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Current and Future Trends in Internet-Supported Mental Health Interventions
Abstract
Despite growing research in the past two decades involving Internet-supported or online mental health interventions, there has been only a few attempts to provide a synthesis of the research findings and future trends. The Internet has grown exponentially during this time, providing greater access to a wider population than ever before. Consequently, online mental health interventions have the potential to be cost-effective, convenient, and reach a more diverse population than traditional, face-to-face interventions. This paper reviews and summarizes the current research for online mental health interventions and discusses future trends. These interventions range from psychoeducational static webpages and complex, personalized, interactive cognitive-behavioral-based self-help programs, to videoconferencing, self-help support groups, blogging, and professional-led online therapy. Future trends in online interventions include the greater prevalence of online therapy and the use of video chat and videoconferencing technologies to enhance and extend the therapeutic relationship. The use of texting or short message service (SMS), mobile communications, smart phone applications, gaming, and virtual worlds extends the intervention paradigm into new environments not always previously considered as intervention opportunities. We find that there is strong evidence to support the effective use and future development of a variety of online mental health applications.
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In the citing paper
“web-based resources and interventions may supplement face-to-face services, providing support to people as they wait for appointments [8]”
From Web-Based Interventions to Help Australian Adults Address Depression, Anxiety, Suicidal Ideation, and General Mental Well-being: Scoping Review (2022) · cites this paper as [8]
In the citing paper
“Web-based resources have the advantage of enabling consumers’ anonymity and access at any time of the day or night, from the privacy and convenience of their own homes [8].”
From Web-Based Interventions to Help Australian Adults Address Depression, Anxiety, Suicidal Ideation, and General Mental Well-being: Scoping Review (2022) · cites this paper as [8]
In the citing paper
“web-based interventions have been found to be cost-effective for development and delivery”
From Web-Based Interventions to Help Australian Adults Address Depression, Anxiety, Suicidal Ideation, and General Mental Well-being: Scoping Review (2022) · cites this paper as [8]
In the citing paper
“many are offered for free to consumers [8]”
From Web-Based Interventions to Help Australian Adults Address Depression, Anxiety, Suicidal Ideation, and General Mental Well-being: Scoping Review (2022) · cites this paper as [8]
In the citing paper
“Another advantage of the implementation of online interventions has to do with reaching the vulnerable and low-income population, who find it difficult to have access to a psychotherapeutic service, which is why these types of interventions are profitable and accessible (Barak and Grohol, 2011).”
From A Self-Applied Multi-Component Psychological Online Intervention Based on UX, for the Prevention of Complicated Grief Disorder in the Mexican Population During the COVID-19 Outbreak: Protocol of a Randomized Clinical Trial (2021) · cites this paper as Barak and Grohol, 2011
In the citing paper
“An increasing number of studies on Internet-based interventions, many based on CBT (iCBT), indicate their efficacy in supporting use of constructive self-management strategies in individuals living with chronic illness [12-15].”
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“For example, some received ‘personalised’ feedback in the form of information based on an assessment or data that was entered into the intervention, which can vary in its degree of personalisation (Barak & Grohol, 2011; Musiat et al., 2012).”
BackgroundA systematic review of online youth mental health promotion and prevention interventions
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“Since then many other CBT-based interventions have been developed and evaluated for the treatment of different mental health problems (Barak and Grohol, 2011).”
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“Some practitioners have chosen to exchange text messages with clients informally, for example, when clients wish to cancel or reschedule an appointment or provide the social worker with a btief update duting a ctisis (Barak & Grohol, 2011; Zur, 2011).”
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“The presence of these online psychological services is expected to not only increase, but branch out and utilize short message services (SMS), smart phone applications (apps), computer games, and virtual worlds (Barak & Grohol, 2011).”
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“A variety of technology-mediated mental and behavioral health services are available [2,3], with a growing body of evidence supporting their efficacy (eg, [4-7]).”
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“…was considered the most appropriate modality, possibly for its similarity with traditional face-to-face counseling (rather than text-based modalities); this finding was in line with previous studies (Backhaus et al., 2012; Barak & Grohol, 2011; Centore & Milacci, 2008; Mora et al., 2008).”
