{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:39:00Z","timestamp":1789148340208,"version":"build-2803163510"},"reference-count":66,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Ment Health"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Digital mental health apps (DMHAs), and in particular digital therapeutics (DTx), offer promising opportunities to support mental health care. However, their effective use in outpatient settings in Germany remains limited. To overcome this gap, the role of digital health navigators (DHNs) has been introduced. DHNs are trained individuals who support patients and health care professionals in selecting, using, and integrating DMHAs into care. Despite increasing interest in this role, there is limited evidence on the competencies, knowledge, and personal attributes required for DHNs to work effectively in mental health settings.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The study aims to explore the expected competencies, knowledge areas, and personal attributes that DHNs need to effectively support the implementation and use of DTx in outpatient mental health care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n As part of the prestudy of the Digital Navigators for Acceptance and Competence Development with Mental Health Apps (DigiNavi) study, a qualitative study was conducted involving 35 participants (7 general practitioners, 8 patients in general practice, 11 outpatient psychiatrists\/psychologists, and 9 patients in psychiatric outpatient clinics) from different general practices and psychiatric outpatient clinics in Germany. A total of 17 semistructured interviews and 4 focus groups were conducted to explore expectations of DHNs. Data were analyzed using qualitative content analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Participants emphasized that DHNs should combine strong interpersonal skills (empathy, patience, and sensitive communication) with technical and basic clinical competencies. Most favored DHNs as integrated clinical team members (eg, medical assistants), citing their existing patient relationships, but noted time and training constraints. Key expectations included the ability to support patients with DTx use, adapt communication to individual needs, and convey data privacy information clearly. Foundational knowledge of mental health conditions and sensitivity to crises were considered important for identifying warning signs and escalating concerns. While DHNs were seen as essential intermediaries between patients, health care professionals, and DTx, participants highlighted the necessity for clearly defined roles, structured training, and realistic expectations to prevent role overload and enable sustainable implementation in outpatient mental health care.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n DHNs require a specialized skill set that bridges clinical understanding, digital expertise, and interpersonal competence. Our results lay the groundwork for developing training curricula and implementation strategies that align with real-world expectations for the DHN role. Defining these core competencies is essential for supporting the sustainable and effective integration of DMHAs into mental health care.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/83073","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T23:15:06Z","timestamp":1769555706000},"page":"e83073-e83073","source":"Crossref","is-referenced-by-count":3,"title":["Expected Competencies and Personal Attributes of Digital Health Navigators to Support Digital Mental Health Care: Focus Group and Interview Study With Patients and Health Care Professionals"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0031-2624","authenticated-orcid":false,"given":"Laura","family":"Freisberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3855-4389","authenticated-orcid":false,"given":"Eva","family":"Meier-Diedrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-1033","authenticated-orcid":false,"given":"Martin","family":"Heinze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4183-8469","authenticated-orcid":false,"given":"Julia","family":"Sch\u00f6nbeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8680-6971","authenticated-orcid":false,"given":"Darja","family":"Schubert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8471-5081","authenticated-orcid":false,"given":"Justin","family":"Speck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1080-7372","authenticated-orcid":false,"given":"Gillian","family":"Strudwick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5362-7937","authenticated-orcid":false,"given":"John","family":"Torous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-7909","authenticated-orcid":false,"given":"Julian","family":"Schwarz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"issue":"5","key":"R1","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1111\/acps.13083","article-title":"Is