Sustained engagement with a digital youth mental health platform: A mixed-methods study

作者：Lee Valentine, Jennifer Nicholas, Rory P. Sorenson, Nicola A. Chen, Carla McEnery, Shona Louis, Shane Cross, Shaminka N. Mangelsdorf, Shaunagh O’Sullivan, Thomas W. Wren, Sandra Bucci, John Gleeson, Sarah Bendall, Mario Álvarez‐Jiménez · 发表于：Internet Interventions · 年份：2025 · DOI：10.1016/j.invent.2025.100899 · 被引用次数：2 · 研究领域：Digital Mental Health Interventions、Impact of Technology on Adolescents、Mental Health and Patient Involvement

Background: Digital mental health interventions offer a scalable means of expanding access to youth mental health care. However, their capacity to achieve population-level impact is limited by persistently low and varied user engagement. A more nuanced understanding of experiential factors associated with sustained engagement is needed to inform the design of digital interventions that are both clinically effective and engaging to young people. Objective: To identify experiential factors associated with sustained engagement with a large-scale, real-world digital youth mental health platform implemented across Australian youth mental health services. Methods: = 36) classified as either high or low engagers. The sample comprised 53 % female, 31 % male, and 8 % trans and/or gender diverse; 3 % identified as First Nations, and 19 % as culturally and linguistically diverse. Most participants lived in metropolitan areas (82 %), with 8 % from regional locations. Interview transcripts were thematically coded for experiential features of engagement. Code presence was quantified and tested for association with engagement level (high vs low) using Fisher's exact test. Themes were then iteratively refined, with explicit consideration of experiential patterns significantly associated with engagement. Results: = 0.467). Conclusions: This mixed methods study offers preliminary insights into experiential factors associated with engagement with a large-scale digital mental health intervention...