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“Some clinicians believe that maintaining online relationships with clients on social networking sites can be used as a therapeutic tool (Barak and Grohol 2011; Graffeo and La Barbera 2009; Lannin and Scott 2013); they claim that informal contact with clients on social networking sites empowers…”
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“To address this, attempts have already been made to structure parts of the field, for example for specific technologies, e.g., internet-supported mental health interventions (5, 6), smartphone apps (7) or for particular domains, e.g., for emotion regulation in clinical psychology (8).”
BackgroundCyber Counseling: Illuminating Benefits and Challenges
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“Cyber counseling or e-Therapy is considered a realistic way of responding to the demand for mental health services, a demand which is expected to increase exponentially in the coming years (Barak and Grohol 2011; Norcross et al. 2002; Schmidt and Wykes 2012).”
BackgroundWeb-Based Interventions for Youth Internalizing Problems: A Systematic Review
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Zeren, Ş. G., Erus, S. M., Amanvermez, Y., Buyruk-Genç, A., Yılmaz, M. B., & Duy, B. (2020) · European Journal of Educational Research · doi:10.12973/eu-jer.9.2.825 · Cited by 54
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“For this reason, psychologists and non-governmental services increased and strengthened online counselling therapy, or e-therapy [40].”
BackgroundMeasuring the Effect of Mental Health Chatbot Personality on User Engagement
Moilanen, J., Visuri, A., Suryanarayana, S. A., Alorwu, A., Yatani, K., & Hosio, S. J. (2022) · International Conference on Mobile and Ubiquitous Multimedia (MUM) · doi:10.1145/3568444.3568464 · Cited by 36
“These sources consist of literature [21, 51], audio sources [8] and the internet [4, 25].”
BackgroundGoldin, P. R., Lindholm, R., Ranta, K., Hilgert, O., Helteenvuori, T., & Raevuori, A. (2018) · JMIR Formative Research · doi:10.2196/11509 · Cited by 37
“These online interventions can be delivered in many different formats including psychoeducation, self-help programs, chat support groups, interactive health coaching, and professional-led online therapy [9].”
BackgroundNavarro, P., Sheffield, J. K., Edirippulige, S., & Bambling, M. (2019) · JMIR Mental Health · doi:10.2196/15564 · Cited by 46
“Online counseling is a common e-mental health intervention offered at youth helplines across the world [7,19] and is described by Barak and Grohol [20] as a “mental health”
BackgroundValidity of A Web-based Measure of Borderline Personality Disorder: A Preliminary Study
Fung, H. W., Chan, C., Lee, C. Y., Yau, C., Chung, H. M., & Ross, C. A. (2020) · Journal of Evidence-Based Social Work · doi:10.1080/26408066.2020.1760162 · Cited by 37
Wade-Bohleber, L., Crameri, A., Eich-Stierli, B., Telesko, R., & von Wyl, A. (2016) · JMIR Mental Health · doi:10.2196/mental.5597 · Cited by 36
“This is the great advantage of mental health interventions using new technologies [39,62].”
Kornfield, R., Sarma, P. K., Shah, D. V., Mctavish, F. M., Landucci, G., Pe‐Romashko, K., & Gustafson, D. H. (2018) · Journal of Medical Internet Research · doi:10.2196/10136 · Cited by 37
“Digital health interventions have proliferated in recent years [1], and evidence suggests they can improve management of mental health issues, including substance use disorders (SUDs) [2,3].”
BackgroundFrom Therapy to Teletherapy: Relocating Mental Health Services Online
Yamamoto, F. R., Voida, A., & Voida, S. (2021) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3479508 · Cited by 43
“Several systematic and critical reviews argue that teletherapy can result in client outcomes that are comparable to the outcomes from face-to-face counseling sessions [9, 20, 32, 71].”
BackgroundRistkari, T., Kurki, M., Suominen, A., Gilbert, S., Sinokki, A., Kinnunen, M., Huttunen, J., McGrath, P. J., & Sourander, A. (2018) · Journal of Medical Internet Research · doi:10.2196/11446 · Cited by 34
“Web-based interventions provide various opportunities for extending services to people with mental health [9] and behavioral problems, as they provide an effective way of reaching people, including the parents of children, as with our program.”
