Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
Li SH, Achilles MR, Werner-Seidler A, Beames JR, Subotic-Kerry M, O'Dea B. · JMIR mental health · 2022 · Review / synthesis
Original publication · Original publication · Original publication · Original publication · Original publication
Recorded summary
Instructions for appropriate use were poorly standardized, and greater usage was not consistently associated with better outcomes.
Recorded limitations
Heterogeneous adherence definitions and limited studies testing outcome associations; CBT-specific evidence does not validate any digital product.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
- Review / synthesis
- assessment
- category
- review
- is Randomized Controlled Trial
- false
- peer Reviewed
- true
- basis
- Systematic review of digital CBT adherence
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- sources
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- review Scope
- selected-methods
- trust Factor
- score
- 1
- display Crosses
- 1
- scope
- Paper
- status
- assessed
- rating Scale
- library-trust-factor/1-3
- randomized Controlled Trial
- false
- peer Reviewed
- true
- blinding
- not-applicable
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- basis
- Systematic review of digital CBT adherence
- sources
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- assessed At
- 2026-11-02
- review Scope
- selected-methods
- human Approval
- false
- review Limit
- AI source-based design assessment; human content sign-off is recorded separately.
- jadad
- status
- not-applicable
- score
- Not recorded
- evidence
- evidence Type
- Review / synthesis
- intervention
- Not applicable or not established from inspected sections
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
- comparator
- See design/intervention description; otherwise unknown
- sample
- 32 manuscripts representing 28 studies, 16578 youth
- population
- age
- 12–24, allowing mixed studies with at least 80% in range or justified age inference
- age Fit
- mixed-overlap
- sample
- 32 manuscripts representing 28 studies, 16578 youth
- setting
- Not separately established; see population/intervention description
- community
- Not assigned
- measurement
- Specific outcomes are reported in the finding and retained appraisal.
- trial Id
- publication-35976180
- trial Registries
CRD42020208668
- registry Scope
- Identifiers explicitly reported in article abstract; other registrations remain unverified
- relationship Note
- Define meaningful use clearly and measure benefit, not just log-ins or completion badges. Component evidence does not establish efficacy of the combined Universal Mind lab model.
- measured Genes
- None recorded
- pathways
- None recorded
- quality
- tier
- qualified
- qualification
- Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
- formal Risk Of Bias Tool Applied
- false
- jadad Score
- Not recorded
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- harms And Attrition
- Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
- source Access
- scope
- selected-methods
- full Text Cached
- true
- methods Inspected
- true
- full Text Appraisal Claim
- false
- level
- selected-methods
- source URLs
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- retrieved At
- 2026-11-02
Topics and recorded topic scores
- key
- language:black-dog-youth
- title
- Black Dog Institute · Youth research
- collection
- language
- trust Score
- 2
- key
- language:universal-mind-mobile-lab
- title
- Universal Mind Mobile Lab · Direct response and inspired by
- collection
- language
- trust Score
- 3
- key
- language:youth-access-connection
- title
- Youth access, digital support and connection
- collection
- language
- trust Score
- 3
Citation snapshot and identifiers
- id
- youth-pmid-35976180
- doi
- 10.2196/37640
- pmid
- 35976180
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- citations By Collection
- language
- Not recorded
Complete approved library record
- lab Relevance
- relationship
- direct-response
- implication
- Define meaningful use clearly and measure benefit, not just log-ins or completion badges.
- transfer Limit
- Component evidence does not establish efficacy of the combined Universal Mind lab model.
- institutions
Black Dog Institute
- institution Evidence
- institution
- Black Dog Institute
- basis
- Author affiliation in primary indexed metadata or publisher full text
- evidence
- Black Dog Institute and School of Psychology, The University of New South Wales, Randwick, Australia.
