Patients’ perspectives about the design of a mobile application for psychotic disorders

Almeida, Rui; Sousa, Tiago J. C.; Marques, António; Queirós, Cristina

doi:10.5964/pch.v7i1.192

Cited by 6 publications

(1 citation statement)

References 38 publications

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“…However, the more years with mental illness, the less importance is given to a mobile application for this purpose [r(100) = -.244, p < 0.05] and the older the individuals, more difficulties in using these kind of technologies [r(100) = .209, p < 0.05]. More results are presented in Simões de Almeida et al 29 . These results were used in stage III to develop weCope app.…”

Section: Resultsmentioning

confidence: 99%

Development of weCope, a mobile app for illness self-management in schizophrenia

Almeida

Sousa

Couto

et al. 2019

Arch. Clin. Psychiatry (São Paulo)

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Objective: To describe the development of weCope, a Portuguese mobile app for people with schizophrenia. Methods: The development of weCope followed 4 stages: I-102 people with psychotic disorders completed an online questionnaire; II-a multidisciplinary focus group was conducted among five mental health professionals; III-we developed the app; IV-9 participants used weCope during 8 weeks to assess its efficiency. Results: weCope targets coping with voices, problem solving, goals setting and stress management, and results indicated that: weCope improved symptoms, sense of recovery and personal and social functioning; 59% of the participants were willing to download an application for illness self-management; professionals revealed some concerns about mHealth but enhanced the high importance to develop these apps; usability testing revealed that 89% considered weCope useful for illness self-management. However, the more years with mental illness, the less importance is given to a mobile application for this purpose. Discussion: weCope was developed through a comprehensive development process and may contribute to a subjective perception of the patient's better well-being and health condition.

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Section: Resultsmentioning

confidence: 99%

Development of weCope, a mobile app for illness self-management in schizophrenia

Almeida

Sousa

Couto

et al. 2019

Arch. Clin. Psychiatry (São Paulo)

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Digital tools to support mental health: a survey study in psychosis

Eisner,

Berry,

Bucci

2023

BMC Psychiatry

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Background There is a notable a gap between promising research findings and implementation of digital health tools. Understanding and addressing barriers to use is key to widespread implementation. Methods A survey was administered to a self-selecting sample in-person (n = 157) or online (n = 58), with questions examining: i) ownership and usage rates of digital devices among people with psychosis; ii) interest in using technology to engage with mental health services; and iii) facilitators of and barriers to using digital tools in a mental healthcare context. Results Device ownership: Virtually all participants owned a mobile phone (95%) or smartphone (90%), with Android phones slightly more prevalent than iPhones. Only a minority owned a fitness tracker (15%) or smartwatch (13%). Device ownership was significantly lower in unemployed people and those without secondary education. Device cost and paranoid ideation were barriers to ownership. Technology and mental health services: Most participants (88%) said they would willingly try a mental health app. Symptom monitoring apps were most popular, then appointment reminders and medication reminders. Half the sample would prefer an app alongside face-to-face support; the other half preferred remote support or no other mental health support. Facilitators: Participants thought using a mental health app could increase their understanding of psychosis generally, and of their own symptoms. They valued the flexibility of digital tools in enabling access to support anywhere, anytime. Barriers: Prominent barriers to using mental health apps were forgetting, lack of motivation, security concerns, and concerns it would replace face-to-face care. Overall participants reported no substantial effects of technology on their mental health, although a quarter said using a phone worsened paranoid ideation. A third used technology more when psychotic symptoms were higher, whereas a third used it less. Around half used technology more when experiencing low mood. Conclusions Our findings suggest rapidly increasing device ownership among people with psychosis, mirroring patterns in the general population. Smartphones appear appropriate for delivering internet-enabled support for psychosis. However, for a sub-group of people with psychosis, the sometimes complex interaction between technology and mental health may act as a barrier to engagement, alongside more prosaic factors such as forgetting.

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Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review

et al. 2021

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Background Digital mental health interventions (DMHIs), which deliver mental health support via technologies such as mobile apps, can increase access to mental health support, and many studies have demonstrated their effectiveness in improving symptoms. However, user engagement varies, with regard to a user’s uptake and sustained interactions with these interventions. Objective This systematic review aims to identify common barriers and facilitators that influence user engagement with DMHIs. Methods A systematic search was conducted in the SCOPUS, PubMed, PsycINFO, Web of Science, and Cochrane Library databases. Empirical studies that report qualitative and/or quantitative data were included. Results A total of 208 articles met the inclusion criteria. The included articles used a variety of methodologies, including interviews, surveys, focus groups, workshops, field studies, and analysis of user reviews. Factors extracted for coding were related to the end user, the program or content offered by the intervention, and the technology and implementation environment. Common barriers included severe mental health issues that hampered engagement, technical issues, and a lack of personalization. Common facilitators were social connectedness facilitated by the intervention, increased insight into health, and a feeling of being in control of one’s own health. Conclusions Although previous research suggests that DMHIs can be useful in supporting mental health, contextual factors are important determinants of whether users actually engage with these interventions. The factors identified in this review can provide guidance when evaluating DMHIs to help explain and understand user engagement and can inform the design and development of new digital interventions.

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Patients’ perspectives about the design of a mobile application for psychotic disorders

Cited by 6 publications

References 38 publications

Development of weCope, a mobile app for illness self-management in schizophrenia

Development of weCope, a mobile app for illness self-management in schizophrenia

Digital tools to support mental health: a survey study in psychosis

Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review

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