Great Expectations and e-mental health The role of literacy in mediating access to mental healthcare

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dc.contributor.authorStone, Louise
dc.date.accessioned2022-06-07T04:24:29Z
dc.date.issued2019
dc.date.updated2021-01-17T07:18:47Z
dc.description.abstractBackground and objectives e-Mental health (eMH) resources are designed to provide early intervention and treatment to patients with common mental disorders. They have been proclaimed as a key strategy to address the treatment gap for disadvantaged patients who have difficulty accessing face-to-face services. The evidence for the efficacy of eMH is good, but clinical trials often fail to report the key demographic characteristics of participants, including literacy levels and socioeconomic disadvantage. Risk factors for poor literacy include low socioeconomic status, cultural and linguistic diversity, rurality and Aboriginal or Torres Strait Islander background. These are also the patients most in need of services. Methods We assessed the readability of evidence-based eMH programs in Australia using two measures of reading age. Results The literacy required for eMH engagement is beyond the reach of most Australians. Discussion Text-based eMH programs may exacerbate the treatment gap rather than relieve it.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn2208-7958en_AU
dc.identifier.urihttp://hdl.handle.net/1885/267185
dc.language.isoen_AUen_AU
dc.publisherRoyal Australian College of General Practitionersen_AU
dc.rights© The Royal Australian College of General Practitioners 2019en_AU
dc.sourceAustralian Journal of General Practiceen_AU
dc.titleGreat Expectations and e-mental health The role of literacy in mediating access to mental healthcareen_AU
dc.typeJournal articleen_AU
local.bibliographicCitation.issue7en_AU
local.bibliographicCitation.lastpage479en_AU
local.bibliographicCitation.startpage474en_AU
local.contributor.affiliationStone, Louise, College of Health and Medicine, ANUen_AU
local.contributor.authoremailu5695871@anu.edu.auen_AU
local.contributor.authoruidStone, Louise, u5695871en_AU
local.description.embargo2099-12-31
local.description.notesImported from ARIESen_AU
local.identifier.absfor119999 - Medical and Health Sciences not elsewhere classifieden_AU
local.identifier.absseo929999 - Health not elsewhere classifieden_AU
local.identifier.ariespublicationu3102795xPUB4801en_AU
local.identifier.citationvolume48en_AU
local.identifier.doi10.31128/AJGP-11-18-4760en_AU
local.identifier.scopusID2-s2.0-85074080147
local.identifier.thomsonIDWOS:000473224500011
local.identifier.uidSubmittedByu3102795en_AU
local.publisher.urlhttps://www1.racgp.org.au/ajgp/2019/july/emental-healthen_AU
local.type.statusPublished Versionen_AU

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