Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review

Background Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user’s uptake and sustained interactions with these interventions. Objective This systematic review aims to identify common barriers and facilitators that influence user engagement with DMHIs. Methods A systematic search was conducted in the SCOPUS, PubMed, PsycINFO, Web of Science, and Cochrane Library databases. Empirical studies that report qualitative and/or quantitative data were included. Results A total of 208 articles met the inclusion criteria. The included articles used a variety of methodologies, including interviews, surveys, focus groups, workshops, field studies, and analysis of user reviews. Factors extracted for coding were related to the end user, the program or content offered by the intervention, and the technology and implementation environment. Common barriers included severe mental health issues that hampered engagement, technical issues, and a lack of personalization. Common facilitators were social connectedness facilitated by the intervention, increased insight into health, and a feeling of being in control of one’s own health. Conclusions Although previous research suggests that DMHIs can be useful in supporting mental health, contextual factors are important determinants of whether users actually engage with these interventions. The factors identified in this review can provide guidance when evaluating DMHIs to help explain and understand user engagement and can inform the design and development of new digital interventions.

• Publication year

  2021

• Venue

  Journal of Medical Internet Research

• Publication date

  2021-03-01

• Fields of study

  Medicine, Computer Science, Psychology

• Identifiers
  DOI 10.2196/24387PMID 33759801PMCID 8074985
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Coached Mobile App Platform for the Treatment of Depression and Anxiety Among Primary Care Patients: A Randomized Clinical Trial.

  2020cited by this paper
• Examining the Reach of Smartphone Apps for Depression and Anxiety.

  2020cited by this paper
• Substance Abuse and Mental Health Services Administration

  2020cited by this paper
• Feasibility of perinatal mood screening and text messaging on patients’ personal smartphones

  2019cited by this paper
• Influence of Personality and Differences in Stress Processing Among Finnish Students on Interest to Use a Mobile Stress Management App: Survey Study

  2019cited by this paper
• Health-Related Internet Usage and Design Feature Preference for E-Mental Health Programs Among Men and Women

  2019cited by this paper
• Supporting Self-Management in Bipolar Disorder: Mixed-Methods Knowledge Translation Study

  2019cited by this paper
• Use of technology for delivery of mental health and substance use services to youth living with HIV: a mixed-methods perspective

  2019cited by this paper
• Off-hours use of a smartphone intervention to extend support for individuals with schizophrenia spectrum disorders recently discharged from a psychiatric hospital.

  2019cited by this paper
• The Role of Data Type and Recipient in Individuals’ Perspectives on Sharing Passively Collected Smartphone Data for Mental Health: Cross-Sectional Questionnaire Study

  2019cited by this paper
• Stakeholder perspectives on evidence for digital mental health interventions: Implications for accreditation systems

  2019cited by this paper
• Feasibility and Acceptability of an Intervention Providing Computer-Generated Tailored Feedback to Target Alcohol Consumption and Depressive Symptoms in Proactively Recruited Health Care Patients and Reactively Recruited Media Volunteers: Results of a Pilot Study

  2019influential reference
• User Engagement in Mental Health Apps: A Review of Measurement, Reporting, and Validity.

  2019cited by this paper
• Tailoring of a Smartphone Smoking Cessation App (Kick.it) for Serious Mental Illness Populations: Qualitative Study

  2019cited by this paper
• Developing a Hypothetical Implementation Framework of Expectations for Monitoring Early Signs of Psychosis Relapse Using a Mobile App: Qualitative Study

  2019influential reference
• Young People Seeking Help Online for Mental Health: Cross-Sectional Survey Study

  2019cited by this paper
• Determinant Factors of Public Acceptance of Stress Management Apps: Survey Study

  2019cited by this paper
• Design and Development of the “POD Adventures” Smartphone Game: A Blended Problem-Solving Intervention for Adolescent Mental Health in India

  2019cited by this paper
• Differences in Attitudes Toward Online Interventions in Psychiatry and Psychotherapy Between Health Care Professionals and Nonprofessionals: A Survey

  2019cited by this paper
• An mHealth Approach to Extend a Brief Intervention for Adolescent Alcohol Use and Suicidal Behavior: Qualitative Analyses of Adolescent and Parent Feedback

