intervention. However, there are currently limitations in the design and reporting of the development, evaluation and implementation of preventive DHIs that can limit their adoption into real-world practice. This scoping review aimed to examine existing evidence-based DHI interventions and review how well the research literature described factors that researchers need to include in their study designs and reports to support real-world implementation. A search was conducted for relevant publications published from 2013 onwards. Twenty-one different interventions were identified from 30 publications, which took a universal (n = 12), selective (n = 3) and indicative (n = 15) approach to preventing poor mental health. Most interventions targeted adolescents, with only two studies including children aged ≤10 years. There was limited reporting of user co-design involvement in intervention development. Barriers and facilitators to implementation varied across the delivery settings, and only a minority reported financial costs involved in delivering the intervention. This review found that while there are continued attempts to design and evaluate DHIs for children and young people, there are several points of concern. More research is needed with younger children and those from poorer and underserved backgrounds. Co-design processes with children and young people should be recognised and reported as a necessary component within DHI research as they are an important factor in the design and development of interventions, and underpin successful adoption and implementation. Reporting the type and level of human support provided as part of the intervention is also important in enabling the sustained use and implementation of DHIs.

Original languageEnglish
Article number133
Journalnpj Digital Medicine
Volume3
Issue1
Number of pages9
DOIs
Publication statusPublished - Oct 2020

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