- research Topics
Youth needs / digital / access
- publication Status
- pmid
- 35976180
- checked At
- 2026-11-02T01:32:46.748422+00:00
- pub Types
research-article · Review · Journal Article
- indexed Notices
- None recorded
- crossref Updates
- None recorded
- notice Records
- None recorded
- scope
- Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
- notice Summary
- Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
- randomized Study Unit Id
- Not recorded
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-02
- assessment
- AI assessed; human approved for publication
- scope
- Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
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- r1-a95f606657e1
- source Content Hash
- a95f606657e108389763f2a2f75083bc8678ee150c777c958a4b496e722978c1
- source Access
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- true
- methods Inspected
- true
- full Text Appraisal Claim
- false
- level
- selected-methods
- source URLs
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- retrieved At
- 2026-11-02
- study Family Id
- publication-35976180
- approaches
Youth needs / digital / access
- id
- youth-pmid-35976180
- aliases
- None recorded
- title
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- journal
- JMIR mental health
- neurotransmitters
- None recorded
- year
- 2022
- authors
- Li SH, Achilles MR, Werner-Seidler A, Beames JR, Subotic-Kerry M, O'Dea B.
- design
- Review / synthesis
- kind
- Review
- identity Conflict
- Not recorded
- doi
- 10.2196/37640
- pmid
- 35976180
- urls
https://doi.org/10.2196/37640 · https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- collections
language
- categories
Methods & context
- targets
- None recorded
- priority
- 1
- quotes
- None recorded
- summary
- Instructions for appropriate use were poorly standardized, and greater usage was not consistently associated with better outcomes.
- limitation
- Heterogeneous adherence definitions and limited studies testing outcome associations; CBT-specific evidence does not validate any digital product.
- citation Count
- Not recorded
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- study Design Assessment
- category
- review
- is Randomized Controlled Trial
- false
- peer Reviewed
- true
- basis
- Systematic review of digital CBT adherence
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- sources
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- review Scope
- selected-methods
- paper Trust Assessment
- score
- 1
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- 1
- scope
- Paper
- status
- assessed
- rating Scale
- library-trust-factor/1-3
- randomized Controlled Trial
- false
- peer Reviewed
- true
- blinding
- not-applicable
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- basis
- Systematic review of digital CBT adherence
- sources
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- assessed At
- 2026-11-02
- review Scope
- selected-methods
- human Approval
- false
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- citations By Collection
- language
- Not recorded
- topics
- key
- language:black-dog-youth
- title
- Black Dog Institute · Youth research
- collection
- language
- trust Score
- 2
- key
- language:universal-mind-mobile-lab
- title
- Universal Mind Mobile Lab · Direct response and inspired by
- collection
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- trust Score
- 3
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- title
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- journal Key
- jmirmentalhealth
- journal Label
- JMIR mental health
- chapter Entries
- id
- language-black-dog-youth-youth-pmid-35976180
- aliases
- None recorded
- title
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- authors
- Li SH, Achilles MR, Werner-Seidler A, Beames JR, Subotic-Kerry M, O'Dea B.
- year
- 2022
- journal
- JMIR mental health
- doi
- 10.2196/37640
- pmid
- 35976180
- urls
https://doi.org/10.2196/37640 · https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- collections
language
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Methods & context
- targets
- None recorded
- neurotransmitters
- None recorded
- conditions
anxiety · depression
- condition Evidence
- id
- anxiety
- evidence
- field
- title
- text
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- matched Text
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- scope
- Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
- id
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- evidence
- field
- title
- text
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- matched Text
- Depression
- scope
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- age Groups
adolescents · youth · adults
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- record Id
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- collections
language
- groups
adolescents · youth · adults
- reported Ages
- 12–24, allowing mixed studies with at least 80% in range or justified age inference
- youth Scope
- included
- youth Source Note
- The existing youth filter includes adolescents and source-defined young people. It does not establish a separate 16–24 estimate.
- age Fit
- mixed-overlap
- source URL
- https://pubmed.ncbi.nlm.nih.gov/35976180/
- basis Type
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- classification Note
- Broad groups describe source-reported populations or review scope. Eligibility and study mean ages are not observed participant ranges; read the reported-age wording.
- community Matches
- None recorded
- kind
- Review
- design
- Review / synthesis
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- approved-youth-20261102
- priority
- 1
- quotes
- None recorded
- finding
- Instructions for appropriate use were poorly standardized, and greater usage was not consistently associated with better outcomes.
- summary
- Instructions for appropriate use were poorly standardized, and greater usage was not consistently associated with better outcomes.
- limitation
- Heterogeneous adherence definitions and limited studies testing outcome associations; CBT-specific evidence does not validate any digital product.