  2019influential reference
• User-Centered App Adaptation of a Low-Intensity E-Mental Health Intervention for Syrian Refugees

  2019cited by this paper
• Development of weCope, a mobile app for illness self-management in schizophrenia

  2019influential reference
• Characteristics and Usage Patterns Among 12,151 Paid Subscribers of the Calm Meditation App: Cross-Sectional Survey

  2019cited by this paper
• Young People's Response to Six Smartphone Apps for Anxiety and Depression: Focus Group Study

  2019cited by this paper
• Participant Engagement in and Perspectives on a Web-Based Mindfulness Intervention for 9-1-1 Telecommunicators: Multimethod Study

  2019cited by this paper
• An Online Peer Educational Campaign to Reduce Stigma and Improve Help Seeking in Veterans with Posttraumatic Stress Disorder

  2019influential reference
• A Pilot Digital Intervention Targeting Loneliness in Youth Mental Health

  2019cited by this paper
• Utilization of Patient-Generated Data Collected Through Mobile Devices: Insights From a Survey on Attitudes Toward Mobile Self-Monitoring and Self-Management Apps for Depression

  2019cited by this paper
• A patient post hoc perspective on advantages and disadvantages of blended cognitive behaviour therapy for depression: A qualitative content analysis

  2019cited by this paper
• Unraveling the Black Box: Exploring Usage Patterns of a Blended Treatment for Depression in a Multicenter Study

  2019cited by this paper
• “They Are Not Hard-to-Reach Clients. We Have Just Got Hard-to-Reach Services.” Staff Views of Digital Health Tools in Specialist Mental Health Services.

  2019influential reference
• Mobile Phones as a Medium of Mental Health Care Service Delivery: Perspectives and Barriers among Patients with Severe Mental Illness

  2019cited by this paper
• Design and development of the ‘ POD Adventures ’ smartphone game : a blended problem solving intervention for adolescent mental health in India

  2019cited by this paper
• An exploration of supervision delivered via clinical video telehealth (CVT).

  2019influential reference
• Exploring the Relationship Between the Acceptability of an Internet-Based Intervention for Depression in Primary Care and Clinical Outcomes: Secondary Analysis of a Randomized Controlled Trial

  2019cited by this paper
• GET.HAPPY2 - User perspectives on an internet-based self-management positive psychology intervention among persons with and without depression: Results from a retrospective survey.

  2019influential reference
• A multi-faceted approach to characterizing user behavior and experience in a digital mental health intervention

  2019cited by this paper
• Going global: do consumer preferences, attitudes, and barriers to using e-mental health services differ across countries?

  2019cited by this paper
• Adoption of Mobile Apps for Depression and Anxiety: Cross-Sectional Survey Study on Patient Interest and Barriers to Engagement

  2019cited by this paper
• A qualitative exploration of service user views about using digital health interventions for self-management in severe mental health problems

  2019influential reference
• A Feasibility Trial of Power Up: Smartphone App to Support Patient Activation and Shared Decision Making for Mental Health in Young People

  2019influential reference
• Life with FOCUS: A qualitative evaluation of the impact of a smartphone intervention on people with serious mental illness.

  2019influential reference
• Mobile Health Adoption in Mental Health: User Experience of a Mobile Health App for Patients With an Eating Disorder

  2019influential reference
• Addressing Depression Comorbid With Diabetes or Hypertension in Resource-Poor Settings: A Qualitative Study About User Perception of a Nurse-Supported Smartphone App in Peru

  2019influential reference
• Is there a trial bias impacting user engagement with unguided e-mental health interventions? A systematic comparison of published reports and real-world usage of the same programs.

  2019cited by this paper
• Clinicians’ Concerns About Mobile Ecological Momentary Assessment Tools Designed for Emerging Psychiatric Problems: Prospective Acceptability Assessment of the MEmind App

  2019cited by this paper
• “This phone saved my life”: Older persons’ experiences and appraisals of an mHealth intervention aimed at addressing loneliness

  2019influential reference
• Development and Long-Term Acceptability of ExPRESS, a Mobile Phone App to Monitor Basic Symptoms and Early Signs of Psychosis Relapse

  2019influential reference
• A Qualitative Analysis of User Reviews on Mental Health Apps: Who Used it? for What? and Why?

