{"id":"https://openalex.org/W4405694121","doi":"https://doi.org/10.3389/fdgth.2024.1443598","title":"Examining a brief web and longitudinal app-based intervention [Wysa] for mental health support in Singapore during the COVID-19 pandemic: mixed-methods retrospective observational study","display_name":"Examining a brief web and longitudinal app-based intervention [Wysa] for mental health support in Singapore during the COVID-19 pandemic: mixed-methods retrospective observational study","publication_year":2024,"publication_date":"2024-12-23","ids":{"openalex":"https://openalex.org/W4405694121","doi":"https://doi.org/10.3389/fdgth.2024.1443598","pmid":"https://pubmed.ncbi.nlm.nih.gov/39764209"},"language":"en","primary_location":{"id":"doi:10.3389/fdgth.2024.1443598","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2024.1443598","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2024.1443598/pdf","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,"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"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2024.1443598/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036241944","display_name":"Chaitali Sinha","orcid":"https://orcid.org/0000-0001-8919-7134"},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Chaitali Sinha","raw_affiliation_strings":["Wysa, Boston, MA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wysa, Boston, MA, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006190180","display_name":"Dyuthi Dinesh","orcid":"https://orcid.org/0009-0008-3460-9355"},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Dyuthi Dinesh","raw_affiliation_strings":["Wysa, Boston, MA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wysa, Boston, MA, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054069351","display_name":"Creighton Heaukulani","orcid":"https://orcid.org/0000-0003-2046-7612"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Creighton Heaukulani","raw_affiliation_strings":["MOH Office for Healthcare Transformation, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MOH Office for Healthcare Transformation, Singapore, Singapore","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028460112","display_name":"Ye Sheng Phang","orcid":"https://orcid.org/0000-0003-2706-4023"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ye Sheng Phang","raw_affiliation_strings":["MOH Office for Healthcare Transformation, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MOH Office for Healthcare Transformation, Singapore, Singapore","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5006190180","https://openalex.org/A5036241944"],"corresponding_institution_ids":[],"apc_list":{"value":1900,"currency":"USD","value_usd":2125},"apc_paid":{"value":1900,"currency":"USD","value_usd":2125},"fwci":2.1477,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.8856006,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"6","issue":null,"first_page":"1443598","last_page":"1443598"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9998000264167786,"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":0.9998000264167786,"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/T10168","display_name":"COVID-19 and Mental Health","score":0.9975000023841858,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical 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/T13283","display_name":"Mental Health Research Topics","score":0.9940000176429749,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mental-health","display_name":"Mental health","score":0.6205522418022156},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.5800168514251709},{"id":"https://openalex.org/keywords/cognitive-restructuring","display_name":"Cognitive restructuring","score":0.4994034767150879},{"id":"https://openalex.org/keywords/intervention","display_name":"Intervention (counseling)","score":0.4902520775794983},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.4882414638996124},{"id":"https://openalex.org/keywords/longitudinal-study","display_name":"Longitudinal study","score":0.4596230089664459},{"id":"https://openalex.org/keywords/restructuring","display_name":"Restructuring","score":0.4251488149166107},{"id":"https://openalex.org/keywords/thematic-analysis","display_name":"Thematic analysis","score":0.41823068261146545},{"id":"https://openalex.org/keywords/clinical-psychology","display_name":"Clinical psychology","score":0.38457512855529785},{"id":"https://openalex.org/keywords/applied-psychology","display_name":"Applied