Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?

Digital mental health interventions (DMHI) are scalable and cost-effective strategies for increasing access to mental health care; however, dropout rates associated with digital interventions are high, particularly for open-access digital interventions. While some studies have focused on predictors...

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Main Authors: Eliane M. Boucher, Haley E. Ward, Amelia C. Mounts, Acacia C. Parks
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.746324/full
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author Eliane M. Boucher
Haley E. Ward
Amelia C. Mounts
Acacia C. Parks
author_facet Eliane M. Boucher
Haley E. Ward
Amelia C. Mounts
Acacia C. Parks
author_sort Eliane M. Boucher
collection DOAJ
description Digital mental health interventions (DMHI) are scalable and cost-effective strategies for increasing access to mental health care; however, dropout rates associated with digital interventions are high, particularly for open-access digital interventions. While some studies have focused on predictors of dropout from digital mental health programs, few studies have focused on engagement features that might improve engagement. In this perspective article, we discuss whether monetary incentives (MI) are one avenue to increasing user engagement in DMHI. We begin by reviewing the literature on the effects of MI for behavior change in health domains (e.g., dietary behaviors, substance use, and medication adherence). Then, drawing on a pilot study we conducted to test the effects of different levels of MI on usage and improvement in subjective well-being among users of a DMHI (Happify), we discuss the potential applications of MI for DMHI, the potential drawbacks of financial incentives in this context, and open questions for future research.
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spelling doaj.art-c9b11c1c619f4391a0676931c8403f6b2022-12-21T19:23:47ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-11-011210.3389/fpsyg.2021.746324746324Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?Eliane M. BoucherHaley E. WardAmelia C. MountsAcacia C. ParksDigital mental health interventions (DMHI) are scalable and cost-effective strategies for increasing access to mental health care; however, dropout rates associated with digital interventions are high, particularly for open-access digital interventions. While some studies have focused on predictors of dropout from digital mental health programs, few studies have focused on engagement features that might improve engagement. In this perspective article, we discuss whether monetary incentives (MI) are one avenue to increasing user engagement in DMHI. We begin by reviewing the literature on the effects of MI for behavior change in health domains (e.g., dietary behaviors, substance use, and medication adherence). Then, drawing on a pilot study we conducted to test the effects of different levels of MI on usage and improvement in subjective well-being among users of a DMHI (Happify), we discuss the potential applications of MI for DMHI, the potential drawbacks of financial incentives in this context, and open questions for future research.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.746324/fullmonetary incentivesdigital interventionsmobile appsbehavior changeuser engagement
spellingShingle Eliane M. Boucher
Haley E. Ward
Amelia C. Mounts
Acacia C. Parks
Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
Frontiers in Psychology
monetary incentives
digital interventions
mobile apps
behavior change
user engagement
title Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
title_full Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
title_fullStr Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
title_full_unstemmed Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
title_short Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
title_sort engagement in digital mental health interventions can monetary incentives help
topic monetary incentives
digital interventions
mobile apps
behavior change
user engagement
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.746324/full
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