  2019cited by this paper
• Psychologists’ motivations for integrating apps into therapy with secondary school-aged young people

  2019cited by this paper
• Impact of a Mobilized Stress Management Program (Pep-Pal) for Caregivers of Oncology Patients: Mixed-Methods Study

  2019cited by this paper
• Exploring the acceptability of delivering Cognitive Processing Therapy (CPT) to UK veterans with PTSD over Skype: a qualitative study

  2019influential reference
• Barriers to and Facilitators of Engagement With mHealth Technology for Remote Measurement and Management of Depression: Qualitative Analysis

  2019influential reference
• Certified Peer Specialists and Older Adults With Serious Mental Illness' Perspectives of the Impact of a Peer-Delivered and Technology-Supported Self-Management Intervention.

  2019cited by this paper
• Effects, Adherence, and Therapists’ Perceptions of Web- and Mobile-Supported Group Therapy for Depression: Mixed-Methods Study

  2019cited by this paper
• Assessing the Acceptability of a Mindfulness-Based Cognitive Therapy Intervention for African-American Women Living with HIV/AIDS

  2019cited by this paper
• Feasibility of a randomised controlled trial of remotely delivered problem-solving cognitive behaviour therapy versus usual care for young people with depression and repeat self-harm: lessons learnt (e-DASH)

  2019cited by this paper
• Feasibility of mobile mental wellness training for older adults

  2018influential reference
• Development of an Internet Intervention to Promote Wellbeing in College Students

  2018cited by this paper
• Self-Management Support and eHealth When Managing Changes in Behavior and Mood of a Relative With Dementia: An Asynchronous Online Focus Group Study of Family Caregivers' Needs.

  2018cited by this paper
• Key Determinants to using Telehealth Technology to Serve Medically Ill and Depressed Homebound Older Adults

  2018cited by this paper
• Digital Mental Health Interventions for Depression, Anxiety, and Enhancement of Psychological Well-Being Among College Students: Systematic Review

  2018cited by this paper
• Seeking mental health information and support online: experiences and perspectives of young people receiving treatment for first‐episode psychosis

  2018influential reference
• Internet-Based Group Intervention for Ovarian Cancer Survivors: Feasibility and Preliminary Results

  2018cited by this paper
• Adolescents’ Perspectives on a Mobile App for Relationships: Cross-Sectional Survey

  2018cited by this paper
• Predicting post treatment client satisfaction between behavioural activation for depression delivered either in-person or via home-based telehealth

  2018cited by this paper
• Barriers and facilitators to using a web-based tool for diagnosis and monitoring of patients with depression: a qualitative study among Danish general practitioners

  2018cited by this paper
• What might affect acceptability of online positive psychology interventions for depression: a qualitative study on patient expectations’

  2018influential reference
• Adherence to a Mindfulness and Relaxation Self-Care App for Cancer Patients: Mixed-Methods Feasibility Study

  2018influential reference
• Bridging the "digital divide": A comparison of use and effectiveness of an online intervention for depression between Baby Boomers and Millennials.

  2018cited by this paper
• A Pilot Mobile-Based Mindfulness Intervention for Cancer Patients and Their Informal Caregivers

  2018cited by this paper
• Patients’ Experiences of Web- and Mobile-Assisted Group Therapy for Depression and Implications of the Group Setting: Qualitative Follow-Up Study

  2018influential reference
• A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach

  2018cited by this paper
• Framing of climate change impacts and use of management accounting practices

  2018cited by this paper
• Feasibility and Acceptability of a Web-Based Treatment with Telephone Support for Postpartum Women With Anxiety: Randomized Controlled Trial

  2018influential reference
• College Students' Experiences with, and Willingness to Use, Different Types of Telemental Health Resources: Do Gender, Depression/Anxiety, or Stress Levels Matter?

  2018cited by this paper
• Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey

  2018influential reference
• Integration of a Technology-Based Mental Health Screening Program Into Routine Practices of Primary Health Care Services in Peru (The Allillanchu Project): Development and Implementation

  2018influential reference
• Uptake of mental health websites in primary care: Insights from an Australian longitudinal cohort study of depression.