psychology","score":0.37205326557159424},{"id":"https://openalex.org/keywords/cognition","display_name":"Cognition","score":0.32355523109436035},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3183334469795227},{"id":"https://openalex.org/keywords/psychiatry","display_name":"Psychiatry","score":0.2183929979801178},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.15267154574394226},{"id":"https://openalex.org/keywords/qualitative-research","display_name":"Qualitative research","score":0.10390454530715942},{"id":"https://openalex.org/keywords/sociology","display_name":"Sociology","score":0.09074622392654419}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6205522418022156},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5800168514251709},{"id":"https://openalex.org/C6564018","wikidata":"https://www.wikidata.org/wiki/Q849826","display_name":"Cognitive restructuring","level":3,"score":0.4994034767150879},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4902520775794983},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4882414638996124},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.4596230089664459},{"id":"https://openalex.org/C45237549","wikidata":"https://www.wikidata.org/wiki/Q1376796","display_name":"Restructuring","level":2,"score":0.4251488149166107},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.41823068261146545},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.38457512855529785},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.37205326557159424},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.32355523109436035},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3183334469795227},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2183929979801178},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.15267154574394226},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.10390454530715942},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.09074622392654419},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fdgth.2024.1443598","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2024.1443598","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2024.1443598/pdf","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,"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":"pmid:39764209","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39764209","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,"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":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11701045","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11701045","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11701045/pdf/fdgth-06-1443598.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,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Front Digit Health","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:6d72b4921ca54626a88a7ce1e376e577","is_oa":false,"landing_page_url":"https://doaj.org/article/6d72b4921ca54626a88a7ce1e376e577","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,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Digital Health, Vol 6 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fdgth.2024.1443598","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2024.1443598","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2024.1443598/pdf","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,"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":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8299999833106995}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4405694121.pdf","grobid_xml":"https://content.openalex.org/works/W4405694121.grobid-xml"},"referenced_works_count":49,"referenced_works":["https://openalex.org/W302842424","https://openalex.org/W615172776","https://openalex.org/W1979290264","https://openalex.org/W1988740726","https://openalex.org/W2008057231","https://openalex.org/W2032732534","https://openalex.org/W2053067718","https://openalex.org/W2102248767","https://openalex.org/W2143571259","https://openalex.org/W2148579870","https://openalex.org/W2164460486","https://openalex.org/W2165051367","https://openalex.org/W2240594527","https://openalex.org/W2414638899","https://openalex.org/W2501036313","https://openalex.org/W2522907461","https://openalex.org/W2604212348","https://openalex.org/W2801912451","https://openalex.org/W3006659024","https://openalex.org/W3014712866","https://openalex.org/W3015658132","https://openalex.org/W3019638797","https://openalex.org/W3030034179","https://openalex.org/W3037868466","https://openalex.org/W3045286176","https://openalex.org/W3089341323","https://openalex.org/W3092498430","https://openalex.org/W3092570341","https://openalex.org/W3096632739","https://openalex.org/W3118640323","https://openalex.org/W3119259386","https://openalex.org/W3137365652","https://openalex.org/W3173441220","https://openalex.org/W3209865784","https://openalex.org/W3213740945","