Beyond counting clicks: rethinking engagement in digital mental health.
Cipriani A., Ward T., Lambe S., Ostinelli EG., Blease C., Gant T., Gold SM., Holmes EA., Paccoud I., Vinnikova A., Klucken J., Uhlhaas PJ., Garcia Sanchez C., Haining K., Böge K., Lahutina S., Tomelleri L., Ryan S., Smith K., Torous J.
User engagement remains a challenge in digital mental health. This editorial reconsiders engagement as a process rather than an outcome, introducing a four-step model to define, measure and link engagement to outcomes. The approach promotes standardisation, interpretability and scalability, advancing the science and implementation of digital health interventions.