title: Assessing the Critical Parameters of eSMART-MH: A Promising Avatar-Based Digital Therapeutic Intervention to Reduce Depressive Symptoms.
abstract: OBJECTIVE
  To assess, from the young adults' (YAs') perspectives, the critical parameters (necessity, acceptability, feasibility, fidelity, and safety) of an avatar-based intervention, eSMART-MH, to reduce depressive symptoms.
  
  
  METHODS
  YAs (n = 60) were randomly assigned to eSMART-MH or control and observed for 12 weeks. Qualitative and quantitative data were collected.
  
  
  RESULTS
  Necessity, acceptability, fidelity, and safety of eSMART-MH were supported. Feasibility results were mixed. When benchmarked against usual care, eSMART-MH demonstrated greater feasibility.
  
  
  CONCLUSIONS
  eSMART-MH is a promising digital therapeutic for depressive symptoms. Feasibility can be strengthened through "on the go" access via mobile devices and Internet delivery.
authors: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
authors: Melissa D
authors: MD
authors: Pinto
authors: Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
authors: Amy M
authors: AM
authors: Greenblatt
authors: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.|Department of Anesthesiology and Perioperative Medicine, University Hospitals Case Medical Center, Cleveland, Ohio, USA.
authors: Ronald L
authors: RL
authors: Hickman
authors: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
authors: Heather M
authors: HM
authors: Rice
authors: NicoleWertheim College of Nursing and Health Sciences, Florida International University, Miami, Florida, USA.
authors: Tami L
authors: TL
authors: Thomas
authors: School College of Nursing, University of South Florida, Tampa, Florida, USA.
authors: John M
authors: JM
authors: Clochesy
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D063731:Mobile Applications; D011569:Psychiatric Status Rating Scales; D012648:Self Care / Q000379:methods*; D057566:Self Report; D016037:Single-Blind Method; D017216:Telemedicine / Q000379:methods*; D014481:United States; D055815:Young Adult
keywords: Avatar; depression; eHealth