  2018influential reference
• Mobile App Use by Primary Care Patients to Manage Their Depressive Symptoms: Qualitative Study

  2018cited by this paper
• Certified Peer Specialists and Older Adults With Serious Mental Illness' Perspectives of the Impact of a Peer-Delivered and Technology-Supported Self-Management Intervention

  2018cited by this paper
• Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings

  2018cited by this paper
• Participation with online recovery specific groups - findings from the UK Life in Recovery survey 2015

  2018influential reference
• Data Elicited Through Apps for Health Systems Improvement

  2018cited by this paper
• Beyond the Trial: Systematic Review of Real-World Uptake and Engagement With Digital Self-Help Interventions for Depression, Low Mood, or Anxiety

  2018influential reference
• Employees’ Perspectives on the Facilitators and Barriers to Engaging With Digital Mental Health Interventions in the Workplace: Qualitative Study

  2018influential reference
• Evaluation of the implementation of an internet intervention in well-baby clinics: A pilot study

  2018cited by this paper
• Capturing Rest-Activity Profiles in Schizophrenia Using Wearable and Mobile Technologies: Development, Implementation, Feasibility, and Acceptability of a Remote Monitoring Platform

  2018cited by this paper
• Feasibility of ecological momentary assessment to study mood and risk behavior among young people who inject drugs.

  2018cited by this paper
• Dual Use of a Patient Portal and Clinical Video Telehealth by Veterans with Mental Health Diagnoses: Retrospective, Cross-Sectional Analysis

  2018cited by this paper
• Veterans’ Perspectives on Fitbit Use in Treatment for Post-Traumatic Stress Disorder: An Interview Study

  2018cited by this paper
• Is India ready for mental health apps (MHApps)? A quantitative-qualitative exploration of caregivers’ perspective on smartphone-based solutions for managing severe mental illnesses in low resource settings

  2018cited by this paper
• The impact of technology on therapeutic alliance and engagement in psychotherapy: The therapist's perspective

  2018cited by this paper
• Patients’ perspectives about the design of a mobile application for psychotic disorders

  2018cited by this paper
• Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis.

  2018cited by this paper
• A feasibility study of a mental health mobile app in the Dominican Republic: The untold story

  2018cited by this paper
• Can the Mindful Awareness and Resilience Skills for Adolescents (MARS-A) Program Be Provided Online? Voices from the Youth

  2018cited by this paper
• Age Modifies the Association Between Depressive Symptoms and Adherence to Self-Testing With Telemedicine in Patients With Inflammatory Bowel Disease.

  2018cited by this paper
• Pocket Skills: A Conversational Mobile Web App To Support Dialectical Behavioral Therapy

  2018cited by this paper
• Clinical review of user engagement with mental health smartphone apps: evidence, theory and improvements

  2018cited by this paper

• Criminal Police Perceptions of the Internet-Delivered Child Sexual Exploitation and Abuse Prevention Program Prevent It 2.0 in Germany, Portugal, and Sweden

  2026cites this paper
• School and Community Stakeholder Perceptions of a Free, Confidential Digital Mental Health Platform (Soluna): Mixed Methods Study Examining Barriers and Facilitators to Real-World Implementation at Scale and Early Impact.

  2026cites this paper
• Role of Artificial Intelligence in Enhancing Service Quality and Managing Work–Life Stress: An Empirical Study of Mobile Users and Women Academicians in Madurai District

  2026cites this paper
• The effectiveness of online acceptance and commitment therapy-based interventions on depression, burnout, anxiety and stress in occupational contexts: A systematic narrative review

  2026influential citation
• Development of a supportive mHealth device for persons with schizophrenia spectrum disorders (KisoLightApp): a usability study within a participant-involvement principle

  2026cites this paper
• Cognitive–behavioural therapy smartphone app for low mood and worry management in female armed forces veterans in Great Britain: protocol for a feasibility randomised controlled trial

  2026cites this paper
• Uptake and engagement with digital mental health in the workplace: A mixed-methods analysis of the EMPOWER trial

  2026influential citation
• Barriers to Treatment Engagement for Alcohol Use Disorders in Rural and Community Behavioral Health Settings: A Systematic Review

  2026influential citation
• Skepticism and excitement when co-designing just-in-time mental health apps with minoritized youth.

