A systematic review of electronic mental health interventions for Indigenous youth: Results and recommendations
Abstract
Electronic health interventions involve health services delivered using the Internet and related communication technologies. These services can be particularly relevant for Indigenous populations who often have differential access to health-care services compared to general populations, especially within rural and remote areas. As the popularity of electronic health interventions grows, there is an increased need for evidence-based recommendations for the effective use of these technologies. The current study is a systematic review of peer-reviewed and available grey literature with the aim of understanding outcomes of electronic health interventions for mental health concerns among Indigenous people. Studies used electronic health technologies for substance use treatment or prevention, suicide prevention, parenting supports, goal setting and behaviour change and consultation services. Various technological platforms were used across interventions, with both novel and adapted intervention development. Most studies provided qualitative results, with fewer studies focusing on quantitative outcomes. Some preliminary results from the engagement of Indigenous individuals with electronic health services has been demonstrated, but further research is needed to confirm these results. Identified barriers and facilitators are identified from the reviewed literature. Recommendations for future development of electronic health interventions for Indigenous youth are provided.
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A recent study found over 1500 apps publicly available for addressing depressive symptoms, but only 32 studies were presented in the academic literature.
“A recent study found over 1500 apps publicly available for addressing depressive symptoms; however, only 32 studies were presented in the academic literature [12].”
From Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People (2023) · cites this paper as [12]
Cites
PRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223 · see citing works
Eysenbach, G. (2001) · Journal of Medical Internet Research · doi:10.2196/jmir.3.2.e20 · Cited by 2,449 · see citing works
The Effectiveness of Telemental Health: A 2013 Review
Hilty, D. M., Ferrer, D. C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P. M. (2013) · Telemedicine and e-Health · doi:10.1089/tmj.2013.0075 · Cited by 1,048 · see citing works
Mental Health Smartphone Apps: Review and Evidence-Based Recommendations for Future Developments
Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016) · JMIR Mental Health · doi:10.2196/mental.4984 · Cited by 886 · see citing works
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Randomized Controlled Trial
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R., Gallagher, M. W., & Barlow, D. H. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.01.001 · Cited by 746 · see citing works
Labrique, A. B., Vasudevan, L., Kochi, E., Fabricant, R., & Mehl, G. (2013) · Global Health: Science and Practice · doi:10.9745/ghsp-d-13-00031 · Cited by 601 · see citing works
Martínez-Pérez, B., de la Torre-Díez, I., & López-Coronado, M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2600 · Cited by 550 · see citing works
Browne, A. J., Varcoe, C., Lavoie, J., Smye, V., Wong, S. T., Krause, M., Tu, D., Godwin, O., Khan, K., & Fridkin, A. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1707-9 · Cited by 358 · see citing works
Morrison, L. G., Yardley, L., Powell, J., & Michie, S. (2012) · Telemedicine and e-Health · doi:10.1089/tmj.2011.0062 · Cited by 290 · see citing works
Tighe, J., Shand, F., Ridani, R., Mackinnon, A., De La Mata, N., & Christensen, H. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013518 · Cited by 227 · see citing works
Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study
