Holistic framework for the adoption determinants of mobile health applications: a systematic literature review

International Journal of Pharmaceutical and Healthcare Marketing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 31, 2025

Purpose The purpose of this study is to review the literature on adoption determinants mobile health (M-health) applications for behavior change following a systematic methodology. Design/methodology/approach This systematically identified 134 peer-reviewed studies out 10,687 from Scopus, Web Science, PubMed and Association Computing Machinery (ACM) published between 2010 2021. used thematic analysis produce main themes conceptualizing holistic framework investigated M-health application factors. Findings Despite exploration multifaceted behaviors, current publications exhibit limitations. not only show lack representation multiple behaviors medical conditions but also fail involve data low- middle-developing countries, where utilization crucial. revealed that there considerable absence solid theoretical foundation unveils gap in interpreting factors effectively. Understanding cultural demographic variances exploring financial healthcare provider involvement essential tailoring interventions. Continuous assessment technological evaluation actual impact usage behavioral changes outcomes will further enhance effectiveness these technologies. Originality/value one first comprehensive reviews targeting general public patients.

Language: Английский

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An exploratory analysis of the effect size of the mobile mental health Application, mindLAMP

Digital Health, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 1, 2023

Despite the proliferation of mobile mental health apps, evidence their efficacy around anxiety or depression is inadequate as most studies lack appropriate control groups. Given that apps are designed to be scalable and reusable tools, insights concerning can also assessed uniquely through comparing different implementations same app. This exploratory analysis investigates potential report a preliminary effect size an open-source smartphone app, mindLAMP, on reduction symptoms by implementation app focused self-assessment intervention CBT skills.A total 328 participants were eligible completed study under 156 mindLAMP Both use cases offered access in-app self-assessments therapeutic interventions. Multiple imputations utilized impute missing Generalized Anxiety Disorder-7 Patient Health Questionnaire-9 survey scores implementation.Post hoc revealed small sizes Hedge's g = 0.34 for 0.21 between two groups.mindLAMP shows promising results in improving outcomes participants. Though our mirror current literature assessing apps' efficacy, they remain will used inform larger, well-powered further elucidate mindLAMP.

Language: Английский

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The Reach, Effectiveness, Adoption, Implementation, and Maintenance of Digital Mental Health Interventions for College Students: A Systematic Review

Current Psychiatry Reports, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 11, 2024

We evaluated the impact of digital mental health interventions (DMHIs) for college students. organized findings using RE-AIM framework to include reach, effectiveness, adoption, implementation, and maintenance.

Language: Английский

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Barriers and strategies to improve digital mental health intervention uptake among college students of color: A modified Delphi study

Journal of Behavioral and Cognitive Therapy, Journal Year: 2023, Volume and Issue: 33(1), P. 10 - 23

Published: Feb. 3, 2023

Digital mental health interventions (DMHI) may enhance equity in college student health, but engagement with them is poor. Little known about barriers and strategies to DMHI uptake among students of color. The goal this study was attain expert consensus on important feasible utilized a modified, three-round Delphi survey. Researcher industry stakeholders relevant expertise participated (n = 35). Across rounds, experts generated rated the importance feasibility promote for Experts viewed group ratings between rounds were provided opportunity re-rate items. Barriers coded into frameworks using rapid qualitative analysis grounded theory techniques. A total n 63 64 derived, level met 98% strategies. Key included mistrust services lack culturally responsive care. Strategies spanned levels implementation emphasized codesign, diverse representation, reducing user burden, addressing privacy issues, embedding within existing infrastructure. This identified improving subset highly derived provides direction design scalable potential improve reduce disparities care receipt.

Language: Английский

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Intention to use digital mental health solutions: A cross-sectional survey of university students attitudes and perceptions toward online therapy, mental health apps, and chatbots

Digital Health, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 1, 2023

Globally, the high prevalence of mental disorders among university students is a growing public health problem, yet small minority with problems receive treatment. Digital solutions could bridge treatment gaps and overcome many barriers face accessing However, there scant evidence, especially in South Africa (SA), relating to students' use intention digital or their attitudes towards these technologies. We aim explore 2students perceptions solutions, factors associated them.University from four SA universities (n = 17 838) completed an online survey assess experience with, of, intentions use, solutions. conducted exploratory factor analysis identify underlying perceptions, then used multivariate ordinal regression was investigate factors' association solutions.Intention high, were largely positive. Importantly, our also shows that 12.6% users willing utilise some form but unwilling traditional face-to-face therapies. The greatest proportion variance explained by 'Attitudes technologies' utility improve student counselling services, provided they are safe'.SA already engaging do so high. Certain particularly concerning utility, effectiveness, safety, underlie willingness engage providing potential targets for interventions increase uptake.

