Beyond counting clicks: rethinking engagement in digital mental health.

Cipriani, Andrea; Ward, Thomas; Lambe, Sinéad; Ostinelli, Edoardo G; Blease, Charlotte; Gant, Thomas; Gold, Stefan M; Holmes, Emily A et al. · Br J Psychiatry · 2025

editorial · Level V

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Abstract

User engagement remains a challenge in digital mental health. This editorial reconsiders engagement as a process rather than an outcome, introducing a four-step model to define, measure and link engagement to outcomes. The approach promotes standardisation, interpretability and scalability, advancing the science and implementation of digital health interventions.