Engagement and outcomes of children and adolescents enrolled in a technology-enabled mental health treatment platform: A retrospective cohort study: Differences by gender and age group - Report - MDSpire

Engagement and outcomes of children and adolescents enrolled in a technology-enabled mental health treatment platform: A retrospective cohort study: Differences by gender and age group

  • By

  • Valerie L. Forman-Hoffman

  • Inderpeet Dhillon

  • Edward Hsyeh

  • Manoj Kanagaraj

  • Matthew Ceneviva

  • Alex Gille

  • Cynthia Grant

  • July 3, 2026

  • 0 min

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Outcomes and Participation of Youth in a Technology-Based Mental Health Treatment Program

Overview

This retrospective cohort analysis investigates engagement and symptom change among adolescents aged 9 to 17 receiving care through a technology-enabled mental health platform. The study examines differences in outcomes based on gender and age group.

Background

The rise in mental health issues among adolescents, particularly during the COVID-19 pandemic, has prompted calls for effective treatment solutions. Engagement and outcomes in digital mental health services remain poorly characterized, highlighting the need for understanding these dynamics in adolescent mental health care.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • The study included two cohorts: adolescents with moderate depressive symptoms (n=9,853) and those with moderate anxiety symptoms (n=9,996).
  • There was significant overlap between the cohorts, with 72.6% of the depressive cohort also having anxiety symptoms.
  • Clinical symptom analyses required at least two assessments (PHQ-9 or GAD-7) for change score computation.
  • Engagement patterns and clinical outcomes were examined in relation to gender and age group.

Clinical Implications

Understanding engagement trajectories in technology-enabled mental health care for adolescents is important. Gender and age differences should be considered when evaluating treatment options and outcomes.

Conclusion

This study provides insights into the engagement and symptom change of adolescents using a technology-enabled mental health platform.

Related Resources & Content

  1. npj Digital Medicine, 2026 -- Assessing Youth Mental Health Needs Through an Adaptive Digital Tool
  2. Frontiers in Digital Health, 2026 -- Co-creating a program theory and evaluability assessment for an Irish single-session, synchronous chat-based youth mental health intervention
  3. International Journal of Mental Health Systems, 2025 -- Examining the effects of engagement with an app-based mental health intervention
  4. Journal of Medical Internet Research, 2026 -- Promoting Psychological Resilience and Well-Being in Youth With a Smartphone-Based Ecological Momentary mHealth Intervention
  5. USPSTF Recommendation on Screening for Depression and Suicide Risk in Children and Adolescents
  6. Framework for Approaching Healthy Mental and Emotional Development in Pediatrics
  7. NICE Guidelines for Depression in Children and Young People
  8. DEA Extends Telemedicine Flexibilities to Ensure Continued Access to Care
  9. Transdiagnostic Internet-delivered intervention for children and adolescents with anxiety and depressive disorders: a randomized controlled trial | npj Digital Medicine
  10. Twelve-month outcomes and comparative costs of internet-delivered psychodynamic therapy versus cognitive-behavioral therapy for adolescent depression: a randomized controlled trial
  11. Longer-Term Outcomes of Telehealth-Delivered Adolescent Depression Prevention: Findings from a School-Based Randomized Controlled Trial - PubMed
  12. Comparative efficacy of digital health interventions for depression and anxiety symptoms in adolescents and young adults: a systematic review and bayesian network meta-analysis | Child and Adolescent Psychiatry and Mental Health | Springer Nature Link
  13. Meta-Analysis of Psychological and Digital Interventions to Enhance Mental Health and Well-Being in Youth: A Bayesian Umbrella Review - PMC
  14. Are universal digital mental health interventions effective for promoting mental health outcomes among children and adolescents? A meta-analysis of effects and moderators - PubMed
  15. Engagement and attrition in digital mental health: current challenges and potential solutions | npj Digital Medicine
  16. What factors are related to engagement with digital mental health interventions (DMHIs)? A meta-anal

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