  2026cites this paper
• Low-burden preventative digital mental health interventions for first-year college students: A pilot feasibility microrandomized trial

  2026cites this paper
• User Perceptions of an LLM-Based Chatbot for Cognitive Reappraisal of Stress: Feasibility Study

  2026cites this paper
• AI Systems in Text-Based Online Counselling: Ethical Considerations Across Three Implementation Approaches

  2026cites this paper
• Engagement of people with lived experience in the design and development of digital mental health interventions: A scoping review of engagement characteristics and impacts

  2026cites this paper
• Comparing mental health professionals' willingness to use digital therapeutics: a cross-national survey in South Korea and Germany.

  2026cites this paper
• Comparative Efficacy of e-Health Interventions for Quality of Life in Patients With Cancer: A Network Meta-Analysis of Randomized Controlled Trials.

  2026cites this paper
• User experience and safety of generative AI-based mental health chatbots: Scoping review protocol

  2026cites this paper
• Sociodemographic and clinical predictors of digital mental health intervention engagement among treatment-seeking psychiatric outpatients.

  2026cites this paper
• Predictors of Engagement With a Digital Family-Based Dating Violence Prevention Program for Adolescents Exposed to Intimate Partner Violence.

  2026cites this paper
• DEVELOPMENT OF E-TIBI+ AS EARLY DETECTION AND SYSTEMATIC MANAGEMENT OF TUBERCULOSIS CASES IN PLHIV

  2026cites this paper
• The Mental Health Technology Assessment of Quality (MTAQ): Development of a novel quality assurance framework for digital mental health tools.

  2026cites this paper
• Further Considerations on the MyWayUp Digital Intervention for Alcohol Use Disorder in Alcohol‐Related Liver Disease

  2026cites this paper
• Towards an interdisciplinary theory of engagement: the Dynamic EngagEment Process framework for Digital Health Interventions (DEEP – DHI)

  2026cites this paper
• The personal relevance of digital health technologies for self-management of chronic conditions: instrument development and validation

  2026cites this paper
• Mobile apps, AI, and teletherapy: a comprehensive review of digital mental health tools for nurses

  2026cites this paper
• Predicting adherence to fully-automated, chatbot-delivered digital cognitive behavioral therapy for insomnia (dCBT-I) using machine learning: A pilot real-world study

  2026cites this paper
• App supporting surveillance for (likely) pathogenic TP53 variant carriers: acceptance among a German cohort

  2026cites this paper
• The most vulnerable are prone to use AI therapists: The role of attachment, epistemic trust, and mental health symptoms in acceptance of digital mental health interventions.

  2026cites this paper
• Realistic Human-Like Avatar Embodiment Diminishes Outcomes in Digital Emotion Regulation Interventions

  2026cites this paper
• Young People’s Satisfaction With and Perceived Impact of a Multichannel Mental Health Helpline During and After COVID-19 Pandemic: Mixed Methods Analysis of Cross-Sectional Survey Data

  2026influential citation
• The effect of an Internet-based digital storytelling intervention on depression literacy, stigma, and help-seeking attitudes among university students: A randomized controlled trial.

  2026cites this paper
• Joint Adaptation of a Digital Mental Health Intervention for University Students: Inductive Qualitative Analysis

  2026cites this paper
• Health Literacy Recommendations for Digital Mental Health Treatments

  2026cites this paper
• Achieving clinically meaningful outcomes in digital health: a six-step, cyclical precision engagement framework (ENGAGE)

  2026cites this paper
• Cloning the Self for Mental Well-Being: A Framework for Designing Safe and Therapeutic Self-Clone Chatbots

  2026cites this paper
• Co-design of an innovative mHealth intervention for preventing mental health disorders after perinatal loss: A qualitative study with parents and healthcare professionals (e-Perinatal study).

  2026cites this paper
• Embracing the digital side of mental health

  2026cites this paper
• An exploratory randomized controlled trial of an AI-enabled mental health intervention for generalized anxiety.

  2026cites this paper
• Effectiveness of digitally-delivered interventions for trichotillomania and skin picking disorder: A systematic review and meta-analysis.

  2026cites this paper
• RL-AMHA: A Reinforcement Learning-Based Adaptive System for Personalized Mental Health Education and Intervention

  2026cites this paper
• A systematic review of influences on engagement with remote health interventions targeting weight management for individuals living with excess weight

  2025cites this paper
• The paradox of choice: user preferences and completion rates in single-session vs. multi-session digital mental health interventions.