Language: Английский

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Young adults’ adoption and use of mental health apps: efficient, effective, but no replacement for in-person care

Journal of American College Health, Journal Year: 2023, Volume and Issue: unknown, P. 1 - 9

Published: July 3, 2023

Objective: Millions of people use mobile phone or computer-based applications-apps-to maintain their mental health and connect with treatment providers through text- video-based chat functions. The present study sought to understand young adults' motivations for adopting this technology using the unified theory acceptance (UTAUT), how they apps, gratifications receive from apps. Participants: One hundred-eighteen app users responded an online survey. Methods: A survey was conducted students at a Midwestern university. included questions regarding current services, apps used, UTAUT items. Results: regression analysis suggested users' performance expectancies, effort facilitating conditions predicted adoption Young adults most often stress relief. While preferred in-person treatment, described as efficient helpful. Conclusion: Overall, results reinforce sense optimism future suggesting potential supplement-but not necessarily replace-in-person care.

Language: Английский

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“If Someone Walks In On Us Talking, Pretend to be My Friend, Not My Therapist": Challenges and Opportunities for Digital Mental Health Support in Saudi Arabia

Published: May 11, 2024

Mental health disorders are prevalent worldwide, yet they remain stigmatized, especially in the Middle East. While mHealth has potential to circumvent traditional barriers, research on its application remains scarce Arab countries. To address this gap, we conducted a mixed-methods study of mental apps availability, adoption, and perceptions Kingdom Saudi Arabia (KSA) where digital transformation is rapidly progressing. We interviewed twelve psychiatrists psychologists elicit their views local barriers opportunities for support. further systematically reviewed app market, analysing 110 Arabic apps. Our findings indicate that whilst fear stigma cultural factors hindered help-seeking, privacy anonymity enabled by technology created new accessing support KSA. revealed tensions between experts' professional practical perspectives, explored technology-exacerbated challenges provided considerations improving healthcare experience.

Language: Английский

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Efficacy of mental health smartphone apps on stress levels: a meta-analysis of randomised controlled trials

Health Psychology Review, Journal Year: 2024, Volume and Issue: 18(4), P. 839 - 852

Published: July 23, 2024

The management of stress has evolved in recent years due to widespread availability mobile-device applications (apps) and their capacity deliver psychological interventions. We evaluated the efficacy mental health apps on sought identify characteristics associated with effect size estimates. Sixty-nine randomised controlled trials (RCTs) were included. Random effects meta-analyses performed putative moderators examined at univariate multivariate (combinations interactions) levels. From 78 comparisons, we observed a small but significant pooled over control conditions perceived levels (g = 0.27; 95% CI 0.20, 0.34; I2 68%). This weakened after taking into account small-study bias according trim-and-fill procedure 0.10; 0.02, 0.19; 78%). Delivery monitoring features produced smaller estimates, although this association interacted other trial (small sample inactive group) analyses, suggesting that may have been explained by characteristic low-quality trials. Mental appear small, acute reducing stress. Future research should shift focus towards identifying change mechanisms, longitudinal outcomes, facilitate sustained app usage, tangible pathways integrating real-world clinical settings.

Language: Английский

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Characteristics of suicide prevention apps: a content analysis of apps available in Canada and the UK

BMJ Open, Journal Year: 2025, Volume and Issue: 15(1), P. e087468 - e087468

Published: Jan. 1, 2025

Objectives We aimed to examine the characteristics, features and content of suicide prevention mobile apps available in app stores Canada UK. Design Suicide were identified from Apple Android between March April 2023. Apps screened against predefined inclusion criteria, duplicate removed. Data then extracted based on descriptive (eg, genre, developer), security password protection) design personalisation options). Content was assessed using Essential Features Framework. Extracted data analysed a analysis approach including narrative frequencies statistics. sources Eligibility criteria Identified eligible for if they were: (a) free, (b) developed English language, (c) could be downloaded an or device England Canada, (d) focus (e) target users individuals experiencing suicide-related thoughts and/or behaviours. extraction synthesis basic name, developer app), alongside whether protection available) personalised). App examined Results 52 included within review. Most tailored general population language only. One had option increase accessibility by offering presented sign language. Many allowed some form adding text content, however most did not facilitate further customisation such as ability upload photo audio content. All at least one domains The commonly support, information about suicide. domain frequently screening tools followed wellness No linked patient medical records. Conclusions findings this research present implications development future apps. Development co-produced which is accessible, allows can integrated into clinical care may opportunity enhance support suicidal

Language: Английский

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The association of adverse childhood experiences and generalized anxiety in college students: Roles of perceived social support and resilience

Journal of Human Behavior in the Social Environment, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 17

Published: March 3, 2025

Language: Английский

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