Implementation of e‐mental health for depression and anxiety: A critical scoping review
Ellis, L. A., Augustsson, H., Grødahl, A. I., Pomare, C., Churruca, K., Long, J. C., Ludlow, K., Zurynski, Y. A., & Braithwaite, J. (2020) · Journal of Community Psychology · doi:10.1002/jcop.22309 · Cited by 37
Teleconsultation in mental health
Mathieu-Fritz, A., & Crisp, J. (2018) · Réseaux · doi:10.3917/res.207.0123 · Cited by 32
Tan-MacNeill, K. M., Smith, I. M., Johnson, S. A., Chorney, J. M. L., & Corkum, P. V. (2021) · Children s Health Care · doi:10.1080/02739615.2021.1886934 · Cited by 31
“Online interventions have been shown to be effective for a range of health, mental health, and behavioral outcomes in both children and adults (Barak & Grohol, 2011; Cushing & Steele, 2010).”
BackgroundTabassum, A., Ghaznavi, I., Abd-Alrazaq, A. A., & Qadir, J. (2025) · Journal of Medical Internet Research · doi:10.2196/72400 · Cited by 38
“Ford et al [7] emphasized the importance of equitable access to these virtual educational tools to prevent a knowledge gap between those with and without access to these advanced technologies [91].”
My avatar is pregnant! Representation of pregnancy, birth, and maternity in a virtual world
Lomanowska, A. M., & Guitton, M. J. (2013) · Computers in Human Behavior · doi:10.1016/j.chb.2013.10.058 · Cited by 30
Eltahawy, L., Essig, T., Myszkowski, N., & Trub, L. R. (2023) · Computers in Human Behavior Artificial Humans · doi:10.1016/j.chbah.2023.100035 · Cited by 33
Die therapeutische Beziehung in internetbasierten Therapieverfahren
Klasen, M., Knaevelsrud, C., & Böttche, M. (2012) · Der Nervenarzt · doi:10.1007/s00115-012-3659-6 · Cited by 29
Mishra, H., & Venkatesan, M. (2022) · Management and Labour Studies · doi:10.1177/0258042x221117960 · Cited by 48
“…review the research evidence supporting the efficacy of mental health apps for mobile devices Scientific based mental health apps are still lacking Barak & Grohol (2011) Summarizes the research for online mental health interventions Cost-effective, convenient, and reach a more diverse population…”
BackgroundDilkes-Frayne, E., Savic, M., Carter, A., Kokanović, R., & Lubman, D. I. (2019) · Qualitative Health Research · doi:10.1177/1049732319838231 · Cited by 30
“Future research will also need to map the affordances, constraints and experiences of online counseling as it evolves with technological advancements such as automation and platform changes (Barak & Grohol, 2011; Miner, Milstein, & Hancock, 2017).”
BackgroundStefan, R., Mantl, G., Höfner, C., Stammer, J., Hochgerner, M., & Petersdorfer, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.743430 · Cited by 27
Millings, A., Morris, J., Rowe, A. C., Easton, S., Martin, J. K., Majoe, D., & Möhr, C. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.04.005 · Cited by 27
“Attention is turning to the future research agenda in e-mental health (Andrews and Williams, 2014; Barak and Grohol, 2011), where issues such as how to personalise and promote engagement with e-therapy programs have been highlighted as requiring attention (Cavanagh and Millings, 2013a).”
BackgroundTirel, M., Rozgonjuk, D., Purre, M., & Elhai, J. D. (2019) · Journal of Technology in Human Services · doi:10.1080/15228835.2018.1561348 · Cited by 33
“Barak and Grohol (2011) divide online mental health interventions into five categories: online counseling and psychotherapy, psychoeducational websites, interactive interventions, online support groups and blogs, and other types of interventions.”
BackgroundBatterham, P. J., Calear, A. L., Farrer, L. M., Gulliver, A., & Kurz, E. (2020) · Journal of Medical Internet Research · doi:10.2196/22698 · Cited by 26
“Similarly, individuals with limited mental health literacy or high levels of mental illness stigma may find that such interventions overcome these barriers [43].”
Online counseling using email: a qualitative study
Salleh, A. M., Hamzah, R., Nordin, N. M., Ghavifekr, S., & Joorabchi, T. N. (2015) · Asia Pacific Education Review · doi:10.1007/s12564-015-9393-6 · Cited by 31
“Email exchanges are asynchronous which means that the client’s and counselor’s communication do not occur simultaneously (Barak and Grohol 2011) and that responses are delayed (Richards and Viganó 2013).”