Rowan, M., Poole, N., Shea, B., Gone, J. P., Mykota, D., Farag, M., Hopkins, C., Hall, L., Mushquash, C., & Dell, C. (2014) · Substance Abuse Treatment, Prevention, and Policy · doi:10.1186/1747-597x-9-34 · Cited by 210 · see citing works
Self-citationBatterham, P. J., & Calear, A. L. (2017) · JMIR Mental Health · doi:10.2196/mental.7722 · Cited by 161 · see citing works
Azzopardi, P. S., Sawyer, S. M., Carlin, J. B., Degenhardt, L. J., Brown, N. J., Brown, A. D. H., & Patton, G. C. (2017) · The Lancet · doi:10.1016/s0140-6736(17)32141-4 · Cited by 152 · see citing works
Dubad, M., Winsper, C., Meyer, C., Livanou, M., & Marwaha, S. (2017) · Psychological Medicine · doi:10.1017/s0033291717001659 · Cited by 120 · see citing works
Kruse, C. S., Bouffard, S., Dougherty, M., & Parro, J. S. (2016) · Journal of Medical Systems · doi:10.1007/s10916-016-0503-8 · Cited by 107 · see citing works
Development and Use of Health-Related Technologies in Indigenous Communities: Critical Review
Jones, L. J., Jacklin, K. M., & O’Connell, M. E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7520 · Cited by 102 · see citing works
Kypri, K., McCambridge, J., Vater, T., Bowe, S. J., Saunders, J. B., Cunningham, J. A., & Horton, N. J. (2012) · Addiction · doi:10.1111/j.1360-0443.2012.04067.x · Cited by 91 · see citing works
Adolescent's preferred modes of delivery for mental health services
Bradford, S., & Rickwood, D. (2014) · Child and Adolescent Mental Health · doi:10.1111/camh.12002 · Cited by 83 · see citing works
Lokkerbol, J., Adema, D., Cuijpers, P. J., Reynolds, C. F., Schulz, R., Weehuizen, R., & Smit, F. (2013) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2013.01.058 · Cited by 76 · see citing works
Challenges and opportunities associated with rural mental health practice.
Hastings, S. L., & Cohn, T. J. (2013) · Journal of Rural Mental Health · doi:10.1037/rmh0000002 · Cited by 73 · see citing works
Dingwall, K. M., Puszka, S., Sweet, M., & Nagel, T. (2015) · Australian Psychologist · doi:10.1111/ap.12100 · Cited by 71 · see citing works
Christensen, H. M., Reynolds, J., & Griffiths, K. M. (2011) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2010.00242.x · Cited by 70 · see citing works
Shand, F. L., Ridani, R., Tighe, J., & Christensen, H. (2013) · Trials · doi:10.1186/1745-6215-14-396 · Cited by 69 · cited 2× · see citing works
“Several of these studies worked in partnership with Indigenous communities or individuals during development.(30,32,33,36,37) Other studies focused on finding more accessible ways of delivering typically available services to more remote areas.”
BackgroundTelepsychiatry for Treating Rural American Indian Youth
Savin, D. M., GARRY, M. T., ZUCCARO, P., & Novins, D. K. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000198594.68820.59 · Cited by 68 · see citing works
Leske, S., Harris, M. G., Charlson, F. J., Ferrari, A. J., Baxter, A. J., Logan, J. M., Toombs, M., & Whiteford, H. (2016) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867416662150 · Cited by 65 · see citing works
Digital Health Solutions for Indigenous Mental Well-Being
Hensel, J. M., Ellard, K., Koltek, M., Wilson, G., & Sareen, J. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1056-6 · Cited by 61 · see citing works
Minore, B., Boone, M., Katt, M., Kinch, P., & Birch, S. (2004) · Journal of Interprofessional Care · doi:10.1080/13561820400011784 · Cited by 44 · see citing works
Mental health and substance use in an urban First Nations population in Hamilton, Ontario
Firestone, M., Smylie, J. K., Maracle, S., McKnight, C., Spiller, M. W., & O'Campo, P. J. (2015) · Canadian Journal of Public Health · doi:10.17269/cjph.106.4923 · Cited by 44 · see citing works
Fletcher, R. J., Hammond, C., Faulkner, D., Turner, N. A., Shipley, L., Read, D. M. Y., & Gwynn, J. (2017) · Australian Journal of Primary Health · doi:10.1071/py16151 · Cited by 37 · see citing works
Taualii, M. M., Bush, N. E., Bowen, D. J., & Forquera, R. (2010) · Journal of Cancer Education · doi:10.1007/s13187-009-0004-2 · Cited by 33 · see citing works
