Supporting the Individualized Use of Digital Tools in Community Mental Health: The Technology Specialist Pilot Study

Overview

Journal Community Ment Health J

Date 2025 Jan 8

PMID 39779602

Authors

Monirah Al-Abdulmunem

Ellen E Kozelka

Stephanie C Acquilano

Robert E Drake

Elizabeth Carpenter-Song

Glyn Elwyn

Affiliations

Soon will be listed here.

Abstract

This pilot study evaluated the feasibility of the technology specialist intervention, which assists clients in achieving mental health recovery and well-being goals via existing digital tools in a real-world community mental health setting. Thirteen adult clients with serious mental illness and their providers completed baseline, 3-, and 6-month assessments, including goal setting, self-efficacy, activation, and acceptability measures, along with weekly ecological momentary assessments. Clients selected goals and corresponding tools, used the tools steadily, and showed improvement in activation and self-efficacy. Most participating clients (82%, n = 9) and providers (80%, n = 8) found the intervention acceptable. These preliminary findings show that the technology specialist intervention is promising and warrants further testing.

References

Ben-Zeev D, Brian R, Jonathan G, Razzano L, Pashka N, Carpenter-Song E . Mobile Health (mHealth) Versus Clinic-Based Group Intervention for People With Serious Mental Illness: A Randomized Controlled Trial. Psychiatr Serv. 2018; 69(9):978-985. DOI: 10.1176/appi.ps.201800063. View

Carpenter-Song E, Acquilano S, Noel V, Al-Abdulmunem M, Torous J, Drake R . Individualized Intervention to Support Mental Health Recovery Through Implementation of Digital Tools into Clinical Care: Feasibility Study. Community Ment Health J. 2021; 58(1):99-110. PMC: 7897361. DOI: 10.1007/s10597-021-00798-6. View

Carpenter-Song E, Noel V, Acquilano S, Drake R . Real-World Technology Use Among People With Mental Illnesses: Qualitative Study. JMIR Ment Health. 2018; 5(4):e10652. PMC: 6286425. DOI: 10.2196/10652. View

De Witte N, Joris S, Van Assche E, Van Daele T . Technological and Digital Interventions for Mental Health and Wellbeing: An Overview of Systematic Reviews. Front Digit Health. 2022; 3:754337. PMC: 8732948. DOI: 10.3389/fdgth.2021.754337. View

Dugdale S, Elison-Davies S, Semper H, Ward J, Davies G . Are Computer-Based Treatment Programs Effective at Reducing Symptoms of Substance Misuse and Mental Health Difficulties Within Adults? A Systematic Review. J Dual Diagn. 2019; 15(4):291-311. DOI: 10.1080/15504263.2019.1652381. View

Green C, Perrin N, Polen M, Leo M, Hibbard J, Tusler M . Development of the Patient Activation Measure for mental health. Adm Policy Ment Health. 2009; 37(4):327-33. PMC: 3536445. DOI: 10.1007/s10488-009-0239-6. View

Hawkes R, Miles L, Ainsworth B, Ross J, Meacock R, French D . Engagement with a nationally-implemented digital behaviour change intervention: Usage patterns over the 9-month duration of the National Health Service Digital Diabetes Prevention Programme. Internet Interv. 2023; 33:100647. PMC: 10368926. DOI: 10.1016/j.invent.2023.100647. View

Kukla M, Salyers M, Lysaker P . Levels of patient activation among adults with schizophrenia: associations with hope, symptoms, medication adherence, and recovery attitudes. J Nerv Ment Dis. 2013; 201(4):339-44. DOI: 10.1097/NMD.0b013e318288e253. View

Marshall J, Dunstan D, Bartik W . Clinical or gimmickal: The use and effectiveness of mobile mental health apps for treating anxiety and depression. Aust N Z J Psychiatry. 2019; 54(1):20-28. DOI: 10.1177/0004867419876700. View

10.

Mohr D, Cuijpers P, Lehman K . Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. J Med Internet Res. 2011; 13(1):e30. PMC: 3221353. DOI: 10.2196/jmir.1602. View

11.

Mohr D, Schueller S, Riley W, Brown C, Cuijpers P, Duan N . Trials of Intervention Principles: Evaluation Methods for Evolving Behavioral Intervention Technologies. J Med Internet Res. 2015; 17(7):e166. PMC: 4526981. DOI: 10.2196/jmir.4391. View

12.

Moran G, Westman K, Weissberg E, Melamed S . Perceived assistance in pursuing personal goals and personal recovery among mental health consumers across housing services. Psychiatry Res. 2017; 249:94-101. DOI: 10.1016/j.psychres.2017.01.013. View

13.

Patel S, Mehrotra A, Huskamp H, Uscher-Pines L, Ganguli I, Barnett M . Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States. Health Aff (Millwood). 2021; 40(2):349-358. PMC: 7967498. DOI: 10.1377/hlthaff.2020.01786. View

14.

Philippe T, Sikder N, Jackson A, Koblanski M, Liow E, Pilarinos A . Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review. JMIR Ment Health. 2022; 9(5):e35159. PMC: 9109782. DOI: 10.2196/35159. View

15.

Shaver J . The State of Telehealth Before and After the COVID-19 Pandemic. Prim Care. 2022; 49(4):517-530. PMC: 9035352. DOI: 10.1016/j.pop.2022.04.002. View

16.

Terhorst Y, Kaiser T, Brakemeier E, Moshe I, Philippi P, Cuijpers P . Heterogeneity of Treatment Effects in Internet- and Mobile-Based Interventions for Depression: A Systematic Review and Meta-Analysis. JAMA Netw Open. 2024; 7(7):e2423241. PMC: 11258589. DOI: 10.1001/jamanetworkopen.2024.23241. View

17.

Torous J, Myrick K, Aguilera A . The need for a new generation of digital mental health tools to support more accessible, effective and equitable care. World Psychiatry. 2023; 22(1):1-2. PMC: 9840484. DOI: 10.1002/wps.21058. View

18.

Wisniewski H, Torous J . Digital navigators to implement smartphone and digital tools in care. Acta Psychiatr Scand. 2020; 141(4):350-355. PMC: 7928068. DOI: 10.1111/acps.13149. View