the global prevalence rate of adult mental illness increasing? Systematic review and meta-analysis","volume":"140","author":"Richter","journal-title":"Acta Psychiatr Scand"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Health at a glance 2025: OECD indicators. OECD Publishing; 2025. [doi: 10.1787\/8f9e3f98-en]","DOI":"10.1787\/8f9e3f98-en"},{"issue":"9","key":"R3","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1016\/S2215-0366(23)00193-1","article-title":"Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries","volume":"10","author":"McGrath","journal-title":"Lancet Psychiatry"},{"key":"R4","unstructured":"World mental health today: latest data. World Health Organization; 2025. URL: https:\/\/www.who.int\/publications\/i\/item\/9789240113817 [Accessed 10-04-2026]"},{"issue":"1","key":"R5","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-021-00374-y","article-title":"Mortality gap and physical comorbidity of people with severe mental disorders: the public health scandal","volume":"20","author":"Fiorillo","journal-title":"Ann Gen Psychiatry"},{"issue":"1","key":"R6","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-020-00356-9","article-title":"Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care?","volume":"14","author":"Colizzi","journal-title":"Int J Ment Health Syst"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1101\/2025.02.07.25321864","article-title":"Approaches to early intervention for common mental health problems in young people: a systematic review","author":"Appleton","journal-title":"medRxiv"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2023.05.012","article-title":"Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US","volume":"84","author":"Sun","journal-title":"Gen Hosp Psychiatry"},{"issue":"10157","key":"R9","doi-asserted-by":"publisher","first-page":"1553","DOI":"10.1016\/S0140-6736(18)31612-X","article-title":"The Lancet Commission on global mental health and sustainable development","volume":"392","author":"Patel","journal-title":"Lancet"},{"issue":"1","key":"R10","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1111\/jrh.12761","article-title":"Rural and frontier access to mental health prescribers and nonprescribers: a geospatial analysis in Oregon Medicaid","volume":"40","author":"Charlesworth","journal-title":"J Rural Health"},{"issue":"6","key":"R11","doi-asserted-by":"publisher","first-page":"2442","DOI":"10.4103\/jfmpc.jfmpc_2083_21","article-title":"Knowledge and practice of depression management among primary healthcare physicians","volume":"11","author":"Alanazi","journal-title":"J Family Med Prim Care"},{"issue":"8","key":"R12","doi-asserted-by":"publisher","first-page":"1485","DOI":"10.4103\/jfmpc.jfmpc_391_22","article-title":"Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-COVID era: a systematic review","volume":"12","author":"Rameez","journal-title":"J Family Med Prim Care"},{"issue":"3","key":"R13","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/s12599-023-00804-z","article-title":"Digital therapeutics (DTx)","volume":"65","author":"F\u00fcrstenau","journal-title":"Bus Inf Syst Eng"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2025.100824","article-title":"Digital interventions in mental health: an overview and future perspectives","volume":"40","author":"L\u00f6chner","journal-title":"Internet Interv"},{"issue":"1","key":"R15","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1037\/pri0000250","article-title":"Digital interventions for people waitlisted for mental health services: a needs assessment and preference survey","volume":"10","author":"Buck","journal-title":"Pract Innov (Wash D C)"},{"issue":"2","key":"R16","doi-asserted-by":"publisher","first-page":"59","DOI":"10.22720\/hnmr.2024.00164","article-title":"Mental health in the digital age","volume":"8","author":"Adikpo","journal-title":"Health New Media Res"},{"key":"R17","unstructured":"Chalmers M . Navigating the digital wave: DTx regulations in Europe and beyond. EY. URL: https:\/\/www.ey.com\/en_ie\/insights\/life-sciences\/navigating-the-digital-wave-dtx-regulations-in-europe-and-beyond [Accessed 10-04-2026]"},{"key":"R18","unstructured":"Gesetz f\u00fcr eine bessere Versorgung durch Digitalisierung und