Digital Health Literacy in Bipolar Disorder: International Web-Based Survey

Morton, Emma; Ho, Kendall; Barnes, Steven J.; Michalak, Erin E.

doi:10.2196/29764

Cited by 12 publications

(12 citation statements)

References 72 publications

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“…Studies show that college students with low MHL lack the skills to be able to identify mental health problems and seek professional help when necessary [ 12 ]. Further evidence suggests that lack of digital literacy skills in mental health have negative consequences on mental health, due to failure to identify safe web-based resources to support their self-management [ 36 , 37 ]. eMHL, while not extensively studied, may be viewed as a facet of MHL, and includes the skills to access and appraise evidence-based internet-based mental health information and resources to aid in the recognition, management, or prevention of mental health issues.…”

Section: Discussionmentioning

confidence: 99%

“…Low digital skills in mental health influence in mental health outcomes. For example, some studies showed that lack of digital literacy skills have negative consequences for people with mental health disorders, because they fail to identify useful and safe web-based resources or tools with the potential to support their self-management [ 36 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

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College Students’ eMental Health Literacy and Risk of Diagnosis with Mental Health Disorders

2022

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Background: This study investigated college students’ eMental health literacy (eMHL), knowledge of common mental disorders and risk of being diagnosed with a mental health disorder and compared their knowledge of mental disorders and concurrent risk of diagnosis with high and low eMHL; Method: A total of 123 college students completed an online survey through Amazon’s Mechanical Turk (MTurk). Data were analyzed using descriptive statistics and chi-square tests; Results: eMental health literacy scores were higher when students had a history of prior mental health problems, were female, and graduate students. College students with high eMHL were more likely to recognize symptoms, recommend professional help, and be at lower risk for common mental health disorders compared to low eMHL students; Conclusions: eMHL was associated with mental health status and demographic variables. Level of eMHL was associated with knowledge of mental disorders and risk of diagnosis. Implications: The results highlight the need for targeted interventions to enhance eMHL of college students, support mental health resilience and prevent mental health disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

College Students’ eMental Health Literacy and Risk of Diagnosis with Mental Health Disorders

2022

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“…Educational interventions to enhance digital health literacy may help individuals with BD to select the appropriate apps for their self-management goals. While in general, levels of digital health literacy are comparable for people with BD to the general population, a study found that individuals with BD who are younger, have completed less education, or are less familiar with mental health apps may require extra support to safely and productively navigate web-based health resources [ 39 ]. Recent steps have been taken to address the needs of these groups: a brief, informational video describing strategies to select safe, effective, and engaging mental health apps for BD was created [ 40 ], incorporating the perspectives of people with lived experience in the script and design.…”

Section: Improving the Dissemination And Uptake Of Apps For Bdmentioning

confidence: 99%

Digital Tools to Facilitate the Detection and Treatment of Bipolar Disorder: Key Developments and Future Directions

de Azevedo Cardoso,

Kochhar,

Torous

et al. 2024

JMIR Ment Health

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Bipolar disorder (BD) impacts over 40 million people around the world, often manifesting in early adulthood and substantially impacting the quality of life and functioning of individuals. Although early interventions are associated with a better prognosis, the early detection of BD is challenging given the high degree of similarity with other psychiatric conditions, including major depressive disorder, which corroborates the high rates of misdiagnosis. Further, BD has a chronic, relapsing course, and the majority of patients will go on to experience mood relapses despite pharmacological treatment. Digital technologies present promising results to augment early detection of symptoms and enhance BD treatment. In this editorial, we will discuss current findings on the use of digital technologies in the field of BD, while debating the challenges associated with their implementation in clinical practice and the future directions.

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“…Although we aimed to make the PolarUs app as accessible as possible through community consultation, consideration of accessibility issues specific to serious mental health during the design phase [92], and attention to reading level in content writing, it is still likely that individuals with more familiarity with apps and computers will be better able to engage with the intervention and complete all required research tasks (ie, web-based questionnaires) [93]. Although it is not feasible for us to offer dedicated support to upskill participants in technological abilities in the context of this study, future research may evaluate whether adjunctive interventions can enhance the feasibility of mHealth interventions in populations with BD.…”

Section: Limitationsmentioning

confidence: 99%

Supporting Self-management and Quality of Life in Bipolar Disorder With the PolarUs App (Alpha): Protocol for a Mixed Methods Study

Michalak¹,

Barnes²,

Morton³

et al. 2022

JMIR Res Protoc

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Background Quality of life (QoL) is increasingly being recognized as a key outcome of interventions for bipolar disorder (BD). Mobile phone apps can increase access to evidence-based self-management strategies and provide real-time support. However, although individuals with lived experiences desire support with monitoring and improving broader health domains, existing BD apps largely target mood symptoms only. Further, evidence from the broader mobile health (mHealth) literature has shown that the desires and goals of end users are not adequately considered during app development, and as a result, engagement with mental health apps is suboptimal. To capitalize on the potential of apps to optimize wellness in BD, there is a need for interventions developed in consultation with real-world users designed to support QoL self-monitoring and self-management. Objective This mixed methods pilot study was designed to evaluate the alpha version of the newly developed PolarUs app, developed to support QoL self-monitoring and self-management in people with BD. Co-designed using a community-based participatory research framework, the PolarUs app builds on the web-based adaptation of a BD-specific QoL self-assessment measure and integrates material from a web-based portal providing information on evidence-informed self-management strategies in BD. The primary objectives of this project were to evaluate PolarUs app feasibility (via behavioral use metrics), the impact of PolarUs (via the Brief Quality of Life in Bipolar Disorder scale, our primary outcome measure), and explore engagement with the PolarUs app (via quantitative and qualitative methods). Methods Participants will be residents of North America (N=150), aged >18 years, with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision diagnosis of BD type 1, BD type 2, or BD not otherwise specified as assessed by structured diagnostic interview. An embedded mixed methods research design will be adopted; qualitative interviews with a purposefully selected subsample (approximately, n=30) of participants will be conducted to explore in more depth feasibility, impact, and engagement with the PolarUs app over the 12-week study period. Results At the time of publication of this protocol, the development of the alpha version of the PolarUs app was complete. Participant enrollment has begun in June 2022. Data collection is expected to be completed by December 2022. Conclusions Beyond contributing knowledge on the feasibility and impact of a novel app to support QoL and self-management in BD, this study will also provide new insights related to engagement with mHealth apps. Furthermore, it will function as a case study of successful co-design between people with BD, health care providers, and BD researchers, providing a template for the future use of community-based participatory research frameworks in mHealth intervention development. The results will be used to further refine the PolarUs app and inform the design of a larger clinical trial. International Registered Report Identifier (IRRID) PRR1-10.2196/36213

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Digital Health Literacy in Bipolar Disorder: International Web-Based Survey

Cited by 12 publications

References 72 publications

College Students’ eMental Health Literacy and Risk of Diagnosis with Mental Health Disorders

College Students’ eMental Health Literacy and Risk of Diagnosis with Mental Health Disorders

Digital Tools to Facilitate the Detection and Treatment of Bipolar Disorder: Key Developments and Future Directions

Supporting Self-management and Quality of Life in Bipolar Disorder With the PolarUs App (Alpha): Protocol for a Mixed Methods Study

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