Horn, B. P., Barragan, G. N., Fore, C., & Bonham, C. A. (2015) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x15587171 · Cited by 33 · see citing works
Mental health services for Nunavut children and youth: evaluating a telepsychiatry pilot project
Volpe, T., Boydell, K., & Pignatiello, A. (2014) · Rural and Remote Health · doi:10.22605/rrh2673 · Cited by 30 · see citing works
Hautala, D. S., Sittner, K. J., & Walls, M. L. (2018) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-018-0500-0 · Cited by 28 · see citing works
Maar, M. A., Seymour, A. M., Sanderson, B., & Boesch, L. (2010) · Rural and Remote Health · doi:10.22605/rrh1299 · Cited by 26 · see citing works
Wozney, L., McGrath, P. J., Newton, A. S., Huguet, A., Franklin, M., Perri, K., Leuschen, K., Toombs, E., & Lingley‐Pottie, P. (2015) · Health Informatics Journal · doi:10.1177/1460458215586803 · Cited by 26 · see citing works
Self-citationMental Health Promotion for Indigenous Youth
Kirmayer, L. J., Sheiner, E., & Geoffroy, D. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-804394-3.00006-1 · Cited by 26 · see citing works
Wickramasinghe, S. I., Caffery, L. J., Bradford, N. K., & Smith, A. C. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x16673267 · Cited by 24 · see citing works
Short-term Effects of a Smoking Prevention Website in American Indian Youth
Bowen, D. J., Henderson, P. N., Harvill, J., & Buchwald, D. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1682 · Cited by 23 · see citing works
The Cedar Project Partnership, Jongbloed, K. A., Friedman, A. J., Pearce, M., van der Kop, M. L., Thomas, V., Demerais, L., Pooyak, S. D., Schechter, M. T., Lester, R. T., et al. (2016) · Trials · doi:10.1186/s13063-016-1250-3 · Cited by 22 · see citing works
Risk indicators of suicide ideation among on-reserve First Nations youth
Lemstra, M., Rogers, M., Moraros, J., & Grant, E. (2013) · Paediatrics & Child Health · doi:10.1093/pch/18.1.15 · Cited by 21 · see citing works
A paediatric therapeutic alliance occurs with distance intervention
Lingley‐Pottie, P., & McGrath, P. J. (2008) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2008.080101 · Cited by 19 · see citing works
Tobacco use in six economically disadvantaged communities in the Dominican Republic
Ossip-Klein, D. J., Fisher, S. G., Díaz, S., Tavárez, Z. Q., Sierra-Torres, E., Dozier, A. M., McIntosh, S. E., Guido, J. J., Winters, P., Diaz, O., et al. (2008) · Nicotine & Tobacco Research · doi:10.1080/14622200802027164 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Torous, J., Linardon, J., Goldberg, S. B., Sun, S., Bell, I., Nicholas, J., Hassan, L., Hua, Y., Milton, A., & Firth, J. (2025) · World Psychiatry · doi:10.1002/wps.21299 · Cited by 323 · see citing works
“Technical issues – including bugs, usability and accessibility challenges – are major barriers hindering engagement 177,180,182,189 .”
InfluentialBudhwani, S., Fujioka, J. K., Thomas-Jacques, T., Vera, K. D., Challa, P., de Silva, R., Fuller, K., Shahid, S., Hogeveen, S. E., Chandra, S., et al. (2022) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocac022 · Cited by 63 · see citing works
Li, J., & Brar, A. (2022) · Computers in Human Behavior · doi:10.1016/j.chb.2021.106988 · Cited by 42 · see citing works
Moecke, D. P., Holyk, T., Beckett, M., Chopra, S., Petlitsyna, P., Girt, M., Kirkham, A. R., Kamurasi, I., Turner, J., Sneddon, D., et al. (2023) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x231158835 · Cited by 42 · see citing works
Johansson, M., Romero, D., Jakobson, M., Heinemans, N., & Lindner, P. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1233888 · Cited by 37 · see citing works
Povey, J., Sweet, M., Nagel, T., Lowell, A., Shand, F., Vigona, J., & Dingwall, K. M. (2022) · JMIR Formative Research · doi:10.2196/28342 · Cited by 26 · see citing works
“Mechanisms that support and promote literacy, such as audio options, visual prompts, and metaphors, can improve understanding [75,80].”