Innovation (Digitale-Versorgung-Gesetz \u2013 DVG). Bundesgesetzblatt; 2019. URL: https:\/\/www.bgbl.de\/xaver\/bgbl\/start.xav?startbk=Bundesanzeiger_BGBl&start=%2F%2F%2A%5B%40attr_id=%27bgbl119s2562.pdf%27%5D#__bgbl__%2F%2F*%5B%40attr_id%3D%27bgbl119s2562.pdf%27%5D__1614007381422 [Accessed 10-04-2026]"},{"issue":"1","key":"R19","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-024-01263-w","article-title":"Towards harmonizing assessment and reimbursement of digital medical devices in the EU through mutual learning","volume":"7","author":"Tarricone","journal-title":"NPJ Digit Med"},{"issue":"1","key":"R20","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11807-1","article-title":"Adoption and perception of prescribable digital health applications (DiGA) and the advancing digitalization among German internal medicine physicians: a cross-sectional survey study","volume":"24","author":"Cirkel","journal-title":"BMC Health Serv Res"},{"key":"R21","unstructured":"Price L . The German Digital Health Act (DiGa): strategy, impact, challenges and future direction. Healthcare.digital. 2025. URL: https:\/\/www.healthcare.digital\/single-post\/the-german-digital-health-act-diga-strategy-impact-challenges-and-future-direction [Accessed 30-11-2025]"},{"issue":"1","key":"R22","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s00103-023-03804-2","article-title":"Digital health applications (DiGA) in the area of tension between progress and criticism: discussion paper from the \u201cDigital health\u201d specialist group of the German Informatics Society","volume":"67","author":"Schlieter","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"issue":"4","key":"R23","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.25.0254","article-title":"Bridging the digital divide: integrating apps into effective mental health care","volume":"6","author":"Torous","journal-title":"NEJM Catalyst Innovations in Care Delivery"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.2196\/43727","article-title":"Assessing patient adherence to and engagement with digital interventions for depression in clinical trials: systematic literature review","volume":"25","author":"Forbes","journal-title":"J Med Internet Res"},{"issue":"1","key":"R25","doi-asserted-by":"publisher","DOI":"10.2196\/48000","article-title":"Mapping factors that affect the uptake of digital therapeutics within health systems: scoping review","volume":"25","author":"van Kessel","journal-title":"J Med Internet Res"},{"issue":"10","key":"R26","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pdig.0000279","article-title":"Digital literacy as a new determinant of health: a scoping review","volume":"2","author":"Arias L\u00f3pez","journal-title":"PLOS Digit Health"},{"issue":"1","key":"R27","doi-asserted-by":"publisher","DOI":"10.1111\/jep.14245","article-title":"Assessing the role of digital literacy in accessing and utilising virtual healthcare services: a systematic review protocol","volume":"31","author":"Hung","journal-title":"Evaluation Clinical Practice"},{"issue":"5","key":"R28","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1093\/jamia\/ocad015","article-title":"Digital healthcare equity in primary care: implementing an integrated digital health navigator","volume":"30","author":"Rodriguez","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"R29","doi-asserted-by":"publisher","DOI":"10.2196\/28301","article-title":"Coaching to support mental health apps: exploratory narrative review","volume":"9","author":"Meyer","journal-title":"JMIR Hum Factors"},{"issue":"5","key":"R30","doi-asserted-by":"publisher","first-page":"1151","DOI":"10.1200\/CCI.21.00111","article-title":"Digital health navigation: an enabling infrastructure for optimizing and integrating virtual care into oncology practice","volume":"5","author":"Offodile","journal-title":"JCO Clin Cancer Inform"},{"issue":"7","key":"R31","doi-asserted-by":"publisher","first-page":"e1963","DOI":"10.1089\/tmj.2024.0023","article-title":"The digital navigator: standardizing human technology support in app-integrated clinical care","volume":"30","author":"Chen","journal-title":"Telemed J E Health"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.2196\/58068","article-title":"Building mutually beneficial collaborations between digital navigators, mental health professionals, and clients: naturalistic observational case study","volume":"11","author":"Gorban","journal-title":"JMIR Ment Health"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.3233\/SHTI250007","article-title":"The emergent role of digital navigators: case