Work

Community organisations using digital technology can improve public mental health outcomes?

Year: 2025

Type: article

Abstract: Background Evidence has demonstrated that community organisations (CO) are crucial for supporting public mental health (PMH). During the COVID-19 pandemic many CO had to move their activities online. Digital technology has the potential to improve PMH by facilitating interpersonal relationships and social activities. However, those with low digital literacy and few digital assets were, and still are, excluded from these benefits exacerbating mental health inequalities as digital services have become even more entrenched in CO and everyday life. This study aims to understand the impact of the increased use of digital technology by CO on PMH outcomes such as social isolation and loneliness. Methods A qualitative realist evaluation approach was taken. Three initial theories, gleaned from the previous literature, were tested through realist-informed interviews with CO service providers (n = 9) and service users (n = 17). The realist analysis used an iterative, inductive and deductive approach to identify the underlying mechanisms for how digital technology used by CO can impact PMH outcomes, and understand the contexts in which they operate. Results CO using digital technology can improve PMH outcomes by: 1) tailoring digital coaching to the needs of disadvantaged groups 2) curating a safe online space for members to participate in online activities and wider social networks, transition to in-person activities, and for housebound members to be included in activities. These mechanisms operated within three overarching contexts: technology has many benefits, disadvantages and dangers; it is constantly evolving, and people often have no choice. Conclusions CO have a role in providing safe and trusted online spaces to support mental health and to reduce digital exclusion. Key messages • Digital technology used by CO can reduce social isolation and loneliness. • Technology does not benefit everyone. CO should ensure members have a choice of digital or in-person to maximise PMH benefits.

Source: European Journal of Public Health

DOI: 10.1093/eurpub/ckaf161.524

Authors: F Duncan, J Coker, S Gnani, L Lafortune

Institutions: Newcastle University, University of Cambridge, Imperial College London

Language: English

Topic: Technology Use by Older Adults

Subfield: Demography

Field: Social Sciences

Domain: Social Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: gold

Estimated APC paid: $3,181