https://openalex.org/W4206080530","https://openalex.org/W4212813720","https://openalex.org/W4223430747","https://openalex.org/W4224941735","https://openalex.org/W4226502953","https://openalex.org/W4229335406","https://openalex.org/W4281729478","https://openalex.org/W4308687068","https://openalex.org/W4366696852","https://openalex.org/W4393208678","https://openalex.org/W4403962195","https://openalex.org/W6619056116","https://openalex.org/W6663816990","https://openalex.org/W6803558864"],"related_works":["https://openalex.org/W2376397586","https://openalex.org/W2377702023","https://openalex.org/W2376263261","https://openalex.org/W2339564564","https://openalex.org/W1506264906","https://openalex.org/W3127177933","https://openalex.org/W2376259828","https://openalex.org/W2905940832","https://openalex.org/W2391959806","https://openalex.org/W1984244882"],"abstract_inverted_index":{"The":[0,57,332,358],"COVID-19":[1,321],"pandemic":[2],"in":[3,14,55,108,151],"Singapore":[4],"led":[5],"to":[6,9,60,145,166,195,288,363],"limited":[7],"access":[8],"mental":[10,30,355],"health":[11,31,356],"services,":[12],"resulting":[13],"increased":[15],"distress":[16],"among":[17],"the":[18,23,44,49,63,71,75,79,87,96,101,104,152,172,180,186,197,212,243,255,270,286,330,365],"population.":[19],"This":[20],"study":[21,359],"explores":[22],"potential":[24],"benefits":[25],"of":[26,43,67,83,89,103,182,188,199,249,254,367],"offering":[27],"a":[28,36,123,218,274],"digital":[29,346],"intervention":[32,40,73,214,220],"(DMHI),":[33],"Wysa,":[34],"as":[35,41],"brief":[37,72,219,336],"and":[38,65,78,92,98,115,134,155,162,169,174,185,206,225,297,300,344,353,369],"longitudinal":[39,80,213],"part":[42],"mindline.sg":[45,76,236],"initiative":[46],"launched":[47],"by":[48,318],"MOH":[50],"Office":[51],"for":[52,235],"Healthcare":[53],"Transformation":[54],"Singapore.":[56],"paper":[58],"aims":[59],"(i)":[61],"Evaluate":[62],"engagement":[64,168,224,341],"retention":[66,156,170,226],"Singaporean":[68],"users":[69,129,136,256,319],"across":[70,112],"on":[74,202,251,269],"website":[77],"app":[81,135,173,244,271],"version":[82],"Wysa;":[84],"(ii)":[85],"Examine":[86],"types":[88,181],"negative":[90,183,203,291,306,326],"thoughts":[91,184,292,327],"challenges":[93,316],"managed":[94,317],"during":[95,320],"pandemic;":[97],"(iii)":[99],"Assess":[100],"impact":[102],"conversational":[105],"agent":[106],"(CA)":[107],"supporting":[109],"cognitive":[110,116,189,263,351],"restructuring":[111,200,264,352],"attributional":[113,207,310],"styles":[114,311],"patterns.":[117],"A":[118,176,276],"retrospective":[119],"observational":[120],"design":[121],"with":[122,279,285,342],"mixed-methods":[124],"approach":[125],"was":[126,193,281],"utilized.":[127],"Website":[128],"(":[130,137,227,237,257,265,293,302],"N":[131,138],"=":[132,139,239,259,267],"69,055)":[133],"4,103)":[140],"from":[141],"September":[142],"1,":[143],"2020,":[144],"July":[146],"25,":[147],"2022,":[148],"were":[149,157,164,322],"included":[150],"study.":[153],"Engagement":[154],"evaluated":[158],"through":[159,325],"usage":[160],"data,":[161],"T-tests":[163],"used":[165,194,211],"compare":[167],"between":[171],"website.":[175],"thematic":[177],"analysis":[178],"assessed":[179],"success":[187],"restructuring.":[190],"Logistic":[191],"regression":[192],"estimate":[196],"likelihood":[198],"based":[201],"thought":[204],"type":[205],"style.":[208],"Users":[209],"who":[210,261],"after":[215],"first":[216],"using":[217],"demonstrated":[221],"significantly":[222,283],"higher":[223,247],"P":[228,294,303],"<":[229,295,304],"0.001).":[230],"In":[231],"user":[232],"ratings":[233],"received":[234],"n":[238,258,266],"8,959),":[240],"83.03%":[241],"rated":[242],"3":[245],"or":[246],"(out":[248],"5)":[250],"helpfulness.":[252],"91.6%":[253],"862)":[260],"attempted":[262],"790)":[268],"successfully":[272,349],"reframed":[273],"thought.":[275],"single":[277],"conversation":[278],"Wysa":[280],"also":[282,323],"associated":[284],"ability":[287],"restructure":[289],"future-oriented":[290],"0.001)":[296,305],"internal,":[298],"stable":[299],"global":[301],"thoughts,":[307],"while":[308],"other":[309],"required":[312],"more":[313],"intervention.":[314],"Psychosocial":[315],"documented":[324],"mentioned":[328],"within":[329],"CA.":[331],"findings":[333],"demonstrate":[334],"that":[335,345],"interventions":[337,347],"can":[338,348],"facilitate":[339,350],"enhanced":[340],"DMHIs":[343,368],"improve":[354,370],"outcomes.":[357],"provides":[360],"useful":[361],"inputs":[362],"guide":[364],"development":[366],"their":[371],"effectiveness.":[372]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":3}],"updated_date":"2026-07-22T07:51:19.307946","created_date":"2025-10-10T00:00:00"}