- evidence
- evidence Type
- Review / synthesis
- intervention
- Not applicable or not established from inspected sections
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
- comparator
- See design/intervention description; otherwise unknown
- sample
- 32 manuscripts representing 28 studies, 16578 youth
- population
- age
- 12–24, allowing mixed studies with at least 80% in range or justified age inference
- age Fit
- mixed-overlap
- sample
- 32 manuscripts representing 28 studies, 16578 youth
- setting
- Not separately established; see population/intervention description
- community
- Not assigned
- measurement
- Specific outcomes are reported in the finding and retained appraisal.
- trial Id
- publication-35976180
- trial Registries
CRD42020208668
- registry Scope
- Identifiers explicitly reported in article abstract; other registrations remain unverified
- relationship Note
- Define meaningful use clearly and measure benefit, not just log-ins or completion badges. Component evidence does not establish efficacy of the combined Universal Mind lab model.
- measured Genes
- None recorded
- pathways
- None recorded
- quality
- tier
- qualified
- qualification
- Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
- formal Risk Of Bias Tool Applied
- false
- jadad Score
- Not recorded
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- harms And Attrition
- Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
- source Access
- scope
- selected-methods
- full Text Cached
- true
- methods Inspected
- true
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- false
- level
- selected-methods
- source URLs
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- retrieved At
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- study Design Assessment
- category
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- is Randomized Controlled Trial
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- peer Reviewed
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- basis
- Systematic review of digital CBT adherence
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- sources
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- review Scope
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- library-trust-factor/1-3
- randomized Controlled Trial
- false
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- Not applicable or not established from inspected methods; no masking inferred
- basis
- Systematic review of digital CBT adherence
- sources
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- assessed At
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- AI source-based design assessment; human content sign-off is recorded separately.
- jadad
- status
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- Not recorded
- citation Count
- Not recorded
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-02
- assessment
- AI assessed; human approved for publication
- scope
- Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
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- retrieved At
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Black Dog Institute
- institution Evidence
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- evidence
- Black Dog Institute and School of Psychology, The University of New South Wales, Randwick, Australia.
- research Topics
Youth needs / digital / access
- lab Relevance
- relationship
- direct-response
- implication
- Define meaningful use clearly and measure benefit, not just log-ins or completion badges.
- transfer Limit
- Component evidence does not establish efficacy of the combined Universal Mind lab model.
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- checked At
- 2026-11-02T01:32:46.748422+00:00
- pub Types
research-article · Review · Journal Article
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- crossref Updates
- None recorded
- notice Records
- None recorded
- scope
- Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
- notice Summary
- Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
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Youth needs / digital / access
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- title
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- authors
- Li SH, Achilles MR, Werner-Seidler A, Beames JR, Subotic-Kerry M, O'Dea B.
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- journal
- JMIR mental health
- doi
- 10.2196/37640
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Youth needs / digital / access
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Black Dog Institute
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- 12–24, allowing mixed studies with at least 80% in range or justified age inference
- age Fit
- mixed-overlap
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- 32 manuscripts representing 28 studies, 16578 youth
- setting
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- Not applicable or not established from inspected sections
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
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- See design/intervention description; otherwise unknown
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- Instructions for appropriate use were poorly standardized, and greater usage was not consistently associated with better outcomes.
- limitations
- Heterogeneous adherence definitions and limited studies testing outcome associations; CBT-specific evidence does not validate any digital product.
- harms And Attrition
- Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
- lab Relevance
- relationship
- direct-response
- implication
- Define meaningful use clearly and measure benefit, not just log-ins or completion badges.
- transfer Limit
- Component evidence does not establish efficacy of the combined Universal Mind lab model.
- source Access
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- crossref Updates
- None recorded
- notice Records
- None recorded
- scope
- Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
- notice Summary
- Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
- quality
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- true
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- Not recorded
- duplicate Of
- Not recorded
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- pending
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- Not recorded
- decision Scope
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youth-pmid-21192795 · youth-pmid-32527236 · youth-pmid-32683737
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- aliases
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- title
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- authors
- Li SH, Achilles MR, Werner-Seidler A, Beames JR, Subotic-Kerry M, O'Dea B.
