- Digital Mental Health Interventions
- Mental Health Research Topics
- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Impact of Technology on Adolescents
- Telemedicine and Telehealth Implementation
- Personality Disorders and Psychopathology
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Child and Adolescent Psychosocial and Emotional Development
- Mindfulness and Compassion Interventions
- Perfectionism, Procrastination, Anxiety Studies
- School Health and Nursing Education
- Substance Abuse Treatment and Outcomes
- Functional Brain Connectivity Studies
- Neuroscience and Music Perception
- Global Health Workforce Issues
- Occupational Therapy Practice and Research
- Media Influence and Health
- Literature Analysis and Criticism
- Health Systems, Economic Evaluations, Quality of Life
- Bipolar Disorder and Treatment
- Child Development and Digital Technology
- Employment and Welfare Studies
- Healthcare professionals’ stress and burnout
- Attachment and Relationship Dynamics
The University of Melbourne
2019-2025
Orygen Youth Health
2018-2025
Orygen
2019-2024
Mental Health Foundation
2017
University College Dublin
2017
St Patrick's Hospital
1988
Trinity College Dublin
1988
St. Patrick's Hospital
1988
This study aimed to determine whether, following two years of specialized support for first‐episode psychosis, the addition a new digital intervention (Horyzons) treatment as usual (TAU) 18 months was more effective than TAU alone. We conducted single‐blind randomized controlled trial. Participants were people with psychosis (N=170), aged 16‐27 years, in clinical remission and nearing discharge from service. They randomly assigned (1:1) receive Horyzons plus (N=86) or alone (N=84) between...
Digital interventions have potential applications in promoting long-term recovery and improving outcomes first-episode psychosis (FEP). This study aimed to evaluate the cost-effectiveness of Horyzons, a novel online social therapy support young people aged 16-27 years following discharge from FEP services, compared with treatment as usual (TAU) healthcare sector societal perspective.
Youth mental health services are characterised by high demand and modest clinical outcomes. While digital interventions (DMHIs) have been shown to be clinically effective, the relationship between DMHI use outcome is unclear. The current study sought identify factors affecting depression anxiety symptom improvement in sub-groups of young people. An observational cohort design included people aged 12-25 years engaging with a (MOST) from October 2020 2023. primary was at 12 weeks on Patient...
Three-hundred male alcoholics were selected from consecutive admissions to hospital. They divided into three diagnostic sub-groups: primary alcoholics; with unipolar affective disorder; and bipolar disorder. After follow-up interviews over a 2-year period after hospital discharge, the sub-groups reported differences in frequency of mood change, amount treatment received, attendance, although there no clear-cut items associated their alcoholism. There were, however, some indications that...
Background Digital mental health interventions present a unique opportunity to address the lack of social connection and loneliness experienced by young people with first-episode psychosis (FEP). The first generation digital interventions, however, is associated high attrition rates. Social media presents an target this issue. A new intervention has harnessed popularity both promote engagement foster connectedness in youth interventions. Despite their potential, little known about how engage...
A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might blended with face-to-face approaches in order to enhance care. Blended treatment refers the integration It potential capitalize on evidence-based features both individual modalities, while also exceeding sum its parts. This could bridge online-offline divide better reflect...
Background Integrating innovative digital mental health interventions within specialist services is a promising strategy to address the shortcomings of both face-to-face and web-based services. However, despite young people’s preferences calls for integration these services, current rarely offer blended models care. Objective This pilot study tested an integrated transdiagnostic intervention (eOrygen) as model care youth psychosis borderline personality disorder. The primary aim was evaluate...
Multicomponent digital interventions offer the potential for tailored and flexible that aim to address high attrition rates increase engagement, an area of concern in mental health. However, increased flexibility use makes it difficult determine which components lead improved treatment outcomes.This study aims identify user profiles on Horyzons, 18-month relapse prevention intervention first-episode psychosis incorporates therapeutic content social networking, along with clinical,...
Background Repetitive negative thinking (RNT) is a key transdiagnostic mechanism underpinning depression and anxiety. Using “just-in-time adaptive interventions” via smartphones may disrupt RNT in real time, providing targeted personalized intervention. Objective This pilot randomized controlled trial evaluates the feasibility, acceptability, preliminary clinical outcomes mechanisms of Mello—a fully automated, personalized, transdiagnostic, mechanistic smartphone intervention targeting young...
Online youth mental health services are an expanding approach to meeting service need and can be used as the first step in a stepped-care approach. However, limited evidence exists regarding satisfaction with online services, there is no standardized measure.This study implemented questionnaire within eheadspace, service. The aims were test questionnaire's psychometric properties identify current levels of among users, well client contact characteristics that affect satisfaction.Data...
Low engagement rates with digital mental health interventions are a major challenge in the field. Multicomponent aim to improve by adding components such as social networks. Although networks may be engaging, they not sufficient clinical outcomes or lead users engage key therapeutic components. Therefore, we need understand what drive overall and drives components.Horyzons was an 18-month intervention for young people recovering from first-episode psychosis, incorporating content private...
