Nationwide Implementation of Unguided Cognitive Behavioral Therapy for Adolescent Depression: Observational Study of SPARX
SPARX reached a meaningful proportion of the adolescent population. The effect size for those who engaged with it was comparable to trial results. However, completion was low. Key challenges included logistical barriers such as slow download speeds and compatibility with some devices. Ongoing attention to rapidly evolving technologies and engagement with them are required. Real-world implementation analyses offer important insights for understanding and improving the impact of evidence-based digital tools and should be routinely reported.
Authors
- Karolina Stasiak (ORCID: https://orcid.org/0000-0002-1153-3123)
- Chris Frampton (ORCID: https://orcid.org/0000-0003-0603-5661)
- Sally Merry (ORCID: https://orcid.org/0000-0002-8281-1573)
- Chris Bullen (ORCID: https://orcid.org/0000-0001-6807-2930)
- Mathijs F. G. Lucassen (ORCID: https://orcid.org/0000-0001-6958-3468)
- Varsha Parag (ORCID: https://orcid.org/0000-0001-6971-5782)
- Theresa Fleming (ORCID: https://orcid.org/0000-0002-5174-9359)
- Matthew Shepherd (ORCID: https://orcid.org/0000-0003-4238-7541)
Institutions
- University of Auckland (NZ)
- St George's, University of London (GB)
- Victoria University of Wellington (NZ)
- Massey University (NZ)
- University of Otago (NZ)
Publication Details
- Journal
- Journal of Medical Internet Research
- Published
- 2025-08-25
- DOI
- https://doi.org/10.2196/66047
- Citations
- 3
- Primary Topic
- Digital Mental Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 4.63
Funders
- Cure Kids