Beyond the trial: A systematic review of real-world uptake and engagement with digital self-help interventions for depression, low mood, or anxiety

Background: Digital self-help interventions (including online or computerized programs and apps) for common mental health issues have been shown to be appealing, engaging, and efficacious in randomized controlled trials. They show potential for improving access to therapy and improving population mental health. However, their use in the real world, that is, as implemented (disseminated) outside of research settings, may differ from that reported in trials, and implementation data are seldom reported. Objective: We aimed to review peer-reviewed articles reporting user uptake and/or ongoing use, retention, or completion data (hereafter ‘usage data’ or, for brevity, ‘engagement’) from implemented pure self-help (unguided) digital interventions for depression, anxiety, or the enhancement of mood. Methods: We conducted a systematic search of the Scopus, Embase, MEDLINE, and PsychINFO databases for studies reporting user uptake and/or usage data from implemented digital self-help interventions for the treatment or prevention of depression or anxiety, or the enhancement of mood, from 2002 to 2017. Additionally, we screened the reference lists of included articles, citations of these articles, and the titles of articles published in Internet Interventions, Journal of Medical Internet Research (JMIR), and JMIR Mental Health since their inception. We extracted data indicating the number of registrations or downloads and usage of interventions. Results: After the removal of duplicates, 970 papers were identified, of which ten met the inclusion criteria. Hand-searching identified one additional article. The included articles reported on seven publically available interventions. There was little consistency in the measures reported. The number of registrants or downloads ranged widely, from eight to over 40,000 per month. From 21% to 88% of users engaged in at least minimal use (e.g. used the intervention at least once or completed one module or assessment), while 7–42% engaged in moderate use (completing between 40% and 60% of modular fixed-length programs or continuing to use apps after four weeks). Indications of completion or sustained use (completion of all modules or the last assessment or continuing to use apps after six weeks or more) varied from 0.5% to 28.6%. Conclusions: Available data suggest that uptake and engagement vary widely among the handful of implemented digital self-help apps and programs which have reported this, and that usage may vary from that reported in trials. Implementation data should be routinely gathered and reported to facilitate improved uptake and engagement, arguably among the major challenges in digital health

Pengaruh Kepuasan Kerja Terhadap Komitmen Organisasional Yang Dimediasi Oleh Identifikasi Organisasional

This research examines the affects of job satisfaction toward organizational commitment which is mediated by organizational identification. The respondents of this research are 61 of 67 Maranatha Christian University’s teachers of Economy and Psychology Faculty. Validity, reliability, and fitness model examination are conducted before the hypotheses testing. Eight hypotheses are partially proposed that using linier reggression analysis. The results of this study show that five hypotheses are supported. In other word, intrinsic and extrinsic job satisfaction has positively affected toward organizational identification and affective organizational commitment, and organizational identification has positively affected toward affective organizational commitment. The implications of these findings were discussed and suggestions for the future research were advanced

The ‘Ombuds Watchers’: Collective Dissent and Legal Protest Among Users of Public Services Ombuds

This article examines the phenomenon of the ‘ombuds watchers’. These are groups of dissatisfied users of public service ombuds schemes who engage in legal protest against the current system of redress for citizen-state complaints. Through the lens of legal consciousness scholarship we propose a framework that conceptualizes the collectivized protest of the ombuds watchers. Based on an empirical dataset, our analysis has shown that the ombuds watchers meet each of the defining characteristics of dissenting collectivism and demonstrates the existence of forms of legal consciousness which present ‘opportunities to build alternative imaginaries and institutions’ (Morgan and Kutch 2015, p. 567). Our case study provides an insight into the potential for dissenting collectives to challenge the hegemonic structures of state law, while at the same time emphasising the continuing power of legal ideology in shaping popular understandings of justice. The article also suggests a pathway for future empirical research into ombuds

Hubungan Pemanfaatan Posyandu Dengan Status Gizi Balita Di Wilayah Kerja Puskesmas Ranotana Weru Kota Manado

