Table 1.
Summary of study characteristics and main findings.
| Study | Design | Aims | Samplea | Method and instrumentsb | Main findings |
| Klein and Cook [42]c |
Cross-sectional online survey |
To identify differences between “e-preferers” and “non e-preferers” on the perceived helpfulness and intentions to use e-mental health in comparison to traditional services | Online sample (N=218) of the Australian general population. Age range = 18-80 years; Mean 36.6 (SD 14.5) years Female (75.7%) “e-prefers” (n=50); “non e-prefers” (n=168) 63.9% with mental health service experience |
Self-developed online survey “e-preference” (grouping condition) Perceived helpfulness of 11 mental health services (helpful, neither, harmful) Concerns using e-mental health Likelihood of future using mental health services (intentions to use) Four validated measures on self-stigmatization (DDS), locus of control or LOC (MHLC-C), big-five personality traits (TIPI), and learning style (VARK) Response rate (completed survey): 91.3% (n=199) |
Preference toward using traditional to e-mental health services (77.1% were “non e-preferers”) “e-preferers” were more willing to use and assess e-mental health services as more helpful Previous experience with mental health services included psychologists (84.2%), information websites (71.2%) “non e-preferers” were more concerned about confidentiality “e-preferers” scored higher on self-stigma and chance LOC; “non e-preferers” scored higher on emotional stability and doctor LOC (for instance) |
| Casey et al [43]d |
Cross-sectional online RCTe (mixed factorial design) |
To determine the impact of educational information on attitudes (ie, perceived helpfulness and intentions to use different e-mental health services |
Online sample (N=217) of the Australian general population. Age range = 17-60 years; Mean 29.7 (SD 11.9) years Female (78%) groups: text (n=66), film (n=72), control (n=70) |
Self-developed online survey, a modified version of another measure [42] Perceived helpfulness of four e-mental health services (online counseling, information websites, and online program with or without therapist contact) Likelihood of future using e-mental health services (intentions to use) Concerns regarding the usage of e-mental health Random assignment of respondents to one of three conditions (text intervention, film intervention (2.5 minutes), or no intervention or control condition) |
Preference toward using e-mental health services with therapist assistance The likelihood of using e-mental health services was improved in the text condition group, but not in the film condition group Neither the text- nor video-based information affected the perceived helpfulness of e-mental health in comparison to the control condition |
| Eichenberg et al [44]f |
Cross-sectional survey (panel interviews) |
To explore public media use, the perceived impact of health information sources, and the intentions to use e-mental health in comparison to traditional services (for anxiety) |
Representative sample (N=2411) of the German general population Age range = 14-90 years; Mean 51.0 (SD 18.6) years Female (53.2%) 41% never used computers |
Self-developed survey (pretest for with n=67) Public media use, preferred sources of health information, and their impact on health behavior Use of and willingness to use psychological online counseling, and media-assisted therapy in comparison to traditional face-to-face mental health services in case of emotional distress |
Preference toward using traditional to e-mental health services Previous use of the Internet for health information was associated with a higher willingness to use online counseling Sociodemographic data (eg, younger age, female gender, higher education) and Internet usage corresponded with intentions to use e-mental health |
| Musiat et al [6]g |
Cross-sectional Web-based survey |
To explore acceptability of e- and m-mental health services in comparison to traditional services (attitudes and expectation, and intentions to use) | Web-based sample (N=490) of the English general population Age range =18-78 years; Mean 26.7 (SD 8.9) years Female (78.2%) 49% with history of mental health problems, 22% with current mental health issues |
Self-developed survey (12 important domains were grounded on ratings of a focus group of service users) Previous and current psychological problems, help-seeking behavior, and computer literacy Expectations, attitudes, and acceptability ratings: importance of domains of mental health services Perceived benefits and likelihood of future use of e-mental health and m-mental health in comparison to traditional face-to-face therapy and self-help books |
Preference toward using traditional to e-mental health programs and m-mental health apps Face-to-face treatments were most likely to meet respondents’ expectations in most important domains (eg, helpfulness, credibility) Overweight of negative attitudes and expectations about e-mental health and m-mental health self-help services mHealth apps had the lowest acceptability ratings when compared with other mental health services |
aNoteworthy features of the sample are shown in italics. All surveys included in this scoping review reported sociodemographic information and had informed consent as inclusion criteria for participation.
bMeasures used by [42]: DDS=devaluation discrimination scale; MHLC-C=multidimensional health locus of control scales, form C; VARK=VARK learning styles inventory; TIPI=ten-item big-five personality inventory.
cConvenience sample from Australia.
dConvenience sample from Australia.
eRCT: randomized controlled trial.
fPanel interviews from Germany.
gConvenience sample from England.