This study aimed to understand how young people with first-episode psychosis experienced online therapy on a Moderated Online Social Therapy (MOST) platform known as Horyzons.Semi-structured in-depth qualitative interviews were conducted 12 who had previously participated in Horyzons, randomized controlled trial (RCT) of long-term digital intervention for psychosis. Interviews analysed using phenomenological approach.This found that the experience was idiosyncratic, taking different meaning...
Despite the considerable growth in mindfulness-based research field of psychosis, few attempts have been made to validate mindfulness instruments this population. This study aimed evaluate factorial structure, internal consistency, construct validity, and longitudinal measurement invariance Mindful Attention Awareness Scale (MAAS) a sample individuals with first-episode psychosis (FEP). In 150 remitted FEP, present explored factor invariance, reliability, convergent discriminant validity...
Abstract Objective Numerous research studies have demonstrated an association between higher symptom severity and cognitive impairment with poorer social functioning in first-episode psychosis (FEP). By contrast, the influence of subjective experiences, such as relatedness self-beliefs, has received less attention. Consequently, a cohesive understanding how these variables interact to is lacking. Method We used structural equation modeling examine direct indirect relationships among...
Abstract Aim People diagnosed with mental disorders experience higher rates of unemployment than those without. Career adaptability, defined as the ability to respond flexibly and make informed career decisions in work throughout transitions, is becoming increasingly important nature changes rapidly. Early vocational intervention may ameliorate poor education employment outcomes experienced by young people ill‐health promote transferable skills adaptability. Online‐based support allows for...
Abstract Objective Comorbid social anxiety is common in psychotic disorders and associated with multiple negative consequences. However, the long‐term effects of persistent versus fluctuating or no on functioning health‐related quality life (HR‐QoL) have received scant attention. Therefore, we aimed to examine prevalence determine its effect HR‐QoL first‐episode psychosis (FEP). Methods One hundred eight individuals remitted FEP were classified into three groups (persistent, anxiety)...
<title>Abstract</title> This systematic review and meta-analysis examined the efficacy of digital mental health apps impact persuasive design principles on engagement clinical outcomes. Of 119 eligible randomised controlled trials, 92 studies (n=16,728) were included in analysis. Results demonstrated that significantly improved outcomes compared to control groups (g = 0.43). Apps used between 1 12 (mode 5). Notably, only 76% reported data. Twenty-five metrics identified across grouped into...
<sec> <title>BACKGROUND</title> Third-wave psychological treatments, such as Acceptance and Commitment Therapy (ACT), can be effective for improving depression anxiety in youth. However, third-wave therapeutic techniques cognitive defusion abstract, challenging to learn, difficult apply real-world settings. Translating these into virtual reality (VR) may provide interactive, enjoyable, concrete learning opportunities, potentially enhancing engagement effectiveness. This study evaluated a...
Mental Health Literacy (MHL) refers to knowledge and beliefs about mental health problems. Although mostly studied in adult samples, it has been associated with help-seeking intentions service use adolescents. The aim of the present study was explore depression MHL its association help seeking a sample adolescent participants (n = 235, 135 males) from final three years secondary school (mean 16.6 years, SD .65) Ireland. Knowledge were measured using vignettes self-report instruments....
Repetitive negative thinking (RNT) is a key transdiagnostic mechanism underpinning depression and anxiety. Using ‘just-in-time adaptive interventions’ via smartphones may disrupt RNT in real-time, providing targeted personalised intervention. This pilot randomised controlled trial evaluated the feasibility, acceptability preliminary clinical outcomes mechanisms of Mello – personalised, transdiagnostic, mechanistic smartphone intervention targeting young people with Fifty-five heightened...
<sec> <title>BACKGROUND</title> A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might blended with face-to-face approaches in order to enhance care. Blended treatment refers the integration It potential capitalize on evidence-based features both individual modalities, while also exceeding sum its parts. This could bridge...
<sec> <title>BACKGROUND</title> Repetitive negative thinking (RNT) is a key transdiagnostic mechanism underpinning depression and anxiety. Using “just-in-time adaptive interventions” via smartphones may disrupt RNT in real time, providing targeted personalized intervention. </sec> <title>OBJECTIVE</title> This pilot randomized controlled trial evaluates the feasibility, acceptability, preliminary clinical outcomes mechanisms of Mello—a fully automated, personalized, transdiagnostic,...
<sec> <title>BACKGROUND</title> Integrating innovative digital mental health interventions within specialist services is a promising strategy to address the shortcomings of both face-to-face and web-based services. However, despite young people’s preferences calls for integration these services, current rarely offer blended models care. </sec> <title>OBJECTIVE</title> This pilot study tested an integrated transdiagnostic intervention (eOrygen) as model care youth psychosis borderline...
<sec> <title>BACKGROUND</title> Online youth mental health services are an expanding approach to meeting service need and can be used as the first step in a stepped-care approach. However, limited evidence exists regarding satisfaction with online services, there is no standardized measure. </sec> <title>OBJECTIVE</title> This study implemented questionnaire within eheadspace, service. The aims were test questionnaire’s psychometric properties identify current levels of among users, well...