Internet and mobile technologies: addressing the mental health of trauma survivors in less resourced communities
Open accessAbstract
Internet and mobile technologies offer potentially critical ways of delivering mental health support in low-resource settings. Much evidence indicates an enormous negative impact of mental health problems in low- and middle-income countries (LMICs), and many of these problems are caused, or worsened, by exposure to wars, conflicts, natural and human-caused disasters, and other traumatic events. Though specific mental health treatments have been found to be efficacious and cost-effective for low-resource settings, most individuals living in these areas do not have access to them. Low-intensity task-sharing interventions will help, but there is a limit to the scalability and sustainability of human resources in these settings. To address the needs of trauma survivors, it will be important to develop and implement Internet and mobile technology resources to help reduce the scarcity, inequity, and inefficiency of current mental health services in LMICs. Mobile and Internet resources are experiencing a rapid growth in LMICs and can help address time, stigma, and cost barriers and connect those who have been socially isolated by traumatic events. This review discusses current research in technological interventions in low-resource settings and outlines key issues and future challenges and opportunities. Though formidable challenges exist for large-scale deployment of mobile and Internet mental health technologies, work to date indicates that these technologies are indeed feasible to develop, evaluate, and deliver to those in need of mental health services, and that they can be effective.
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Most evidence-based psychotherapy studies in low- and middle-income countries test treatment for one or two disorders at a time, usually depression, through efficacy trials.
“Similar to studies in high-income countries, most EBP studies in LMICs address treatment of one or two disorders at a time (mostly depression) through efficacy testing.”
From Technology and implementation science to forge the future of evidence-based psychotherapies: The PRIDE scale-up study (2021) · cites this paper as [3]
Even fewer evidence-based psychotherapy studies in low- and middle-income countries tackle the shortage of human resources by training community providers and testing ways to deliver these therapies with fidelity.
“Few test effectiveness or cost-effectiveness; fewer still address the lack of human resources by training community providers and testing strategies to deliver EBPs with fidelity.3”
From Technology and implementation science to forge the future of evidence-based psychotherapies: The PRIDE scale-up study (2021) · cites this paper as [3]
Few evidence-based psychotherapy studies in low- and middle-income countries assess effectiveness or cost-effectiveness.
“Few test effectiveness or cost-effectiveness; fewer still address the lack of human resources by training community providers and testing strategies to deliver EBPs with fidelity.3”
From Technology and implementation science to forge the future of evidence-based psychotherapies: The PRIDE scale-up study (2021) · cites this paper as [3]
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Correlates of expected eMental Health intervention uptake among Filipino domestic workers in China
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Telepsychology and the COVID-19 pandemic: the experiences of psychologists in South Africa
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Sexual Victimization Among Men: A Qualitative Analysis of the Twitter Hashtag #UsToo
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Special issue: e-health innovations for global mental health
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- Authors
- Ruzek, J. I., & Yeager, C. M.
- Affiliations
- Palo Alto University (US)
- University of Colorado Colorado Springs (US)
- Corresponding author
- Ruzek, J. I.
- Venue
- Global Mental Health
- Publisher
- Cambridge University Press (CUP)
- Published
- 2017
- Volume
- 4
- Pages
- e16-e16
- ISSN
- 2054-4251 (ISSN-L)
- PMC
- PMC5719483
- OpenAlex
- W2752325749
- Semantic Scholar
- c4ac173acab32395ad2eb651aef04bf3e6fd0e18
- Cited by
- 54
- References
- 98
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 13 · 2023: 3 · 2022: 1 · 2021: 11 · 2020: 6 · 2019: 4 · 2018: 5
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cambridge Prisms Global Mental Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- University of Cambridge
- Centers for Disease Control and Prevention
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- mobile mental health, trauma survivors, resource-limited settings, low- and middle-income countries, task sharing, access to mental health care, stigma, social isolation, scalability and sustainability
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