BackgroundShahid, S., Hogeveen, S. E., Sky, P., Chandra, S., Budhwani, S., de Silva, R., Bhatia, R. S., Seto, E., & Shaw, J. (2023) · International Journal for Equity in Health · doi:10.1186/s12939-023-01849-y · Cited by 28 · see citing works
“The literature pointed to additional strategies that did not appear in our case studies, including educating the larger community to raise awareness about virtual care initiatives [23, 24, 37], involving the community during the implementation process [37], gradually introducing the virtual care technology [23], and d…”
BackgroundPeng, R., Li, X., Guo, Y., Ning, H., Huang, J., Jiang, D., Feng, H., & Liu, Q. (2024) · Digital Health · doi:10.1177/20552076241234628 · Cited by 26 · see citing works
Nadeau, L., Gaulin, D., Johnson‐Lafleur, J., Levesque, C., & Fraser, S. L. (2022) · International Journal of Circumpolar Health · doi:10.1080/22423982.2022.2087846 · Cited by 22 · see citing works
“technological obstacles than in other Indigenous communities overall [67].”
BackgroundDingwall, K. M., Povey, J., Sweet, M., Friel, J., Shand, F., Titov, N., Wormer, J., Mirza, T., & Nagel, T. (2023) · JMIR Human Factors · doi:10.2196/40111 · Cited by 21 · see citing works
“A recent study found over 1500 apps publicly available for addressing depressive symptoms; however, only 32 studies were presented in the academic literature [12].”
The Use of Mobile Applications to Support Indigenous Youth Wellbeing in Canada
Noronha, N., Smith, S., Hill, D. M., Hill, L. D., Smith, S. D., General, D. A., McQueen, C., Horse, M. L., Drossos, A., Lokker, C., et al. (2021) · International Journal of Child and Adolescent Resilience · doi:10.7202/1077724ar · Cited by 18 · see citing works
“…to no research done in the areas of community preferences, current resilience practices, cost-effectiveness, and outcome measures that reflect culturally relevant measurements of resilience and direct measurements of youth service recipients, as compared to service providers (Toombs et al., 2020).”
BackgroundHicks, L. J., Toombs, E., Lund, J. I., Kowatch, K. R., Hopkins, C., & Mushquash, C. J. (2024) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x241239715 · Cited by 15 · see citing works
“37 As this research becomes more available, there is a greater need for further summarizing of the types of concerns targeted, technology used, outcomes reported, and processes included for development.”
InfluentialSelf-citationEffective Modalities of Virtual Care to Deliver Mental Health and Addictions Services in Canada
Lo, B., Strudwick, G., Mah, L., Mushquash, C. J., McKenzie, K. J., Khenti, A., Crawford, A. S., Bhattacharya, O., Allen, U., Bodmer, N. S., et al. (2022) · doi:10.47326/ocsat.2022.03.66.1.0 · Cited by 15 · see citing works
Self-citationManu, E., Acquah, F. N., Douglas, M., Akitty, E., Zanu, E. P., Ampomah, M. A., & Adoma, P. O. (2024) · BMC Public Health · doi:10.1186/s12889-024-19550-2 · Cited by 13 · see citing works
“While there are generally targeted psychological health interventions in high-income countries that may have reduced the impact of gambling on psychological distress among young people, the same cannot be said for low-middle-income countries such as Ghana [63–65].”
BackgroundPovey, J., Raphiphatthana, B., Torok, M. H., Nagel, T. M., Mills, P. P. J. R., Sells, J. R. H., Shand, F., Sweet, M., Lowell, A., & Dingwall, K. M. (2023) · Systematic Reviews · doi:10.1186/s13643-023-02262-w · Cited by 12 · see citing works
“Two prior systematic reviews have described dMH products and outcomes for Indigenous young people [35, 48] but previous reviews have not examined the processes undertaken to engage Indigenous young people in developing or evaluating dMH tools.”
