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However, YMH services face challenges including long waiting times, limited continuity of care, and time\u2010bound support. To bridge this gap, MOST was developed as a scalable, blended, multi\u2010modal digital platform integrating real\u2010time and asynchronous clinician\u2010delivered counselling; interactive psychotherapeutic content; vocational support; peer support, and a youth\u2010focused online community. The implementation of MOST within Australian YMH services has been publicly funded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary aim of this study was to evaluate the real\u2010world engagement, outcomes, and experience of MOST during the first 32\u2009months of implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Young people from participating YMH services were referred into MOST. Engagement metrics were derived from platform usage. Symptom and satisfaction measures were collected at baseline, 6, and 12 (primary endpoint) weeks. Effect sizes were calculated for the primary outcomes of depression and anxiety and secondary outcomes of psychological distress and wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five thousand seven hundred and two young people from 262 clinics signed up and used MOST at least once. Young people had an average of 19 login sessions totalling 129\u2009min over the first 12\u2009weeks of use, with 71.7% using MOST for at least 14\u2009days, 40.1% for 12\u2009weeks, and 18.8% for 24\u2009weeks. There was a statistically significant, moderate improvement in depression and anxiety at 12\u2009weeks as measured by the PHQ4 across all users irrespective of treatment stage (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.41, 95% CI 0.35\u20130.46). Satisfaction levels were high, with 93% recommending MOST to a friend. One thousand one hundred and eighteen young people provided written feedback, of which 68% was positive and 31% suggested improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MOST is a highly promising blended digital intervention with potential to address the limitations and enhance the impact of YMH services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13751","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T20:29:02Z","timestamp":1726086542000},"page":"317-331","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["A national evaluation of a multi\u2010modal, blended, digital intervention integrated within\n                    <scp>Australian<\/scp>\n                    youth mental health services"],"prefix":"10.1111","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3535-9086","authenticated-orcid":false,"given":"M.","family":"Alvarez\u2010Jimenez","sequence":"first","affiliation":[{"name":"Orygen Digital  Parkville Australia"},{"name":"Melbourne Centre for Youth Mental Health The University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1889-1107","authenticated-orcid":false,"given":"J.","family":"Nicholas","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"},{"name":"Melbourne Centre for Youth Mental Health The University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7481-6537","authenticated-orcid":false,"given":"L.","family":"Valentine","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"},{"name":"Melbourne Centre for Youth Mental Health The University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Liu","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"},{"name":"Melbourne Centre for Youth Mental Health The University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5056-1023","authenticated-orcid":false,"given":"S.","family":"Mangelsdorf","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"},{"name":"Melbourne Centre for Youth Mental Health The University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Baker","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0996-8002","authenticated-orcid":false,"given":"T.","family":"Gilbertson","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"},{"name":"Melbourne Centre for Youth Mental Health The University of Melbourne  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"O'Loughlin","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"McEnery","sequence":"additional","affiliation":[{"name":"Orygen Digital  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3789-6168","authenticated-orcid":false,"given":"P. 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