Participants' Engagement With and Results From a Web-Based Integrative Population Mental Wellness Program
Joseph A Rosansky1,2, Kayley Okst1,3, Miriam C Tepper1,4
1Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, United States.
JMIR Mental Health
|October 26, 2023
Summary
The CHAMindWell program reduced mental health symptoms in patients during the COVID-19 pandemic. This web-based intervention improved resilience and decreased symptom severity for participants.
Area of Science:
- Public Health
- Mental Health Interventions
- Digital Health
Background:
- The COVID-19 pandemic caused widespread stress and increased mental health issues like depression and anxiety.
- CHAMindWell was developed as a digital tool to enhance resilience and reduce symptom severity for patients within a healthcare system.
Purpose of the Study:
- To evaluate participant engagement and outcomes of the CHAMindWell web-based intervention.
- To examine demographic factors and changes in mental health symptom severity during program participation.
Main Methods:
- Retrospective analysis of demographic data and mental health symptom severity scores.
- Utilized Computerized Adaptive Testing for Mental Health (CAT-MH) surveys for repeated, web-based screenings.
- Categorized participants into tiers based on symptom severity and analyzed changes using logistic regressions and t tests.
Main Results:
- 903 participants enrolled; 69% completed baseline CAT-MH, 196 completed follow-up surveys.
- White racial identity was associated with higher odds of completing baseline assessments.
- Participants showed significantly greater odds of being in the asymptomatic to mild symptom tier at follow-up, with overall symptom reductions observed.
Conclusions:
- The CHAMindWell intervention is linked to decreased mental health symptom severity.
- Further research is needed to address engagement disparities and attrition.
- Comparative studies against control groups are recommended to fully understand CHAMindWell's impact.
Keywords:
COVID-19 pandemicdigital psychiatryearly identificationintegrative medicinemental wellnessmindfulnesspopulation mental healthpreventionstratified careMore Related Videos
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