{"id":"https://openalex.org/W4388942748","doi":"https://doi.org/10.3389/fdgth.2023.1254929","title":"Patterns of engagement in digital mental health intervention for LGBTQ+ youth: a latent profile analysis","display_name":"Patterns of engagement in digital mental health intervention for LGBTQ+ youth: a latent profile analysis","publication_year":2023,"publication_date":"2023-11-23","ids":{"openalex":"https://openalex.org/W4388942748","doi":"https://doi.org/10.3389/fdgth.2023.1254929","pmid":"https://pubmed.ncbi.nlm.nih.gov/38075522","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10702209"},"language":"en","primary_location":{"id":"doi:10.3389/fdgth.2023.1254929","doi":"https://doi.org/10.3389/fdgth.2023.1254929","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2023.1254929","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1254929/pdf?isPublishedV2=False","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1254929/pdf?isPublishedV2=False","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032436465","display_name":"Seul Ki Choi","orcid":"https://orcid.org/0000-0003-0405-7787","observed_orcids":["https://orcid.org/0000-0003-0405-7787"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Seul Ki Choi","raw_affiliation_strings":["Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States","Department of Family and Community Health, School of Nursing, University of Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Department of Family and Community Health, School of Nursing, University of Pennsylvania, United States","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038645025","display_name":"Emma Bruehlman-Senecal","orcid":"https://orcid.org/0000-0002-3253-0685","observed_orcids":["https://orcid.org/0000-0002-3253-0685"]},"institutions":[{"id":"https://openalex.org/I4210138407","display_name":"HopeLab","ror":"https://ror.org/04e9vwv03","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210138407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emma Bruehlman-Senecal","raw_affiliation_strings":["Hopelab, San Francisco, CA, United States","Hopelab, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hopelab, San Francisco, CA, United States","institution_ids":["https://openalex.org/I4210138407"]},{"raw_affiliation_string":"Hopelab, United States","institution_ids":["https://openalex.org/I4210138407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082068946","display_name":"Amy  Charlotte Green","orcid":"https://orcid.org/0000-0002-0306-6457","observed_orcids":["https://orcid.org/0000-0002-0306-6457"]},"institutions":[{"id":"https://openalex.org/I4210138407","display_name":"HopeLab","ror":"https://ror.org/04e9vwv03","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210138407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amy Green","raw_affiliation_strings":["Hopelab, San Francisco, CA, United States","Hopelab, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hopelab, San Francisco, CA, United States","institution_ids":["https://openalex.org/I4210138407"]},{"raw_affiliation_string":"Hopelab, United States","institution_ids":["https://openalex.org/I4210138407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002005876","display_name":"Josh Lavra","orcid":"https://orcid.org/0000-0001-6374-315X","observed_orcids":["https://orcid.org/0000-0001-6374-315X"]},"institutions":[{"id":"https://openalex.org/I4210138407","display_name":"HopeLab","ror":"https://ror.org/04e9vwv03","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210138407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Josh Lavra","raw_affiliation_strings":["Hopelab, San Francisco, CA, United States","Hopelab, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hopelab, San Francisco, CA, United States","institution_ids":["https://openalex.org/I4210138407"]},{"raw_affiliation_string":"Hopelab, United States","institution_ids":["https://openalex.org/I4210138407"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068499035","display_name":"Jos\u00e9 A. Bauermeister","orcid":"https://orcid.org/0000-0002-9276-2306","observed_orcids":["https://orcid.org/0000-0002-9276-2306"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Bauermeister","raw_affiliation_strings":["Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States","Department of Family and Community Health, School of Nursing, University of Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Department of Family and Community Health, School of Nursing, University of Pennsylvania, United