J. Med. Internet Res. - Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress.

Tópicos

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Resumo

CKGROUND: The benefits of self-monitoring on symptom severity, coping, and quality of life have been amply demonstrated. However, paper and pencil self-monitoring can be cumbersome and subject to biases associated with retrospective recall, while computer-based monitoring can be inconvenient in that it relies on users being at their computer at scheduled monitoring times. As a result, nonadherence in self-monitoring is common. Mobile phones offer an alternative. Their take-up has reached saturation point in most developed countries and is increasing in developing countries; they are carried on the person, they are usually turned on, and functionality is continually improving. Currently, however, public conceptions of mobile phones focus on their use as tools for communication and social identity. Community attitudes toward using mobile phones for mental health monitoring and self-management are not known.OBJECTIVE: The objective was to explore community attitudes toward the appropriation of mobile phones for mental health monitoring and management.METHODS: We held community consultations in Australia consisting of an online survey (n = 525), focus group discussions (n = 47), and interviews (n = 20).RESULTS: Respondents used their mobile phones daily and predominantly for communication purposes. Of those who completed the online survey, the majority (399/525 or 76%) reported that they would be interested in using their mobile phone for mental health monitoring and self-management if the service were free. Of the 455 participants who owned a mobile phone or PDA, there were no significant differences between those who expressed interest in the use of mobile phones for this purpose and those who did not by gender (2(1), = 0.98, P = .32, phi = .05), age group (2(4), = 1.95, P = .75, phi = .06), employment status (2(2), = 2.74, P = .25, phi = .08) or marital status (2(4), = 4.62, P = .33, phi = .10). However, the presence of current symptoms of depression, anxiety, or stress affected interest in such a program in that those with symptoms were more interested ((2) (1), = 16.67, P < .001, phi = .19). Reasons given for interest in using a mobile phone program were that it would be convenient, counteract isolation, and help identify triggers to mood states. Reasons given for lack of interest included not liking to use a mobile phone or technology, concerns that it would be too intrusive or that privacy would be lacking, and not seeing the need. Design features considered to be key by participants were enhanced privacy and security functions including user name and password, ease of use, the provision of reminders, and the availability of clear feedback.CONCLUSIONS: Community attitudes toward the appropriation of mobile phones for the monitoring and self-management of depression, anxiety, and stress appear to be positive as long as privacy and security provisions are assured, the program is intuitive and easy to use, and the feedback is clear.

Resumo Limpo

ckground benefit selfmonitor symptom sever cope qualiti life ampli demonstr howev paper pencil selfmonitor can cumbersom subject bias associ retrospect recal computerbas monitor can inconveni reli user comput schedul monitor time result nonadher selfmonitor common mobil phone offer altern takeup reach satur point develop countri increas develop countri carri person usual turn function continu improv current howev public concept mobil phone focus use tool communic social ident communiti attitud toward use mobil phone mental health monitor selfmanag knownobject object explor communiti attitud toward appropri mobil phone mental health monitor managementmethod held communiti consult australia consist onlin survey n focus group discuss n interview n result respond use mobil phone daili predomin communic purpos complet onlin survey major report interest use mobil phone mental health monitor selfmanag servic free particip own mobil phone pda signific differ express interest use mobil phone purpos gender p phi age group p phi employ status p phi marit status p phi howev presenc current symptom depress anxieti stress affect interest program symptom interest p phi reason given interest use mobil phone program conveni counteract isol help identifi trigger mood state reason given lack interest includ like use mobil phone technolog concern intrus privaci lack see need design featur consid key particip enhanc privaci secur function includ user name password eas use provis remind avail clear feedbackconclus communiti attitud toward appropri mobil phone monitor selfmanag depress anxieti stress appear posit long privaci secur provis assur program intuit easi use feedback clear

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