#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Young adults’ perceptions of using wearables, social media and other technologies to detect worsening mental health: A qualitative study


Autoři: Lindsay H. Dewa aff001;  Mary Lavelle aff002;  Katy Pickles aff003;  Caroline Kalorkoti aff003;  Jack Jaques aff003;  Sofia Pappa aff004;  Paul Aylin aff001
Působiště autorů: School of Public Health, Imperial College London, London, United Kingdom aff001;  NIHR Patient Safety Translational Research Centre, Imperial College London, London, United Kingdom aff002;  The McPin Foundation, Young People’s Network, London, United Kingdom aff003;  West London NHS Trust, London, United Kingdom aff004
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0222655

Souhrn

Background

Technological interventions may help support and improve mental health. However young peoples’ perspectives on using different technologies to detect deteriorating mental health in those already diagnosed with a mental health condition is lacking. The study aim was to explore the perspectives of young patients on the feasibility and acceptability of using wearables, social media and technologies to detect mental health deterioration.

Methods

The study was co-produced with young adults with past mental health difficulties. Semi-structured interviews were conducted with young adults with a severe mental health condition in a private room at a community mental health site. Data was triangulated by comparing codes and ideas across the two co-researchers and two researchers over two virtual meetings. Themes were finalised and presented in a thematic map.

Results

Sixteen participants were interviewed (81% female). There were four main themes: dealing with mental health symptoms, signs of mental health deterioration, technology concerns and technological applications to identify worsening mental health. Wearables and mobile apps were considered acceptable and feasible to detect mental health deterioration in real-time if they could measure changes in sleep patterns, mood or activity levels as signs of deterioration. Getting help earlier was deemed essential particularly in reference to dissatisfaction with the current non-technological mental health services. However, patients identified issues to consider before implementation including practicality, safeguarding and patient preference.

Conclusion

Wearables and mobile apps could be viable technological options to help detect deterioration in young people in order to intervene early and avoid delay in accessing mental health services. However, immediate action following detection is required for the patient to trust and use the intervention.

Klíčová slova:

Medicine and health sciences – Mental health and psychiatry – Self harm – Critical care and emergency medicine – Social sciences – Sociology – Communications – Social communication – Social media – Computer and information sciences – Network analysis – Social networks – Biology and life sciences – Physiology – Physiological processes – Sleep – Psychology – Emotions – Behavior – Research and analysis methods – Research design – Qualitative studies


Zdroje

1. NHS Digital. Mental health of children and young people in England, 2018

2. World Health Organisation. Adolescent mental health. 2018. Available at: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health [Accessed January 21st 2019].

3. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE, et al. Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. JAMA Psychiatry 2005;62: 593.

4. Broad KL, Sandhu VK, Sunderji N, Charach A. Youth experiences of transition from child mental health services to adult mental health services: a qualitative thematic synthesis. BMC Psychiatry 2017;17: 380. doi: 10.1186/s12888-017-1538-1 29183289

5. Australian Commission on Safety and Quality in Health Care. Recognising and responding to deterioration in mental state: A scoping review. Available at: https://www.safetyandquality.gov.au/wp-content/uploads/2014/07/Recognising-and-responding-to-deterioration-in-mental-state.-A-scoping-review.pdf [Accessed 20th September 2017].

6. Birchwood M, McGorry P, Jackson H. Early intervention in schizophrenia [editorial]. Br J Psychiatry 1997;170: 2–5. doi: 10.1192/bjp.170.1.2 9068766

7. Salokangas RKR, McGlashan TH. Early detection and intervention of psychosis. A review. Nord J Psychiatry 2008;62: 92–105. doi: 10.1080/08039480801984008 18569772

8. Salaheddin K, Mason B. Identifying barriers to mental health help-seeking among young adults in the UK: a cross-sectional survey. Br J Gen Pract 2016;66: e686–92. doi: 10.3399/bjgp16X687313 27688518

9. Areán PA, Ly KH, Andersson G. Mobile technology for mental health assessment. Dialogues Clin Neurosci 2016;18: 163–9. 27489456

10. Anderson M, Jiang J. Teens, Social Media and Technology 2018. Available at: www.pewresearch.org [Accessed 10th January 2019].

11. Statista. Wearable user penetration rate in the United States, in 2017, by age. Stat. Portal. Available at: https://www.statista.com/statistics/739398/us-wearable-penetration-by-age/ [Accessed 11th November 2018].

