You Can't Launch This: Trust as Infrastructure in Digital Behavioral Health.

van Mierlo, Trevor · J Med Internet Res · 2026

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Abstract

Digital behavioral health interventions frequently fail to scale, even when evidence-based and technically and operationally sound. In this News and Perspectives article, researcher, digital behavioral health platform founder, and JMIR Correspondent Trevor van Mierlo concludes a four-part series examining why this occurs, reporting on the foundational role of trust.