  2025cites this paper
• User Character Strengths and Engagement Prediction on a Digital Mental Health Platform for Young People: Longitudinal Observational Study

  2025cites this paper
• The facilitators, barriers, and perceived benefits of the web-based Mental Health Toolkit implementation at Finnish workplaces.

  2025cites this paper
• The acceptability and feasibility of an internet-administered, guided, low-intensity cognitive behavioural therapy intervention for parents of children treated for cancer: findings from a qualitative study involving public contributors

  2025cites this paper
• Developing a Behavioral Phenotyping Layer for Artificial Intelligence–Driven Predictive Analytics in a Digital Resiliency Course: Protocol for a Randomized Controlled Trial

  2025cites this paper
• How privacy calculus builds user engagement through trust in AI medical consultation

  2025cites this paper
• Applying models of self-regulated learning to understand engagement with digital health interventions: a narrative review

  2025cites this paper
• Factors that affect clinical youth engagement in digital mental health research: a qualitative sub-study nested within a prospective cohort study

  2025cites this paper
• Cognitive Behavioral Immersion for Depression: Protocol for a Three-Arm Randomized Controlled Trial of Peer-Based Coaching in the Metaverse

  2025cites this paper
• A brief online mindfulness intervention: study protocol for Indonesian undergraduate students, a randomized controlled trial

  2025cites this paper
• Application of a Sociotechnical Framework to Uncover Factors That Influence Effective User Engagement With Digital Mental Health Tools in Clinical Care Contexts: Scoping Review

  2025cites this paper
• Discrete Choice Experiment Versus Best–Worst Scaling: An Empirical Comparison in Eliciting Young People’s Preferences for Web-Based Mental Health Interventions

  2025cites this paper
• Employee Preference and Use of Employee Mental Health Programs: Mixed Methods Study

  2025cites this paper
• Podcasts in Mental, Physical, or Combined Health Interventions for Adults: Scoping Review

  2025cites this paper
• A digital therapeutic (CT-152) as adjunct to antidepressant medication: A phase 3 randomized controlled trial (the Mirai study).

  2025cites this paper
• Personalization variables in digital mental health interventions for depression and anxiety in adolescents and youth: a scoping review

  2025cites this paper
• Examining the efficacy of the computerized anxiety sensitivity treatment in a guided, group format: A randomized controlled trial.

  2025cites this paper
• A Web-Based Well-Being and Resilience Intervention for Family Members and Friends Supporting a Loved One Using Alcohol and Other Drugs: Mixed Methods Pilot Study

  2025cites this paper
• Acceptance of Using Artificial Intelligence and Digital Technology for Mental Health Interventions: The Development and Initial Validation of the UTAUT-AI-DMHI.

  2025cites this paper
• Advancing Mental Health Care: A Comprehensive Review of Digital Tools and Technologies for Enhancing Diagnosis, Treatment, and Wellness

  2025cites this paper
• Scaling a Brief Digital Well-Being Intervention (the Big Joy Project) and Sociodemographic Moderators: Single-Group Pre-Post Study

  2025cites this paper
• Web‐Based Psychoeducational Intervention to Improve Family Caregiver Preparedness in Specialized Palliative Home Care: A Randomized Controlled Trial

  2025cites this paper
• "I Don't Know Why I Should Use This App": Holistic Analysis on User Engagement Challenges in Mobile Mental Health

  2025influential citation
• Healing Through Stories: Co-designing Digital Mental Health with Asian Americans

  2025cites this paper
• Users of e-Health tools for mental health and suicide primary prevention: description of their characteristics, usage, and satisfaction in the case of StopBlues.

