JMIR Publications

ABSTRACT

Despite the efficacy of digital mental health technologies (DMHTs) in clinical trials, low uptake and poor engagement is common in real-world settings. Accordingly, digital technology experts or “Digital Navigators” are increasingly being used to enhance engagement and shared decision-making between health professionals and clients. Yet this area is relatively underexplored and there is a lack of data from naturalistic settings. In this paper we report observational findings from the implementation of a Digital Navigator in a multidisciplinary mental health clinic in Sydney, Australia. The Digital Navigator supported clients and health professionals to use a measurement-based DMHT, (the Innowell platform) for improved multidimensional outcome assessment and to guide personalized decision-making. Observational data is reported from implementation logs, platform usage statistics, and response rates to Digital Navigator e-mails and phone calls. Ultimately, support from the Digital Navigator led to improved data collection and clearer communications about goals for using the DMHT to track client outcomes, however this required strong partnerships between health professionals, digital navigator, and clients. The Digital Navigator helped to facilitate the integration of DMHT in to care, rather than providing a stand-alone service. Thus, collaborations between health professionals and Digital Navigators are mutually beneficial and empower clients to be more engaged in their own care.