States","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5032436465"],"corresponding_institution_ids":["https://openalex.org/I79576946"],"apc_list":{"value":2125,"currency":"USD","value_usd":2125},"apc_paid":{"value":2125,"currency":"USD","value_usd":2125},"fwci":1.9526,"has_fulltext":true,"cited_by_count":9,"citation_normalized_percentile":{"value":0.86296485,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"5","issue":null,"first_page":"1254929","last_page":"1254929"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/digital-mental-health-interventions","display_name":"digital mental health interventions","score":0.6570000052452087},{"id":"https://openalex.org/keywords/engagement-patterns","display_name":"engagement patterns","score":0.8040000200271606},{"id":"https://openalex.org/keywords/lgbtq-youth","display_name":"LGBTQ youth","score":0.9710000157356262},{"id":"https://openalex.org/keywords/sexual-and-gender-minority-youth","display_name":"sexual and gender minority youth","score":0.8849999904632568},{"id":"https://openalex.org/keywords/stress-appraisal","display_name":"stress appraisal","score":0.6809999942779541},{"id":"https://openalex.org/keywords/challenge-appraisal","display_name":"challenge appraisal","score":0.6230000257492065},{"id":"https://openalex.org/keywords/threat-appraisal","display_name":"threat appraisal","score":0.9940000176429749},{"id":"https://openalex.org/keywords/person-centered-approach","display_name":"person-centered approach","score":0.6240000128746033},{"id":"https://openalex.org/keywords/content-engagement","display_name":"content engagement","score":0.5389999747276306},{"id":"https://openalex.org/keywords/latent-profile-analysis","display_name":"latent profile analysis","score":0.6000000238418579}],"concepts":[{"id":"https://openalex.org/C2779671885","wikidata":"https://www.wikidata.org/wiki/Q189125","display_name":"Transgender","level":2,"score":0.708949863910675},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6663616895675659},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5233044624328613},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4942167103290558},{"id":"https://openalex.org/C2777005476","wikidata":"https://www.wikidata.org/wiki/Q17103967","display_name":"Minority stress","level":4,"score":0.47210827469825745},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3297688961029053},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.328655481338501},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.32281363010406494},{"id":"https://openalex.org/C2777997956","wikidata":"https://www.wikidata.org/wiki/Q17888","display_name":"Sexual orientation","level":2,"score":0.2447749674320221},{"id":"https://openalex.org/C2778973849","wikidata":"https://www.wikidata.org/wiki/Q589656","display_name":"Sexual minority","level":3,"score":0.20877081155776978},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fdgth.2023.1254929","doi":"https://doi.org/10.3389/fdgth.2023.1254929","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2023.1254929","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1254929/pdf?isPublishedV2=False","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10702209","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10702209","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10702209/pdf/fdgth-05-1254929.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Digit Health","raw_type":"Text"},{"id":"pmid:38075522","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38075522","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in digital health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:ea8c401d7c394c29897b2df2a9839efd","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/ea8c401d7c394c29897b2df2a9839efd","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Digital Health, Vol 5 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fdgth.2023.1254929","doi":"https://doi.org/10.3389/fdgth.2023.1254929","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2023.1254929","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1254929/pdf?isPublishedV2=False","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388942748.pdf","grobid_xml":"https://content.openalex.org/works/W4388942748.