An mHealth Approach to Extend a Brief Intervention for Adolescent Alcohol Use and Suicidal Behavior: Qualitative Analyses of Adolescent and Parent Feedback
Open accessAbstract
Mobile health (mHealth) tools that supplement inpatient psychiatric care can maintain and enhance intervention effects following hospitalization. Adolescents hospitalized following a suicidal event represent a vulnerable population who could greatly benefit from such an mHealth intervention. In specific, suicidal adolescents who drink alcohol are in need of robust interventions that address the bidirectional relationship between alcohol use and suicidal thoughts and behaviors, because it puts them at especially high risk for suicide upon discharge. The purpose of this study was to conduct qualitative interviews to gather feedback to improve a brief alcohol intervention provided to suicidal adolescents during psychiatric hospitalization, and to develop a mHealth tool to extend care after discharge. Participants, eight adolescents and their parents, identified the need for a smartphone application to deliver intervention content to adolescents and parents during the post-hospitalization period. Adolescents sought support in meeting alcohol- and mood-related goals, while parents desired general resources as well as tips for conversations with their adolescent about mood and alcohol use.
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Having a temporal record of health data (e.g., symptoms) that users can track and access over time is a facilitating factor.
“and having a temporal record of health data, such as symptoms, that users were able to track and access over time [176,180].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [180]
In 2 studies, participants were uncomfortable about their physical location being recorded.
“In 2 studies, participants were uncomfortable about their physical location being recorded [180,234]”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [180]
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Cited by
Sorted by citations
Borghouts, J., Eikey, E., Mark, G., De Leon, C., Schueller, S. M., Schneider, M., Stadnick, N., Zheng, K., Mukamel, D., & Sorkin, D. H. (2021) · Journal of Medical Internet Research · doi:10.2196/24387 · Cited by 1,069 · see citing works
“As seen in Multimedia Appendix 2, the 208 articles included in this review [27-237] reported on 2 types of user studies: (1) 69 studies were needs assessments that aimed to understand user needs and attitudes toward DMHIs without or before engaging with a specific intervention as part of a study and (2) 135 studies we…”
BackgroundInfluential
- Authors
- O’Brien, K. H. M., Wyman Battalen, A., Sellers, C. M., Spirito, A., Yen, S., Maneta, E., Ryan, C. A., & Braciszewski, J. M.
- Affiliations
- Boston Children's Hospital (US)
- Boston Children’s Hospital, Boston, Massachusetts;
- Brown University (US)
- Henry Ford Health (US)
- Corresponding author
- O’Brien, Kimberly H. McManama
- ORCID
- Venue
- Journal of Technology in Human Services
- Publisher
- Informa UK Limited
- Published
- 2019-02-10
- Volume
- 37
- Issue
- 4
- Pages
- 255-285
- ISSN
- 0740-445X (ISSN-L)
- 1522-8835
- 1522-8991
- PMC
- PMC6897385
- OpenAlex
- W2913673351
- Cited by
- 22
- References
- 41
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 3 · 2021: 2 · 2020: 4
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Technology in Human Services (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Tommy Fuss Center for Neuropsychiatric Disease Research (95672; PI: O’Brien)
- National Institute on Alcohol Abuse and Alcoholism (1R34AA025763-01; PI: O’Brien)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- mobile health, brief alcohol intervention, adolescent alcohol use, suicidal behavior, suicide prevention, psychiatric hospitalization, post-discharge care, mobile application, parental involvement, parent-adolescent communication, mood regulation
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