title: The use of e-health applications for anxiety and depression in young people: challenges and solutions.
abstract: OBJECTIVE
  E-health applications are effective. However, challenges to their uptake amongst youth need to be investigated. This paper aims to explore the barriers to the use of these programs by young people and the methods by which these barriers might be overcome.
  
  
  METHODS
  Qualitative review of research literature.
  
  
  RESULTS
  Barriers to the use of these programs included the difficulty in engaging young people in their use, perceptions that the programs have low adherence, and clinician concerns about their value, effectiveness and safety. Evidence to date suggests that more research is needed to understand the reasons more young people do not engage with them. However, adherence rates are reasonable when properly benchmarked and the applications can be appropriately implemented in clinical and educational settings.
  
  
  CONCLUSIONS
  Optimal methods for implementing these applications will require further targeted research.
authors.affiliation: Centre for Mental Health Research, Australian National University, Canberra, Australian Capital Territory, Australia. Helen.Christensen@anu.edu.au
authors.forename: Helen
authors.initials: H
authors.lastname: Christensen
authors.forename: Julia
authors.initials: J
authors.lastname: Reynolds
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Griffiths
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000628:therapy*; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003863:Depression / Q000628:therapy*; D006801:Humans; D020407:Internet; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D000297:Psychology, Adolescent; D013813:Therapy, Computer-Assisted / Q000379:methods*