BackgroundMethodPovey, J., Raphiphatthana, B., Torok, M. H., Nagel, T. M., Shand, F., Sweet, M., Lowell, A., Mills, P. P. J. R., & Dingwall, K. M. (2021) · Systematic Reviews · doi:10.1186/s13643-021-01685-7 · Cited by 12 · see citing works
“To date, five systematic or scoping reviews have been conducted in the area of health technologies for Indigenous populations [14–18] but only one has focused on young people and mental health interventions [18].”
BackgroundUse of telehealth for paediatric rehabilitation needs of Indigenous children – a scoping review
Dostie, R., Dunn, H., Marks, W. N., Camden, C., & Lovo, S. (2024) · International Journal of Circumpolar Health · doi:10.1080/22423982.2024.2308944 · Cited by 11 · see citing works
“While telehealth has been studied and implemented in various contexts for Indigenous populations [19–24], there is a notable gap in our understanding regarding its utilisation for Indigenous children.”
BackgroundExploring the relevance of a psychology-based resilience app (JoyPop™) for Indigenous youth
Kim, K. K., Au-Yeung, A., Dagher, D., Jacobs, N., Martin‐Hill, D., & Wekerle, C. (2023) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2023.106343 · Cited by 11 · see citing works
Malik, I., Perez, A. J., Toombs, E., SCHMIDT, F. H., Olthuis, J. V., Charlton, J. K., Grassia, E., Squier, C., Stasiuk, K., Bobinski, T., et al. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1197362 · Cited by 10 · see citing works
“, Elders, frontline workers) report positive attitudes towards eHealth interventions (6).”
BackgroundSelf-citationPsychological research involving Indigenous people: Australia and Aotearoa (New Zealand)
Tindle, R., Raciti, M., & Moustafa, A. A. (2022) · Discover Psychology · doi:10.1007/s44202-021-00014-2 · Cited by 9 · see citing works
“[48] conducted a systematic review of electronic mental health interventions for Indigenous youth.”
BackgroundCaloudas, A. B., Frosio, K. E., Torous, J. B., Goss, C. W., Novins, D. K., Lindsay, J. A., & Shore, J. H. (2023) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-023-00348-9 · Cited by 7 · see citing works
“On the basis of their review, Toombs et al. (2021) provided recommendations for developing DMH interventions for Indigenous youth.”
InfluentialMushquash, A. R., Neufeld, T., Malik, I., Toombs, E., Olthuis, J. V., SCHMIDT, F. H., Dunning, C., Stasiuk, K., Bobinski, T., Ohinmaa, A. E., et al. (2024) · Trials · doi:10.1186/s13063-024-08076-y · Cited by 4 · see citing works
“Making use of emerging technologies (e.g., mobile health apps) to provide mental health supports is discussed as holding particular promise for youth, for those living in rural and remote areas, and for Indigenous people [13, 14].”
BackgroundSelf-citationCross-Cultural Representations of NSSI
Wilson, M. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197611272.013.6 · Cited by 4 · see citing works
Sidhu, A., Shegog, R., Rushing, S. C., Trevino, N., Singer, M., Jessen, C. M., Gorman, G., Simpson, S., Peskin, M. F., Hernandez, B., et al. (2025) · JMIR Formative Research · doi:10.2196/67885 · Cited by 2 · see citing works
“Digital health interventions for AI/AN youth have been reported to contribute to enhanced health metrics such as mental health, substance use, and sexual risk reduction [10,24].”
MacIsaac, A., Neufeld, T., Malik, I., Toombs, E., Olthuis, J. V., Schmidt, F., Dunning, C., Stasiuk, K., Bobinski, T., Ohinmaa, A., et al. (2025) · JMIR Research Protocols · doi:10.2196/64745 · Cited by 1 · see citing works
“More research is needed to test the effectiveness of apps for addressing mental health among Indigenous youth [24].”
