TY - JOUR
T1 - Harnessing phones to target pediatric populations with socially complex needs
T2 - Systematic review
AU - Stiles-Shields, Colleen
AU - Potthoff, Lauren M.
AU - Bounds, Dawn T.
AU - Burns, Maureen T.S.
AU - Draxler, Janel M.
AU - Otwell, Caitlin H.
AU - Wolodiger, Emily D.
AU - Westrick, Jennifer
AU - Karnik, Niranjan S.
N1 - Funding Information:
This research was supported in part by grants from the National Institute on Drug Abuse (No. R01-DA041071), the National Center for Advancing Translational Sciences (No. UL1-TR002398), and the Cynthia Oudejans Harris Endowment at Rush University. NK has additional research support from the National Institutes of Health (Grant Nos UG1-DA049467 and KL2-TR002387). At the time of the study, DB was a Scholar with the HIV/AIDS, Substance Abuse, and Trauma Training Program (HA-STTP) at the University of California, Los Angeles, supported through an award from the National Institute on Drug Abuse (No. R25DA035692) and National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) through Grant Number 5KL2TR002387-02 that funds the Institute for Translational Medicine (ITM). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Publisher Copyright:
© 2020 JMIR Publications. All rights reserved.
PY - 2020/7
Y1 - 2020/7
N2 - Background: Mobile and smartphones are owned and accessed by many, making them a potentially optimal delivery mechanism to reach pediatric patients with socially complex needs (ie, pediatric populations who face overlapping adversities). Objective: To address the specialized needs of youth from such groups, this review synthesized the literature exploring the use of phone-based delivery to access pediatric populations with socially complex needs, targeting mental and behavioral health outcomes. The purpose of this synthesis was to provide recommendations for future research developing phone-based interventions for youth with socially complex needs. Methods: A trained medical librarian conducted the search strategy in the following databases: PubMed, Scopus, CINAHL, PsycINFO, Cochrane CENTRAL Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Studies targeting youth with socially complex needs were defined by recruiting samples that were primarily from traditionally underserved populations (ie, sex/gender minorities, racial/ethnic background, low socioeconomic status, rural/remote location, and sexual orientation). A systematic narrative framework was utilized and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed (registration number CRD42020141212). Results: A total of 14 studies met the inclusion criteria, with 3 depicting the use of phones to complete assessment and tracking goals and 11 to intervene on mental and behavioral health targets. Conclusions: The literature indicates important directions for future research, including (1) involving diverse and representative teens (ie, the likely users of the interventions), stakeholders, and clinical/research staff; (2) integrating evidence-based therapies with minority-focused theories; (3) harnessing mobile device capabilities; and (4) considering and assessing for potential costs in phones as delivery mechanisms.
AB - Background: Mobile and smartphones are owned and accessed by many, making them a potentially optimal delivery mechanism to reach pediatric patients with socially complex needs (ie, pediatric populations who face overlapping adversities). Objective: To address the specialized needs of youth from such groups, this review synthesized the literature exploring the use of phone-based delivery to access pediatric populations with socially complex needs, targeting mental and behavioral health outcomes. The purpose of this synthesis was to provide recommendations for future research developing phone-based interventions for youth with socially complex needs. Methods: A trained medical librarian conducted the search strategy in the following databases: PubMed, Scopus, CINAHL, PsycINFO, Cochrane CENTRAL Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Studies targeting youth with socially complex needs were defined by recruiting samples that were primarily from traditionally underserved populations (ie, sex/gender minorities, racial/ethnic background, low socioeconomic status, rural/remote location, and sexual orientation). A systematic narrative framework was utilized and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed (registration number CRD42020141212). Results: A total of 14 studies met the inclusion criteria, with 3 depicting the use of phones to complete assessment and tracking goals and 11 to intervene on mental and behavioral health targets. Conclusions: The literature indicates important directions for future research, including (1) involving diverse and representative teens (ie, the likely users of the interventions), stakeholders, and clinical/research staff; (2) integrating evidence-based therapies with minority-focused theories; (3) harnessing mobile device capabilities; and (4) considering and assessing for potential costs in phones as delivery mechanisms.
KW - Digital mental health
KW - Health disparities
KW - MHealth
KW - Telehealth
KW - Underserved youth
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U2 - 10.2196/19269
DO - 10.2196/19269
M3 - Review article
C2 - 32845244
AN - SCOPUS:85097459130
SN - 2561-6722
VL - 3
JO - JMIR Pediatrics and Parenting
JF - JMIR Pediatrics and Parenting
IS - 2
M1 - e19269
ER -
