Unlocking the Digital Toolbox — A Mixed Methods Survey of New Zealand Mental Health Clinicians’ Knowledge, Use and Attitudes Towards Digital Mental Health Interventions

Abstract

AbstractTo assess New Zealand mental health clinicians and trainees’ knowledge, usage patterns, and attitudes towards digital mental health tools and their potential role in clinical practice. Participants recruited through professional organisations and training programs completed an online survey (August 2021 to February 2022). Eligible participants included Registered Health Professionals working in mental health or those enrolled in relevant training programs. The survey explored their knowledge, use of digital interventions, and perspectives on incorporating digital tools into clinical practice. Quantitative responses were summarised for the entire sample, and free-text responses regarding perceived benefits and concerns were coded to establish their relative importance. One hundred forty-four people started the survey and a total of 118 participants (77% female, 68% NZ European) completed it. Key findings indicated that 81% of the respondents had used digital tools, 65% rated their knowledge as moderate or higher, and 86% expressed interest in utilising digital tools. The primary advantages included ease of access and empowerment for clients, while concerns centred around the digital divide and the threat that digital tools may be used to replace traditional services. Clinicians demand more support and training including access to locally accredited tools. Blended (digital interwoven with in-person) support was highly favoured too. New Zealand mental health clinicians generally hold favourable views towards digital tools, with a significant proportion already trying them in their clinical practice. Clinicians are wary of digital approaches exacerbating existing inequities and want free of charge, secure, user-friendly, and evidence-based tools.