examples","volume":"322","author":"Pape","journal-title":"Stud Health Technol Inform"},{"issue":"Suppl 1","key":"R34","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1159\/000510144","article-title":"The role of digital navigators in promoting clinical care and technology integration into practice","volume":"4","author":"Wisniewski","journal-title":"Digit Biomark"},{"issue":"4","key":"R35","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1111\/acps.13149","article-title":"Digital navigators to implement smartphone and digital tools in care","volume":"141","author":"Wisniewski","journal-title":"Acta Psychiatr Scand"},{"issue":"5","key":"R36","doi-asserted-by":"publisher","first-page":"e125","DOI":"10.37765\/ajmc.2025.89736","article-title":"Digital health implementation among older adults: health technology navigators\u2019 perspectives","volume":"31","author":"Wang","journal-title":"Am J Manag Care"},{"issue":"1","key":"R37","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1146\/annurev.so.12.080186.000435","article-title":"Recent developments in role theory","volume":"12","author":"Biddle","journal-title":"Annu Rev Sociol"},{"issue":"2","key":"R38","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1177\/08404704211063584","article-title":"A framework for interprofessional team collaboration in a hospital setting: advancing team competencies and behaviours","volume":"35","author":"McLaney","journal-title":"Healthc Manage Forum"},{"issue":"8","key":"R39","doi-asserted-by":"publisher","first-page":"345","DOI":"10.3928\/00220124-20180718-04","article-title":"The importance of role clarity for development of interprofessional teams","volume":"49","author":"Bittner","journal-title":"J Contin Educ Nurs"},{"issue":"12","key":"R40","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1055\/a-2409-4731","article-title":"Digitale Navigatoren zur Akzeptanz- und Kompetenzentwicklung mit mental health apps","volume":"43","author":"Schwarz","journal-title":"Nervenheilkunde"},{"issue":"12","key":"R41","doi-asserted-by":"publisher","first-page":"e925","DOI":"10.1016\/S2589-7500(23)00152-8","article-title":"Standardising the role of a digital navigator in behavioural health: a systematic review","volume":"5","author":"Perret","journal-title":"Lancet Digit Health"},{"key":"R42","doi-asserted-by":"publisher","DOI":"10.2196\/67655","article-title":"Piloting digital navigators to promote acceptance and engagement with digital mental health apps in German outpatient care: protocol for a multicenter, single-group, observational, mixed methods interventional study (DigiNavi)","volume":"14","author":"Schwarz","journal-title":"JMIR Res Protoc"},{"issue":"6","key":"R43","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated Criteria for Reporting Qualitative Research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"key":"R44","unstructured":"Patton MQ . Qualitative Research and Evaluation Methods. 3rd ed. Sage Publications; 2002. ISBN: 9780761919711"},{"key":"R45","unstructured":"Kuckartz U R\u00e4diker S . Qualitative Inhaltsanalyse: Methoden, Praxis, Computerunterst\u00fctzung. Juventa Verlag (Beltz); 2022. URL: https:\/\/www.beltz.de\/fachmedien\/paedagogik\/produkte\/details\/48467-qualitative-inhaltsanalyse.html [Accessed 10-04-2026]"},{"issue":"3","key":"R46","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1007\/s40501-019-00181-z","article-title":"Use of digital mental health for marginalized and underserved populations","volume":"6","author":"Schueller","journal-title":"Curr Treat Options Psych"},{"key":"R47","unstructured":"Create professional surveys. LimeSurvey. URL: https:\/\/www.limesurvey.org [Accessed 27-06-2025]"},{"issue":"1","key":"R48","first-page":"22","volume":"12","author":"Ruslin","journal-title":"IOSR Journal of Research & Method in Education (IOSR-JRME)"},{"key":"R49","doi-asserted-by":"crossref","unstructured":"Emerson RM Fretz RI Shaw LL . Writing Ethnographic Fieldnotes. 