Geri-Mobile Health: Feasibility of a VA Mental Health Mobile Apps Coaching Program for Older Veterans

被引:2
作者
Alfaro, Ana J. [1 ,2 ]
Sakai, Erin [1 ,2 ,3 ]
Carlson, Chalise [1 ]
Mehta, Priyanka S. [1 ]
Anderson, Jason [3 ]
Wynn, Matthew [3 ]
Gould, Christine E. [1 ,2 ]
机构
[1] VA Palo Alto Hlth Care Syst Geriatr Res Educ & Cl, 3801 Miranda Ave, Palo Alto, CA 94304 USA
[2] Stanford Univ, Sch Med, Dept Psychiat & Behav Serv, Palo Alto, CA 94304 USA
[3] VA Palo Alto Hlth Care Syst, Psychol Serv, Palo Alto, CA USA
关键词
Digital clinic; mental health; mobile apps; older adults; technology; CARE; SERVICES; ADULTS; TECHNOLOGY; MANAGEMENT; BARRIERS;
D O I
10.1080/07317115.2022.2115433
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives This program evaluation examined the feasibility, acceptability, and preliminary effects of an individualized coaching program to help older Veterans use VA mental health mobile apps to address mental health and well-being goals. Methods The program delivers individual technical and clinical support to facilitate the use of mobile devices and VA apps. Participants completed assessments of mobile device proficiency, app use frequency, app comfort, quality of life, and mental health symptoms (completed by a subset, n = 11) pre- and post-participation. Results Of 24 enrollees, 17 completed the program and received an average of 7.58 (SD = 2.87) sessions including the initial assessment. Mobile device proficiency (t (16) = -3.80, p = .002) and number of days/week apps were used (t (16) = -2.34, p = .032) increased significantly from pre- to post-participation. Depressive and anxiety scores decreased significantly (t (10) = 3.16, p = .010; t (10) = 3.29, p = .008) among the subset completing those measures. Overall satisfaction was high; 100% reported they would recommend the program. Conclusions Findings suggest the program is feasible, highly acceptable, and increases mobile device proficiency and use of apps. Clinical Implications Coaching programs can equip older adults with the skills to use mental health apps.
引用
收藏
页码:110 / 121
页数:12
相关论文
共 39 条
[1]   Older Adults' Perspectives on Using Digital Technology to Maintain Good Mental Health: Interactive Group Study [J].
Andrews, Jacob A. ;
Brown, Laura J. E. ;
Hawley, Mark S. ;
Astell, Arlene J. .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2019, 21 (02)
[2]   Best Practices of Mobile Health in Clinical Care: The Development and Evaluation of a Competency-Based Provider Training Program [J].
Armstrong, Christina M. ;
Ciulla, Robert P. ;
Edwards-Stewart, Amanda ;
Hoyt, Tim ;
Bush, Nigel .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2018, 49 (5-6) :355-363
[3]   15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic [J].
Banskota, Swechya ;
Healy, Margaret ;
Goldberg, Elizabeth M. .
WESTERN JOURNAL OF EMERGENCY MEDICINE, 2020, 21 (03) :514-525
[4]   Clinical technology specialists [J].
Ben-Zeev, Dror ;
Drake, Robert ;
Marsch, Lisa .
BMJ-BRITISH MEDICAL JOURNAL, 2015, 350
[5]   Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States [J].
Blais, Rebecca K. ;
Tsai, Jack ;
Southwick, Steven M. ;
Pietrzak, Robert H. .
PSYCHIATRIC SERVICES, 2015, 66 (05) :500-506
[6]   Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review [J].
Borghouts, Judith ;
Eikey, Elizabeth ;
Mark, Gloria ;
De Leon, Cinthia ;
Schueller, Stephen M. ;
Schneider, Margaret ;
Stadnick, Nicole ;
Zheng, Kai ;
Mukamel, Dana ;
Sorkin, Dara H. .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2021, 23 (03)
[7]  
Centers for Disease Control and Prevention, 2020, PEOPL WHO NEED TAK E
[8]   Patient and Provider Predictors of Telemental Health Use Prior to and During the COVID-19 Pandemic Within the Department of Veterans Affairs [J].
Connolly, Samantha L. ;
Stolzmann, Kelly L. ;
Heyworth, Leonie ;
Sullivan, Jennifer L. ;
Shimada, Stephanie L. ;
Weaver, Kendra R. ;
Lindsay, Jan A. ;
Bauer, Mark S. ;
Miller, Christopher J. .
AMERICAN PSYCHOLOGIST, 2022, 77 (02) :249-261
[9]  
Department of Veterans Affairs, VA MOB APPS
[10]   Text Message Exchanges Between Older Adults With Serious Mental Illness and Older Certified Peer Specialists in a Smartphone-Supported Self-Management Intervention [J].
Fortuna, Karen L. ;
Naslund, John A. ;
Aschbrenner, Kelly A. ;
Lohman, Matthew C. ;
Storm, Marianne ;
Batsis, John A. ;
Bartels, Stephen J. .
PSYCHIATRIC REHABILITATION JOURNAL, 2019, 42 (01) :57-63