Retention and Engagement in Culturally Adapted Digital Mental Health Interventions: Systematic Review of Dropout, Attrition, and Adherence in Non-Western, Educated, Industrialized, Rich, Democratic Settings
Comprehensive and participatory cultural adaptation is associated with engagement and effectiveness of DMHIs among non-WEIRD populations. Future research should integrate hybrid human-digital delivery models, objective engagement metrics, and larger multicenter trials to improve generalizability and scalability.
Authors
- Björn Meyer (ORCID: https://orcid.org/0000-0003-1100-0260)
- Chantal Martin‐Soelch (ORCID: https://orcid.org/0000-0003-3859-9023)
- Quentin Meteier (ORCID: https://orcid.org/0000-0003-2568-9898)
- Tanya Tandon (ORCID: https://orcid.org/0000-0002-4106-4452)
- Rashmi Gupta (ORCID: https://orcid.org/0000-0002-5157-0260)
- Omar Abou Khaled (ORCID: https://orcid.org/0000-0002-0178-9037)
- R. Biswas (ORCID: https://orcid.org/0000-0002-0774-8906)
- Karl Daher (ORCID: https://orcid.org/0000-0003-4071-4318)
- Thomas Berger
Institutions
- University of Bern (CH)
- University of Fribourg (CH)
- Indian Institute of Technology Bombay (IN)
- HES-SO University of Applied Sciences and Arts Western Switzerland (CH)
- School of Engineering and Architecture of Fribourg (CH)
- HES-SO Fribourg (CH)
- Hamburg Institut (Germany) (DE)
Publication Details
- Journal
- JMIR Mental Health
- Published
- 2025-11-21
- DOI
- https://doi.org/10.2196/80624
- Primary Topic
- Digital Mental Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00