12. Rice SM, Goodall J, Hetrick SE, Parker AG, Gilbertson T, Amminger GP, et al. Online and Social Networking Interventions for the Treatment of Depression in Young People: A Systematic Review. J Med Internet Res 2014;16: e206. doi: 10.2196/jmir.3304 25226790

13. Välimäki M, Athanasopoulou C, Lahti M, Adams CE. Effectiveness of Social Media Interventions for People With Schizophrenia: A Systematic Review and Meta-Analysis. J Med Internet Res 2016;18: e92. doi: 10.2196/jmir.5385 27105939

14. Kauer SD, Reid SC, Crooke AHD, Khor A, Hearps SJC, Jorm AF, et al. Self-monitoring Using Mobile Phones in the Early Stages of Adolescent Depression: Randomized Controlled Trial. J Med Internet Res 2012;14: e67. doi: 10.2196/jmir.1858 22732135

15. Firth J, Torous J, Nicholas J, Carney R, Rosenbaum S, Sarris J. Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. J Affect Disord 2017;218: 15–22. doi: 10.1016/j.jad.2017.04.046 28456072

16. Firth J, Torous J, Nicholas J, Carney R, Pratap A, Rosenbaum S, et al. The efficacy of smartphone-based mental health interventions for depressive symptoms: a meta-analysis of randomized controlled trials. World Psychiatry 2017;16: 287–98. doi: 10.1002/wps.20472 28941113

17. Chan S, Godwin H, Gonzalez A, Yellowlees PM, Hilty DM. Review of Use and Integration of Mobile Apps Into Psychiatric Treatments. Curr Psychiatry Rep 2017;19: 96. doi: 10.1007/s11920-017-0848-9 29082425

18. Walsh S, Golden E, Priebe S. Systematic review of patients’ participation in and experiences of technology-based monitoring of mental health symptoms in the community. BMJ Open 2016;6: e008362. doi: 10.1136/bmjopen-2015-008362 27329437

19. Knowles SE, Toms G, Sanders C, Bee P, Lovell K, Rennick-Egglestone S, et al. Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety. PLoS One 2014;9: e84323. doi: 10.1371/journal.pone.0084323 24465404

20. Bucci S, Morris R, Berry K, Berry N, Haddock G, Barrowclough C, et al. Early Psychosis Service User Views on Digital Technology: Qualitative Analysis. JMIR Ment Heal 2018;5: e10091.

21. Proudfoot J, Parker G, Pavlovic DH, Manicavasagar V, Adler E, Whitton A. Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress. J Med Internet Res 2010;12: e64. doi: 10.2196/jmir.1475 21169174

22. Daus H, Kislicyn N, Heuer S, Backenstrass M. Disease management apps and technical assistance systems for bipolar disorder: Investigating the patients´ point of view. J Affect Disord 2018;229: 351–7. doi: 10.1016/j.jad.2017.12.059 29331693

23. Berry N, Lobban F, Emsley DcPR, Bucci S. Acceptability of interventions delivered online and through mobile phones for people who experience severe mental health problems: A systematic review. J Med Internet Res 2016;18: e121. doi: 10.2196/jmir.5250 27245693

24. Palmier-Claus JE, Rogers A, Ainsworth J, Machin M, Barrowclough C, Laverty L, et al. Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: A qualitative study. BMC Psychiatry 2013;13: 34. doi: 10.1186/1471-244X-13-34 23343329

25. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Heal Care 2007;19: 349–57.

26. QSR International Pty Ltd. NVivo for Mac. 2014.

27. Mental health Research Network and INVOLVE. Budgeting for involvement: Practical advice on budgeting for actively involving the public in research studies. 2013. Available at: www.mhrn.info [Accessed 10th July 2019].

28. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.

29. Nicholas J, Fogarty AS, Boydell K, Christensen H. The reviews are in: A qualitative content analysis of consumer perspectives on apps for bipolar disorder. J. Med. Internet Res. 2017;19: e105. doi: 10.2196/jmir.7273 28389420

30. Bucci S, Barrowclough C, Ainsworth J, Machin M, Morris R, Berry K, et al. Actissist: Proof-of-concept trial of a theory-driven digital intervention for psychosis. Schizophr Bull 2018;44: 1070–80. doi: 10.1093/schbul/sby032 29566206

31. Meyer N, Kerz M, Folarin A, Joyce DW, Jackson R, Karr C, et al. Capturing Rest-Activity Profiles in Schizophrenia Using Wearable and Mobile Technologies: Development, Implementation, Feasibility, and Acceptability of a Remote Monitoring Platform. JMIR mHealth uHealth 2018;6: e188. doi: 10.2196/mhealth.8292 30377146

32. Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 2010;10: 113. doi: 10.1186/1471-244X-10-113 21192795

33. Rimmer A. GPs think that lack of mental health services is putting young people at risk. BMJ 2018;363: k5436. doi: 10.1136/bmj.k5436 30598456

34. Baillie L. Promoting and evaluating scientific rigour in qualitative research. Nurs Stand 2015;29: 36–42 7p.

35. Carlsson IM, Blomqvist M, Jormfeldt H. Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review. Int J Qual Stud Health Well-being 2017;12: 1368323. doi: 10.1080/17482631.2017.1368323 28901217


Článek vyšel v časopise

PLOS One


2019 Číslo 9
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Svět praktické medicíny 1/2024 (znalostní test z časopisu)
nový kurz

Koncepce osteologické péče pro gynekology a praktické lékaře
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Význam metforminu pro „udržitelnou“ terapii diabetu
Autoři: prof. MUDr. Milan Kvapil, CSc., MBA

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#