BackgroundCade, R., & Gates, J. (2016) · The Family Journal · doi:10.1177/1066480716679809 · Cited by 27
“In the helping professions, there is an emergence of literature exploring the use of video games in counseling and psychotherapy (Barak & Grohol, 2011; Ceranoglu, 2010; Griffiths, 2003; Horne-Moyer, Moyer, Messer, & Messer, 2014).”
BackgroundKarekla, M., & Savvides, S. N. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz128 · Cited by 25
Factors Influencing Uptake and Use of a New Health Information App for Young People
Russell, E., Lloyd-Houldey, A., Memon, A., & Yarker, J. (2018) · Journal of Technology in Human Services · doi:10.1080/15228835.2018.1536911 · Cited by 25
“Such features have also previously been found to facilitate improvements in health outcomes (Barak & Grohol, 2011; Free et al., 2013; Maher et al., 2014; Sillence et al., 2007).”
BackgroundInfluentialA Preliminary Comparison of Online and Face-to-Face Process Groups
Holmes, C. M., & Kozlowski, K. (2015) · Journal of Technology in Human Services · doi:10.1080/15228835.2015.1038376 · Cited by 24
“…gradually accommodating new relational patterns by developing practice skill sets that can successfully deal with social media (Holmes, Kozlowski, & Hermann, 2014), provide therapeutic distance counseling (Barak & Grohol, 2011), and support effective distance super-vision (McAdams & Wyatt, 2010).”
BackgroundTaxonomy of health IT and medication adherence
Mrosek, R., Dehling, T., & Sunyaev, A. (2015) · Health Policy and Technology · doi:10.1016/j.hlpt.2015.04.003 · Cited by 24
“New strategies, such as gami fi cation [24], are promising to help patients with staying motivated when using health IT.”
Woo, H., Dondanville, A. A., Jang, H., Na, G., & Jang, Y. (2020) · International Journal for the Advancement of Counselling · doi:10.1007/s10447-020-09406-w · Cited by 24
“For clients, email-based counseling, chat-rooms, cybertherapy, online self-help and support groups, and numerous counseling information websites provide the convenience of professional services regardless of time and location (Barak and Grohol 2011).”
BackgroundThe lived experience of caring for someone with bipolar disorder: A qualitative study
Speirs, B., Hanstock, T. L., & KAY‐LAMBKIN, F. J. (2023) · PLoS ONE · doi:10.1371/journal.pone.0280059 · Cited by 23
“Web-based interventions, in general, are cost-efficient and effective [50, 51] and would prove an affordable option for carers of people with BD who may not seek out in-person treatment for themselves.”
BackgroundHarkin, L., Beaver, K., Dey, P., & Choong, K. A. (2020) · Digital Health · doi:10.1177/2055207619898993 · Cited by 22
“Themes of safety in anonymity, exposure and detachment online have been debated in research exploring the ‘disinhibition effect’ whereby anonymous online communities have been thought to develop differing types of interactions when compared with personalised ‘realistic’ interactions.(16,17) Additionally, our themes co…”
BackgroundSadeghi, S., Pouretemad, H., & Shalani, B. (2021) · International Journal of Developmental Disabilities · doi:10.1080/20473869.2021.1895699 · Cited by 24
“…geographical barriers for parents to receive psychoeducation, higher fidelity, greater accessibility, convenience, and reduced time and costs (Aqdassi et al. 2019, Aqdassi et al. 2021, Barak and Grohol 2011, Breitenstein et al. 2014, Hammond et al. 2012, Khanna et al. 2007, Ristkari et al. 2019).”
BackgroundBowman, S. J., Easpaig, B. N. G., & Fox, R. (2020) · Rural and Remote Health · doi:10.22605/rrh5448 · Cited by 22
Consiglio, M. D., Fabrizi, G., Conversi, D., Torre, G. L., Pascucci, T., Lombardo, C., Violani, C., & Couyoumdjian, A. (2021) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12251 · Cited by 27
Efficacy of technology-based eating disorder treatment: A meta-analysis
Haderlein, T. P. (2019) · Current Psychology · doi:10.1007/s12144-019-00448-x · Cited by 21
Concerns and hopes among adolescents attending adolescent psychiatric outpatient clinics
Anttila, K., Anttila, M., Kurki, M., Hätönen, H. M., MARTTUNEN, M. J., & Valimaki, M. A. (2014) · Child and Adolescent Mental Health · doi:10.1111/camh.12074 · Cited by 21
“Like Horgan and Sweeney (2010) and Barak and Grohol (2011), we assume that the Internet could be a notable channel for adolescents with mental disorders to share their concerns.”