2nd ed. University of Chicago Press; 2011. URL: https:\/\/press.uchicago.edu\/ucp\/books\/book\/chicago\/W\/bo12182616.html [Accessed 26-05-2025]","DOI":"10.7208\/chicago\/9780226206868.001.0001"},{"key":"R50","unstructured":"Webex by Cisco. Cisco. URL: https:\/\/www.webex.com [Accessed 27-06-2025]"},{"issue":"3","key":"R51","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1002\/wps.20883","article-title":"The growing field of digital psychiatry: current evidence and the future of apps, social media, chatbots, and virtual reality","volume":"20","author":"Torous","journal-title":"World Psychiatry"},{"issue":"1","key":"R52","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2023.2186396","article-title":"Two years of approved digital health applications in Germany \u2013 Perspectives and experiences of general practitioners with an affinity for their use","volume":"29","author":"Wangler","journal-title":"European Journal of General Practice"},{"issue":"11","key":"R53","doi-asserted-by":"publisher","DOI":"10.2196\/33012","article-title":"Physicians\u2019 attitudes toward prescribable mHealth apps and implications for adoption in Germany: mixed methods study","volume":"9","author":"Dahlhausen","journal-title":"JMIR Mhealth Uhealth"},{"issue":"4","key":"R54","doi-asserted-by":"publisher","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in qualitative research: exploring its conceptualization and operationalization","volume":"52","author":"Saunders","journal-title":"Qual Quant"},{"key":"R55","unstructured":"DeepL translator. DeepL. URL: https:\/\/www.deepl.com\/de\/translator [Accessed 30-06-2025]"},{"key":"R56","unstructured":"Nationale VersorgungsLeitlinie Unipolare Depression. AWMF; 2022. URL: https:\/\/register.awmf.org\/assets\/guidelines\/nvl-005k_S3_Unipolare-Depression_2023-07.pdf [Accessed 03-04-2026]"},{"issue":"8","key":"R57","first-page":"623","volume":"38","author":"Anderson","journal-title":"Aust Fam Physician"},{"issue":"1","key":"R58","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-17798-2","article-title":"Psychosocial working conditions and mental health among medical assistants in Germany: a scoping review","volume":"24","author":"Schmidt-Stiedenroth","journal-title":"BMC Public Health"},{"issue":"2","key":"R59","doi-asserted-by":"publisher","first-page":"93","DOI":"10.7870\/cjcmh-2008-0020","article-title":"Findings from a comparison of mental health services in primary care and outpatient mental health services","volume":"27","author":"Kates","journal-title":"Can J Commun Ment Health"},{"key":"R60","unstructured":"Global Strategy on Digital Health 2020-2025. World Health Organization; 2021. URL: https:\/\/www.who.int\/docs\/default-source\/documents\/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf [Accessed 10-04-2026]"},{"issue":"1","key":"R61","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-023-00899-4","article-title":"Barriers and facilitators to utilizing digital health technologies by healthcare professionals","volume":"6","author":"Borges do Nascimento","journal-title":"NPJ Digit Med"},{"issue":"1","key":"R62","doi-asserted-by":"publisher","first-page":"149","DOI":"10.4338\/ACI-2016-06-RA-0083","article-title":"Measuring practicing clinicians\u2019 information literacy. an exploratory analysis in the context of panel management","volume":"8","author":"Dixon","journal-title":"Appl Clin Inform"},{"issue":"8-9","key":"R63","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1055\/s-0032-1321770","article-title":"New job profiles for medical assistants (MFA) in care provision for elderly people - project in the framework of the funding initiative of the German Medical Association (Bundes\u00e4rztekammer) for research on care provision","volume":"75","author":"Sch\u00fcler","journal-title":"Gesundheitswesen"},{"key":"R64","doi-asserted-by":"crossref","unstructured":"Torous J Ledley KT Gorban C et al. Accelerating digital mental health: the society of digital psychiatry\u2019s three-pronged road map for education, digital navigators, and AI. JMIR Ment Health. Preprint posted online on Sep 20, 2025. URL: https:\/\/preprints.jmir.org\/preprint\/84501 [Accessed 26-09-2025] [doi: 10.2196\/84501]","DOI":"10.2196\/preprints.84501"},{"issue":"1","key":"R65","doi-asserted-by":"publisher","DOI":"10.1038\/s44277-025-00049-6","article-title":"Mindbench.ai: an actionable platform to evaluate the profile and performance of large language models in a mental healthcare context","volume":"3","author":"Dwyer","journal-title":"NPP Digit Psychiatry Neurosci"},{"issue":"1","key":"R66","first-page":"82","volume":"4","author":"McFadyen","journal-title":"GSTF J Nurs Health Care"}],"container-title":["JMIR Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/mental.jmir.org\/2026\/1\/e83073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:17:08Z","timestamp":1782843428000},"score":1,"resource":{"primary":{"URL":"https:\/\/mental.jmir.org\/2026\/1\/e83073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,23]]},"references-count":66,"URL":"https:\/\/doi.org\/10.2196\/83073","relation":{},"ISSN":["2368-7959"],"issn-type":[{"value":"2368-7959","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,23]]},"article-number":"v13i5e83073"}}