Evidence map›Paper›PMID 41592169›Full record

ReviewInteractive journal of medical research2026

The Effectiveness, Facilitators, and Barriers of Digital Mental Health Services for First Nations People in Australia: Systematic Scoping Review.

Siyu Zhai, Andrew Goodman, Anthony C Smith, Sandra Diminic, Xiaoyun Zhou

Abstract readReview
In one paragraph

Review in Interactive journal of medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Siyu ZhaiSchool of Public Health, The University of Queensland, 266 Herston Road, Herston, Queensland, 4006, Australia, 61 452377835.ORCID 0009-0003-5586-5458
Andrew GoodmanSchool of Public Health, The University of Queensland, 266 Herston Road, Herston, Queensland, 4006, Australia, 61 452377835.ORCID 0000-0002-0385-1084
Anthony C SmithCentre for Online Health, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-7756-5136
Sandra DiminicSchool of Public Health, The University of Queensland, 266 Herston Road, Herston, Queensland, 4006, Australia, 61 452377835.ORCID 0000-0001-8742-8816
Xiaoyun ZhouSchool of Public Health, The University of Queensland, 266 Herston Road, Herston, Queensland, 4006, Australia, 61 452377835.ORCID 0000-0002-3903-4166

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: First Nations people in Australia experience inequitable mental health outcomes and service access. Digital mental health (DMH) services, which refer to offering mental health services through digital platforms, are considered potential solutions to address such mental health service inequities and improve the mental health outcomes of First Nations Australians. However, evidence on the effectiveness of DMH services for First Nations people in Australia is yet to be synthesized. Objective: This systematic scoping review aims to fill this gap and to identify the facilitators and barriers that influence the implementation of DMH services among First Nations people in Australia. Methods: A systematic search was conducted across 6 academic databases to search for studies related to DMH services for First Nations people in Australia. Search terms relating to First Nations people, geographic terminologies of Australia, mental health, and DMH services were used. Studies were included if they assessed the effectiveness of DMH services or the determinants of the facilitators and barriers of implementing DMH interventions among First Nations people in Australia. Data were extracted based on study design, targeted services, and research findings, and were then synthesized using a thematic analysis framework. Results: In total, 22 studies met the inclusion criteria. DMH services were used to support and treat First Nations Australians and conduct psychological assessments in these individuals. Evidence of effectiveness was stronger for nonsevere mental health conditions. The determinants of the facilitators and barriers of the implementation of DMH services included the following: (1) organizational and administrative factors; (2) cultural appropriateness; (3) accessibility; (4) integration of DMH services in the existing health system; (5) engagement between clients and service providers; (6) coverage of different conditions and clients; (7) acceptability to DMH services; (8) digital literacy; and (9) efficiency. Conclusions: Evidence on the use of DMH services for First Nations Australians remains heterogeneous in terms of study design and outcome measurement. DMH services appear to be most effective for managing nonsevere mental health conditions. Successful implementation requires multilevel structural support, including policy and organizational commitment, enhanced digital infrastructure, workforce training and engagement, and the design of culturally responsive DMH models to improve uptake and equitable access to mental health care among First Nations Australians.

Indexed as

Aboriginal and Torres Strait Islander peopledigital mental healtheHealthmental health servicesmHealthmobile healthtelehealth

Identifiers

PMID41592169
PMCPMC12841858

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.