Self-citationPovey, J., Raphiphatthana, B., Torok, M. H., Nagel, T. M., Shand, F., Sweet, M., Lowell, A., & Dingwall, K. M. (2020) · Research Square · doi:10.21203/rs.3.rs-75519/v1 · Cited by 2 · see citing works
“There is a consensus among the authors of these reviews that meaningful engagement of end users in design, development or evaluation is a necessary component of digital health solutions (15, 17-19).”
BackgroundArias-Murcia, S. E., Sánchez-Castro, J. C., Hrynyschyn, R., & Stock, C. (2025) · Exploration of Digital Health Technologies · doi:10.37349/edht.2025.101161 · Cited by 1 · see citing works
Recommendations Regarding the Appropriateness of Virtual Care: A Systematic Review
Alras, A., Patel, M. A., Wang, M., Lovo, S., Bath, B. L., Hammond, C., Mendez, I. M., Babyn, P., & Adams, S. (2025) · Telemedicine Journal and e-Health · doi:10.1177/15305627251380328 · Cited by 1 · see citing works
“20,21,36,37,49,58,67,70,74 In-person consultation should be considered when primary care provider and specialists have differing perspectives on the appropriateness of eConsult for a given case.”
Indigenous youth mental wellness and the adaptation of the JoyPopTM app (Preprint)Preprint
Kim, K. K., Au-Yeung, A., Dagher, D., & Wekerle, C. (2022) · doi:10.2196/preprints.37210
Yang, Y., Wang, C., Lin, G., Lin, W., Liu, H., Li, Y., Sun, M., & Zhou, Q. (2022) · Research Square · doi:10.21203/rs.3.rs-2127904/v1
Reflecting on Your Child Needs: Designing a Tangible Object For Enhancing Parental Mentalization
Carsenti, E., Erel, H., Mikulincer, M., & Zuckerman, O. (2023) · ACM International Conference on Interaction Design and Children (IDC) · doi:10.1145/3585088.3593865
Keller-Tuberg, M., Bell, I. H., Wadley, G., Thompson, A. D., & Thomas, N. (2025) · Virtual Worlds · doi:10.3390/virtualworlds4040052
“These populations are underserved by in-person services and may, in particular, benefit from the increased accessibility and anonymity afforded by VW technology [17,18,52,53].”
Manu, E., Acquah, F. N., Douglas, M., Akitty, E., Zanu, E. P., Ampomah, M. A., & Adoma, P. O. (2024) · Figshare · doi:10.6084/m9.figshare.26755162
Manu, E., Acquah, F. N., Douglas, M., Akitty, E., Zanu, E. P., Ampomah, M. A., & Adoma, P. O. (2024) · Figshare · doi:10.6084/m9.figshare.26755165
- Authors
- Toombs, E., Kowatch, K. R., Dalicandro, L., McConkey, S., Hopkins, C., & Mushquash, C. J.
- Affiliations
- Dilico Anishinabek Family Care (CA)
- Lakehead University (CA)
- Southwestern Ontario Aboriginal Health Access Centre (CA)
- Thunderbird Partnership Foundation (CA)
- Thunder Bay Regional Health Sciences Centre (CA)
- Corresponding author
- Toombs, Elaine
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2020-01-14
- Volume
- 27
- Issue
- 9
- Pages
- 539-552
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W3000199134
- Cited by
- 35
- References
- 42
- Citations by year
- 2025: 6 · 2024: 8 · 2023: 10 · 2022: 6 · 2021: 4 · 2020: 1
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- digital health interventions, Indigenous youth, Indigenous mental health, addiction treatment, substance use prevention, suicide prevention, parenting support, goal setting, behavior change, consulting services, barriers and facilitators, technology engagement
- MeSH terms
- Adolescent, Electronics, Humans, Mental Health, Rural Population, Suicide
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