JMIR Human Factors

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Engagement With a Relaxation and Mindfulness Mobile App Among People With Cancer: Exploratory Analysis of Use Data and Self-Reports From a Randomized Controlled Trial

While many m Health apps have significant issues with sustained engagement [10-17], this is particularly true for fully automated m Health apps without any human support, also termed unguided or self-guided m Health apps. A high level of human support in guided m Health apps is typically associated with better engagement rates but at the cost of reduced scalability [18,19].

Sonja Schläpfer, Fabian Schneider, Prabhakaran Santhanam, Manuela Eicher, Tobias Kowatsch, Claudia M Witt, Jürgen Barth

JMIR Cancer 2024;10:e52386

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Group, Blended and Individual, Unguided Online Delivery of Mindfulness-Based Cognitive Therapy for People With Cancer: Feasibility Uncontrolled Trial

Individual, unguided e MBCT consisted of 8 e MBCT sessions in which participants followed the intervention by themselves without teacher guidance; an unguided intervention could increase access and improve scalability at a lower cost for both participants and therapists. Both intervention conditions also included an introductory session and a silent day.

Nasim Badaghi, Mette van Kruijsbergen, Anne Speckens, Joëlle Vilé, Judith Prins, Saskia Kelders, Linda Kwakkenbos

JMIR Form Res 2024;8:e52338

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Effects of a Self-Guided Transdiagnostic Smartphone App on Patient Empowerment and Mental Health: Randomized Controlled Trial

Reference 43: Does app-based unguided self-management improve mental health literacy, patient empowermentunguided

André Kerber, Ina Beintner, Sebastian Burchert, Christine Knaevelsrud

JMIR Ment Health 2023;10:e45068

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Improving Mild to Moderate Depression With an App-Based Self-Guided Intervention: Protocol for a Randomized Controlled Trial

web-based intervention for depressive disorders: three-arm randomized controlled trial comparing guided and unguided Reference 37: Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided Reference 49: Does app-based unguided self-management improve mental health literacy, patient empowermentunguided unguided digital intervention

Ina Beintner, André Kerber, Clara Dominke, Ulrich Voderholzer

JMIR Res Protoc 2023;12:e46651

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Real-World User Demographics of Three Web-Based Digital Mental Health Interventions Provided by the US Department of Veterans Affairs: Observational Study Using Web Analytics Data

These interventions can be guided, meaning that their use is facilitated by interacting with another person (usually a health care provider), or unguided, meaning that their use is not facilitated by another person. Unguided digital mental health interventions (UDMHIs) have been referred to by several names in the literature, including web-based interventions [2] and digital self-help interventions [3].

Arthur T Ryan, Kelly A Stearns-Yoder, Lisa A Brenner

JMIR Form Res 2023;7:e48365

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Designing and Developing an eHealth Program for Patients With Persistent Physical Symptoms: Usability Study

The program is prescribed by the GP but is unguided, that is, no health care professional (HCP) will assist the patient in the use of the program. The program is a responsive web application that is accessible from computers, tablets, and smartphones through a web browser. The overall framework of making the “My Symptoms” program lent itself to ideas from the participatory design research paradigm within health care [10,11].

Oliver Rønn Christensen, Leonora Hedegaard, Mette Trøllund Rask, Jane Clemensen, Lisbeth Frostholm, Marianne Rosendal

JMIR Hum Factors 2023;10:e42572

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Intervention Use and Symptom Change With Unguided Internet-Based Cognitive Behavioral Therapy for Depression During the COVID-19 Pandemic: Log Data Analysis of a Convenience Sample

Although evidence suggests that guided IMIs should be preferred to unguided ones [5], limited resources of the health care system or other circumstances often prevent professional guidance from being provided. Previously, smaller effect sizes in unguided interventions have been explained in part by lower adherence. Lower adherence, in turn, has been associated with reduced treatment effects [6].

Caroline Oehler, Katharina Scholze, Hanna Reich, Christian Sander, Ulrich Hegerl

JMIR Ment Health 2021;8(7):e28321

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Developing an Unguided Internet-Delivered Intervention for Emotional Distress in Primary Care Patients: Applying Common Factor and Person-Based Approaches

In contrast, unguided Internet interventions for mental health have been more problematic. Removing structured human guidance frequently results in low use, high attrition, and reduced effectiveness [5-7], leading some to call for unguided formats to be avoided [8].

Adam WA WA Geraghty, Ricardo F Muñoz, Lucy Yardley, Jennifer Mc Sharry, Paul Little, Michael Moore

JMIR Ment Health 2016;3(4):e53

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