BackgroundLi, Q., Piaseu, N., Phumonsakul, S., & Thadakant, S. (2024) · Nutrients · doi:10.3390/nu16020217 · Cited by 26
“Despite limitations, this research contributes valuable insights for future interventions, emphasizing the importance of personalized approaches, interactivity, and long-term follow-ups for sustained impact on maternal and child health.”
BackgroundScarpa, M. P., Prilletensky, I., McMahon, A., Myers, N. D., Prilleltensky, O., Lee, S., Pfeiffer, K. A., Bateman, A. G., & Brincks, A. M. (2021) · Frontiers in Computer Science · doi:10.3389/fcomp.2021.690389 · Cited by 20
Social Media and E-professionalism in Child Welfare: Policy and Practice
Sage, M., & Sage, T. (2015) · Journal of Public Child Welfare · doi:10.1080/15548732.2015.1099589 · Cited by 24
“Beneficial uses for social media in child welfare Technology, including social media, offers cost-effective opportunities to support interventions and maintain contact with clients and stakeholders (Barak & Grohol, 2011; Bell et al., 2014).”
BackgroundDominguez-Rodriguez, A., Martínez-Luna, S. C., Hernández Jiménez, M. J., De La Rosa-Gómez, A., Arenas-Landgrave, P., Esquivel Santoveña, E. E., Arzola-Sánchez, C., Alvarez Silva, J., Solis Nicolas, A. M., Colmenero Guadián, A. M., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.644782 · Cited by 18
Smartphone-based serious games for mental health: a scoping review
Gómez-Cambronero, Á., Mann, A.-L., Mira, A., Doherty, G. J., & Casteleyn, S. (2024) · Multimedia Tools and Applications · doi:10.1007/s11042-024-18971-w · Cited by 20
“…or smartphones, are seen as having the potential to improve temporal and geographical access to mental health services, lower attitudinal barriers (e.g., stigma, shame) [13] and are generally cost-effective [14], thereby reaching a wider public with lower costs and shorter waiting times [15].”
Kurki, M., Anttila, M., Koivunen, M. H., MARTTUNEN, M. J., & Valimaki, M. A. (2017) · Informatics for Health and Social Care · doi:10.1080/17538157.2016.1269110 · Cited by 19
“Other professions’ negative attitudes toward the technology-based system or differences between frameworks may be confusing and related to the acceptance of a new intervention (24,45,46).”
BackgroundReducing Depression Through an Online Intervention: Benefits From a User Perspective
Crisp, D. A., & Griffiths, K. M. (2016) · JMIR Mental Health · doi:10.2196/mental.4356 · Cited by 19
“In the area of mental health, Internet-based interventions for depression have undergone significant development [2].”
The development and initial psychometric validation of the eHealth readiness scale
Bhalla, A., Durham, R. L., Al-Tabaa, N., & Yeager, C. M. (2016) · Computers in Human Behavior · doi:10.1016/j.chb.2016.09.015 · Cited by 19
Metadata
- Authors
- Barak, A., & Grohol, J. M.
- Affiliations
- University of Haifa (IL)
- PsychCentral
- Corresponding author
- Barak, Azy
- ORCID
- Grohol, John M.
- Venue
- Journal of Technology in Human Services
- Publisher
- Informa UK Limited
- Published
- 2011-07
- Volume
- 29
- Issue
- 3
- Pages
- 155-196
- ISSN
- 0740-445X (ISSN-L)
- 1522-8835
- 1522-8991
- OpenAlex
- W1984939782
- Semantic Scholar
- ec03bf61e01bcf9bf15dae1d74db6cde3661970f
- Cited by
- 373
- References
- 228
- Citations by year
- 2026: 14 · 2025: 21 · 2024: 18 · 2023: 34 · 2022: 46 · 2021: 35 · 2020: 39 · 2019: 26 · 2018: 22 · 2017: 21 · 2016: 28 · 2015: 27 · 2014: 21 · 2013: 15 · 2012: 6
- FWCI
- 18.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Technology in Human Services (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- digital mental health interventions, online intervention, online therapy, videoconferencing, self-help programs, cognitive behavioral therapy, therapeutic relationship, mobile health apps, mobile application, video games, virtual worlds, blogging, cost-effectiveness, future trends
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