Posyandu merupakan sebuah wadah yang didirikan untuk melayani kesehatan masyarakat khususnya Balita. Salah satu tujuan didirikan posyandu adalah untuk memantau status gizi Balita, agar terhindar dari masalah gizi kurang. Tujuan dari penelitian ini untuk mengetahui hubungan antara pemanfaatan posyandu dengan status gizi Balita di wilayah kerja Puskesmas Ranotana Weru Kota Manado. Desain Penelitian ini menggunakan Cross Sectional (studi potong lintang). Sampel yang diambil adalah 57 Balita, dengan menggunakan desain Non Probability Sampling dengan pendekatan Purposive Sampling. Data penelitian ini diuji dengan menggunakan program komputer dengan uji Chi Square pada tingkat kemaknaan 95% (<0,05). Hasil Penelitian menunjukkan bahwa Balita yang tidak memanfaatkan posyandu dan status gizinya baik 10 orang (43,5%), Balita yang tidak memanfaatkan posyandu dan gizinya kurang berjumlah 13 orang (56,5%), Balita yang memanfaatkan posyandu dan status gizinya baik 27 orang (77,4%) dan Balita yang memanfaatkan posyandu dan gizinya kurang berjumlah 7 orang (20,6), dengan nilai p value = 0,12. Dengan demikian, hasil penelitian ini terdapat hubungan antara pemanfaatan posyandu dengan status gizi Balita. Kesimpulan dalam penelitian ini adalah kegiatan posyandu sangat penting dalam mengontrol perkembangan sang Balita terutama dalam hal status gizi Balita. Saran dalam penelitian ini adalah, agar para ibu dapat lebih aktif lagi dalam memanfaatkan kegiatan posyandu

Hubungan Perencanaan Pembangunan dengan Sosial Ekonomi Masyarakat

: Development is the most important thing in socio-economic considerations, so that development planning becomes one of the priorities. However, if the devolopment is not maximized, the government re-maximize the development planning previously prpared. The purpose of this studi is to fing out whether development planning works well, and to see the impact of the existence of integrated waste treatment site, the type of research in general is differentiated info several types. Classification of research tyves, emong other based on research objectives and the nature of research types, among others based on reseach objectives and the nature of reseach problem. Related to the problem in this research, the writer try to use Quantitative reseach method. With the existence of an intergrated waste treatment site it clearly has a reduced impact the spread of diseases caused by littering. The nature of society which tend to be apathetic, and pragatic with things like this successfully converted info society more optimistic, and innovative in managing their living environment, the integrated waste treatment site becomes an effective thing tho develop. Keywords: Development Planning, Economic Social Communit

The design and relevance of a computerised therapy program for indigenous Māori adolescents.

Background: Depression is a major health issue among Māori indigenous adolescents, yet there has been little investigation into the relevance or effectiveness of psychological treatments for them. Further, consumer views are critical for engagement and adherence to therapy. However, there is little research regarding indigenous communities’ opinions about psychological interventions for depression. Objective: The objective of this study was to conduct semistructured interviews with Māori (indigenous New Zealand) young people (taitamariki) and their families to find out their opinions of a prototype computerized cognitive behavioral therapy (cCBT) program called Smart, Positive, Active, Realistic, X-factor thoughts (SPARX), a free online computer game intended to help young persons with mild to moderate depression, feeling down, stress or anxiety. The program will teach them how to resolve their issues on their own using Cognitive Behavioural Therapy as psychotherapeutic approach. Methods: There were seven focus groups on the subject of the design and cultural relevance of SPARX that were held, with a total of 26 participants (19 taitamarki, 7 parents/caregivers, all Māori). There were five of the groups that were with whānau (family groups) (n=14), one group was with Māori teenage mothers (n=4), and one group was with taitamariki (n=8). The general inductive approach was used to analyze focus group data. Results: SPARX computerized therapy has good face validity and is seen as potentially effective and appealing for Māori people. Cultural relevance was viewed as being important for the engagement of Māori young people with SPARX. Whānau are important for young peoples’ well-being. Participants generated ideas for improving SPARX for Māori and for the inclusion of whānau in its delivery. Conclusions: SPARX computerized therapy had good face validity for indigenous young people and families. In general, Māori participants were positive about the SPARX prototype and considered it both appealing and applicable to them. The results of this study were used to refine SPARX prior to it being delivered to taitamariki and non-Māori young people

Perancangan Promosi Ikan Asap Sebagai Pendukung Sentra Ikan Bulak Surabaya

Perancangan ini merupakan perancangan promosi yang mengangkat topik ikan asap sebagai produk utama dari Sentra Ikan Bulak Surabaya, yang dimana Sentra menjadi pusat penjualan ikan asap utama di Surabaya. Latar belakang perancangan ini didasarkan pada fakta bahwa masih banyaknya masyarakat Surabaya sendiri yang belum mengenal Sentra Ikan Bulak terlebih lagi minimnya pengetahuan tentang ikan asap. Oleh sebab itu, sangatlah penting untuk dilakukan perancangan ini agar masyarakat Surabaya mengetahui akan adanya ikan asap di dalam Sentra Ikan Bulak Surabaya ini sendiri dan hal ini akan berdampak pada meningkatnya penjualan para pedagang ikan asap di dalam Sentra sendiri dan juga berpotensi menjadi salah satu makanan khas Surabaya