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Reach and uptake of digital mental health interventions based on cognitive-behavioral therapy for college students: A systematic review
Journal article   Open access   Peer reviewed

Reach and uptake of digital mental health interventions based on cognitive-behavioral therapy for college students: A systematic review

Laura D'Adamo, Layna Paraboschi, Anne Claire Grammer, Molly Fennig, Andrea K. Graham, Lauren H. Yaeger, Michelle G. Newman, Denise E. Wilfley, C. Barr Taylor, Daniel Eisenberg, …
Journal of behavioral and cognitive therapy, v 33(2), pp 97-117
01 Jun 2023
DOI: https://doi.org/10.1016/j.jbct.2023.05.002
PMID: 37724304
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://scholarsphere.psu.edu/resources/fad697cb-a9dd-4668-81c6-7456879b15d8/downloads/47967View
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Abstract

Cognitive-behavioral therapy College mental health Digital interventions Digital mental health Implementation science mHealth
Mental health problems are increasing in prevalence among college students, yet few students receive treatment due to barriers such as insufficient resources in college counseling centers. Digital mental health interventions (DMHIs) have potential to overcome barriers and offer accessible, evidence-based care to college students. However, to evaluate the true public health impact of evidence-based DMHIs, it is important to assess the reach and uptake rates of DMHIs on college campuses. We conducted a systematic review to examine the reach (i.e., % of invited students who express interest) and uptake (i.e., % of enrolled participants who initiate an intervention) of DMHIs based on cognitive-behavioral therapy (CBT) for college students. Eight databases were searched. Inclusion criteria included: (1) college population; (2) experimental design; (3) CBT-based intervention; (4) intervention targeting specific mental health conditions; and (5) digital intervention. Reach and uptake rates were calculated from data reported. A systematic narrative review framework was used to synthesize results. Of 10,315 articles screened, 90 were included. Seventeen studies (19%) reported sufficient data to calculate reach; 35 studies (39%) reported uptake rates. Of studies that reported reach or uptake, most evaluated unguided (n = 20) or guided (n = 16) self-help programs. Measurement methods varied widely. Overall reach was low, whereas uptake was high among enrolled participants. Despite evidence that improving reach and uptake can increase the public health impact of DMHIs, most studies did not report on either outcome. Suggested practices to improve these outcomes, and their reporting, are discussed.

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
Psychology, Clinical
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