David Bodil Karen

Mental health

Digital paradox: we want Digital health but we don’t want to use it

SES Family

Developed at University of Copenhagen

SES One Intervention

Modules on conflict and resolution

SESFamily.com

20 employees

Showed a very interactive app with simple layout for understanding grief as loss and restoration-granted (Jung)

Direct links to behaviour change

They sell to municipalities

They have done randomized control trial:

  • they had drops in depression, stress, hostility and anxiety
  • after 12 months levels were at the general level of population
  • those with highest level of hostility got the most benefit
  • fewer sick days
  • fewer mental health prescriptions

SES Nxt platform

Platform is tailored to the ages of the children and is oriented around the Nordic school system

The baseline testing of the children system included most children having problems

Found improvements in mental health indicators and reduction in school absenteism

Parents reported reduction in conflict scores when the children used the apps (probably because it might require parental supervision)

=== The Engagement Paradox:

Digital health has high initial interest and positive attitudes towards it, but longer term low adherence rates

“disruptive implementation” challenge

Digital mental health requires behaviour change which is a hurdle

Barriers:

  1. Leadership and decision makers may approve the solution but fail to understand value
  2. Staff and management may experience digital solutions as threat / risk
  3. Business case is often real but savings land int he wrong budget
  4. The human case is critical but the business case is the decider
  5. Even promising tools compete with overloaded organisations and existing workflows
  6. Many organisations do not have a concrete model for digital health implementation at scale

How to overcome the engagement and implementatin paradox?

  1. Design for local flexibility and usage not one rigid implementation model
  2. make the velue creation visible across the whole implementation chain
  3. Implement at the right organisational level and focus on customer access
  4. Use AI to deliver adaptive personalisation at scale