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1622676990","https://openalex.org/W1899476743","https://openalex.org/W2024369688","https://openalex.org/W2029445248","https://openalex.org/W2035342780","https://openalex.org/W2042327629","https://openalex.org/W2056835579","https://openalex.org/W2067526347","https://openalex.org/W2090330784","https://openalex.org/W2102784002","https://openalex.org/W2117633598","https://openalex.org/W2118256630","https://openalex.org/W2125568653","https://openalex.org/W2127004504","https://openalex.org/W2150469545","https://openalex.org/W2219213315","https://openalex.org/W2274662974","https://openalex.org/W2560151242","https://openalex.org/W2561174611","https://openalex.org/W2625286693","https://openalex.org/W2893647315","https://openalex.org/W2897027864","https://openalex.org/W2958481062","https://openalex.org/W2991399037","https://openalex.org/W3029300371","https://openalex.org/W3037408369","https://openalex.org/W3095043366","https://openalex.org/W3127890283","https://openalex.org/W3136475625","https://openalex.org/W3172568062","https://openalex.org/W3174265130","https://openalex.org/W3213740945","https://openalex.org/W4283520354","https://openalex.org/W4283652121","https://openalex.org/W4294214983","https://openalex.org/W4384008555"],"related_works":["https://openalex.org/W4412435171","https://openalex.org/W4402909413","https://openalex.org/W4417279516","https://openalex.org/W7150912971","https://openalex.org/W4225379348","https://openalex.org/W7081933090","https://openalex.org/W7125822394","https://openalex.org/W3127890283","https://openalex.org/W4413680519","https://openalex.org/W7202241335"],"abstract_inverted_index":{"Engagement":[0],"is":[1],"a":[2,18,35,161,184,240,244],"key":[3],"metric":[4],"that":[5,50],"researchers":[6],"can":[7],"use":[8],"to":[9,66,91,176,210,270,278],"assess":[10],"whether":[11],"participants":[12,174],"received":[13],"the":[14,23,53,68,93,103,171,177,195,211,264,279],"intended":[15],"dose":[16],"of":[17,38,56,71,122,141,173,281],"digital":[19,255,282],"health":[20,70,256],"intervention.":[21],"However,":[22,215],"prevailing":[24],"approach":[25,88,266],"has":[26],"predominantly":[27],"focused":[28],"on":[29],"individual":[30],"paradata":[31],"metrics,":[32],"resulting":[33],"in":[34,206,254],"fragmented":[36],"understanding":[37],"overall":[39,118,188],"engagement.":[40,283],"To":[41],"address":[42],"this":[43],"limitation,":[44],"our":[45],"study":[46,280],"utilizes":[47],"person-centered":[48,87,231,265],"approaches":[49,232],"allow":[51],"for":[52,158,221],"simultaneous":[54],"capture":[55],"multiple":[57],"engagement":[58,96,116,119,139,189,223,253],"metrics":[59],"within":[60,102],"imi\u2013a":[61],"web":[62],"application":[63],"specifically":[64],"designed":[65],"support":[67],"mental":[69],"lesbian,":[72],"gay,":[73],"bisexual,":[74],"transgender,":[75],"queer,":[76],"and":[77,80,98,126,130,137,152,165,191,203,225,272,276],"other":[78],"sexual":[79],"gender":[81],"minority":[82],"youth":[83],"(LGBTQ+":[84],"youth).":[85],"This":[86],"enabled":[89],"us":[90],"explore":[92],"association":[94,186],"between":[95,187],"patterns":[97],"stress":[99,192,226],"appraisal":[100,227],"outcomes":[101],"imi":[104],"intervention":[105,246],"arm.":[106],"Utilizing":[107],"latent":[108],"profile":[109,164,198],"analysis,":[110],"we":[111],"classified":[112],"users":[113],"into":[114],"two":[115,156,230],"forms:":[117],"(total":[120],"number":[121],"sessions,":[123],"pages":[124,142],"visited,":[125],"external":[127],"links":[128],"clicked":[129],"their":[131],"cumulative":[132],"time":[133],"spent":[134],"using":[135],"imi)":[136],"content":[138,222],"(number":[140],"viewed":[143],"across":[144],"imi's":[145],"four":[146],"core":[147],"guides:":[148],"gender,":[149],"stress,":[150],"queerness,":[151],"stigma).":[153],"We":[154],"identified":[155],"profiles":[157,190,224],"each":[159],"form:":[160],"\u201chigh":[162,196],"engagement\u201d":[163,168,179,197,213],"an":[166],"\u201caverage":[167,178,212],"profile,":[169],"with":[170,194,236],"majority":[172],"assigned":[175],"profile.":[180,214],"Our":[181],"analyses":[182],"revealed":[183],"significant":[185],"appraisals,":[193],"demonstrating":[199],"higher":[200,252],"challenge":[201],"appraisals":[202,208],"marginal":[204],"improvements":[205],"threat":[207],"compared":[209],"no":[216],"such":[217],"associations":[218],"were":[219,234],"observed":[220],"outcomes.":[228],"The":[229],"used":[233],"consistent":[235],"prior":[237],"results":[238],"utilizing":[239],"variable-centered":[241],"approach,":[242],"indicating":[243],"stronger":[245],"effect":[247],"among":[248],"individuals":[249],"who":[250],"exhibit":[251],"interventions.":[257],"Although":[258],"both":[259],"methods":[260],"yielded":[261],"comparable":[262],"findings,":[263],"mitigates":[267],"concerns":[268],"related":[269],"multi-collinearity":[271],"adds":[273],"additional":[274],"nuance":[275],"context":[277]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2023-11-24T00:00:00"}