  2025cites this paper
• The Ways of Using Social Media for Health Promotion Among Adolescents: Qualitative Interview and Focus Group Study

  2025cites this paper
• Tailored Virtual Agent Guidance for Stress Management: Comparing Directive and Non-Directive Approaches by Alexithymia Status

  2025cites this paper
• A meta-analysis of persuasive design, engagement, and efficacy in 92 RCTs of mental health apps

  2025cites this paper
• The evolving field of digital mental health: current evidence and implementation issues for smartphone apps, generative artificial intelligence, and virtual reality

  2025cites this paper
• The role of control in precipitating and motivating self-harm in young people: A systematic review and meta-synthesis of qualitative data

  2025cites this paper
• The EmpkinS-EKSpression Reappraisal Training Augmented With Kinesthesia in Depression: One-Armed Feasibility Study

  2025cites this paper
• Digital Assessment of Wellbeing in New Parents (DAWN-P): protocol of a randomised feasibility trial comparing digital screening for maternal postnatal depression with usual care screening

  2025cites this paper
• Engaging Stakeholders in the Development of a National Digital Mental Health Strategy: Reflexive Thematic Analysis

  2025cites this paper
• Health Care Professionals' Engagement With Digital Mental Health Interventions in the United Kingdom and China: Mixed Methods Study on Engagement Factors and Design Implications

  2025influential citation
• User journey method: a case study for improving digital intervention use measurement

  2025cites this paper
• Benefits for thee, not for me? mHealth engagement through the lens of privacy calculus theory and trust

  2025cites this paper
• Acceptability, Usability, and Insights Into Cybersickness Levels of a Novel Virtual Reality Environment for the Evaluation of Depressive Symptoms: Exploratory Observational Study

  2025cites this paper
• Classifying the features of digital mental health interventions to inform the development of a patient decision aid

  2025cites this paper
• The effect of smartphone application on postpartum depression among mothers: a literature review

  2025cites this paper
• How theories, models, and frameworks have been used to implement digital health interventions in services for people with severe mental health problems: a scoping review

  2025cites this paper
• Use of e-Mental Health Tools for Suicide Prevention in Clinical Practice by Mental Health Professionals in NSW, Australia: Cross-Sectional Survey.

  2025cites this paper
• Digital Mental Health Interventions for University Students With Mental Health Difficulties: A Systematic Review and Meta‐Analysis

  2025cites this paper
• Understanding the role of beliefs on intentions and actual usage of a tool for self-management of mental health among college students.

  2025cites this paper
• Acceptability of digital health interventions in perioperative care: a systematic review and narrative synthesis of clinician perspectives

  2025cites this paper
• Assessing the impact of a self-guided digital intervention for fear of cancer recurrence (iConquerFear) in ovarian cancer survivors: a pilot randomised waitlist-controlled trial

  2025cites this paper
• Barriers and Facilitators of Digital Mental Health Use in Regional, Rural, and Remote Australia: A Comparison of Clinician and Consumer Perspectives

  2025cites this paper
• Young People’s Preferences for Web-Based Mental Health Interventions for Managing Anxiety and Depression: A Discrete Choice Experiment

  2025cites this paper
• Understanding and overcoming barriers to digital health adoption: a patient and public involvement study

  2025cites this paper
• Examining the Client Experience of Digital Tools in Blended Care Therapy: Qualitative Interview Study

  2025cites this paper
• Perceptions of the Mamma Mia program, an internet-based prevention strategy for perinatal depression symptoms

  2025cites this paper
• Digital interventions in mental health: An overview and future perspectives

  2025cites this paper
• Barriers and facilitators to web-based support for informal caregivers of people with dementia: A systematic review and meta-synthesis.

  2025cites this paper
• A Digital Depression Treatment Program for Adults Treated in Primary Care: A Randomized Clinical Trial.

  2025cites this paper
• Providing digital mental health support and guidance across Colombia: An observational study

  2025cites this paper
• App-based mindfulness meditation reduces stress in novice meditators: a randomized controlled trial of headspace using ecological momentary assessment

  2025cites this paper
• Digital Mental Health Interventions for Young People Aged 16-25 Years: Scoping Review

  2025cites this paper
• E-health intervention for co-occurring at-risk alcohol use and depressive symptoms: Reach, adherence, and two-year effects of a randomized controlled trial.

  2025cites this paper
• Gamifying Mental Health Treatment: A Mobile Interface Design for PTSD Intervention

  2025cites this paper
• Evaluating the naturalistic implementation of a peer-coaching service to augment online acceptance and commitment therapy for college mental health

  2025cites this paper
• Effects of a Mindfulness-Based Mobile Application for Clinical Psychological Skills Training

  2025cites this paper