- year
- 2022
- journal
- JMIR mental health
- doi
- 10.2196/37640
- pmid
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- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
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- https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML
- retrieved At
- 2026-11-02T01:21:02.216174+00:00
- sha256
- 8dc7cca156c11bd777b367c3f256c3a0ed1358d5e50167c895390c278f62c755
- type
- DOI-metadata
- url
- https://api.crossref.org/works/10.2196%2F37640
- retrieved At
- 2026-11-02T01:21:03.233860+00:00
- sha256
- 01998e63d5f738954cfa207ed60d2024094dc764ba87cef0a0d54c2aec062c18
- publication Status
- pmid
- 35976180
- checked At
- 2026-11-02T01:32:46.748422+00:00
- pub Types
research-article · Review · Journal Article
- indexed Notices
- None recorded
- crossref Updates
- None recorded
- notice Records
- None recorded
- scope
- Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
- notice Summary
- Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
- quality
- tier
- qualified
- qualification
- Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
- formal Risk Of Bias Tool Applied
- false
- jadad Score
- Not recorded
- review Ready
- true
- hold Reason
- Not recorded
- duplicate Of
- Not recorded
- review
- status
- pending
- reviewer
- Not recorded
- approved At
- Not recorded
- decision Scope
- Ben reviews proposed content and release; full medical-paper reading is not required.
- provenance
- Discovered and appraised by AI; pending human content sign-off
- production Eligible
- false
- approved Retrieval Eligible
- false
- selected Corpus References
youth-pmid-21192795 · youth-pmid-32527236 · youth-pmid-32683737
- reference Scope
- Explicit publisher reference identifiers; citation is not proof of inclusion in a meta-analysis.
- content Hash
- a95f606657e108389763f2a2f75083bc8678ee150c777c958a4b496e722978c1
- revision
- r1-a95f606657e1
- archive Entries
- None recorded
- collection
- language
- chapter Number
- 6
- topic Id
- youth-access-connection
- topic Title
- Youth access, digital support and connection
- trust Score
- 3
- evidence
- evidence Type
- Review / synthesis
- intervention
- Not applicable or not established from inspected sections
- provider
- Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
- comparator
- See design/intervention description; otherwise unknown
- sample
- 32 manuscripts representing 28 studies, 16578 youth
- population
- age
- 12–24, allowing mixed studies with at least 80% in range or justified age inference
- age Fit
- mixed-overlap
- sample
- 32 manuscripts representing 28 studies, 16578 youth
- setting
- Not separately established; see population/intervention description
- community
- Not assigned
- measurement
- Specific outcomes are reported in the finding and retained appraisal.
- trial Id
- publication-35976180
- trial Registries
CRD42020208668
- registry Scope
- Identifiers explicitly reported in article abstract; other registrations remain unverified
- relationship Note
- Define meaningful use clearly and measure benefit, not just log-ins or completion badges. Component evidence does not establish efficacy of the combined Universal Mind lab model.
- measured Genes
- None recorded
- pathways
- None recorded
- quality
- tier
- qualified
- qualification
- Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
- formal Risk Of Bias Tool Applied
- false
- jadad Score
- Not recorded
- masking Roles
- Not applicable or not established from inspected methods; no masking inferred
- harms And Attrition
- Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
- source Access
- scope
- selected-methods
- full Text Cached
- true
- methods Inspected
- true
- full Text Appraisal Claim
- false
- level
- selected-methods
- source URLs
https://pubmed.ncbi.nlm.nih.gov/35976180/ · https://doi.org/10.2196/37640 · https://pmc.ncbi.nlm.nih.gov/articles/PMC9434387/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9434387/fullTextXML · https://api.crossref.org/works/10.2196%2F37640
- retrieved At
- 2026-11-02
- jadad
- status
- not-applicable
- score
- Not recorded
- condition Evidence
- id
- anxiety
- evidence
- field
- title
- text
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- matched Text
- Anxiety
- scope
- Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
- id
- depression
- evidence
- field
- title
- text
- Appropriate Use and Operationalization of Adherence to Digital Cognitive Behavioral Therapy for Depression and Anxiety in Youth: Systematic Review.
- matched Text
- Depression
- scope
- Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
- conditions
anxiety · depression
- topic Trust Scores
2 · 3
- full Text
- status
- not-indexed
- retrieval Available
- false