Acceptability of mHealth augmentation of Collaborative Care: A mixed methods pilot study

被引：57

作者：

Bauer, Amy M. ^{[1
]}

Iles-Shih, Matthew ^{[1
]}

Ghomi, Reza Hosseini ^{[1
]}

Rue, Tessa ^{[2
,3
]}

Grover, Tess ^{[1
]}

Kincler, Naomi ^{[4
]}

Miller, Monica ^{[5
]}

Katon, Wayne J. ^{[1
]}

机构：

[1] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

[2] Univ Washington, Dept Biostat, Seattle, WA 98195 USA

[3] Univ Washington, Inst Translat Hlth Sci, Seattle, WA 98195 USA

[4] Ginger Io, San Francisco, CA USA

[5] Univ Washington, Neighborhood Clin, Seattle, WA 98195 USA

来源：

GENERAL HOSPITAL PSYCHIATRY | 2018年 / 51卷

基金：

美国国家卫生研究院;

关键词：

Depression; Primary health care; Mental health services; Telemedicine; Smartphone; Patient reported outcome measures; CLINICAL-TRIAL; DEPRESSION; HEALTH; TECHNOLOGIES;

D O I：

10.1016/j.genhosppsych.2017.11.010

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To assess the feasibility and acceptability of a mobile health platform supporting Collaborative Care. Method: Collaborative Care patients (n = 17) used a smartphone app to transmit PHQ-9 and GAD-7 scores and sensor data to a dashboard used by one care manager. Patients completed usability and satisfaction surveys and qualitative interviews at 4 weeks and the care manager completed a qualitative interview. Mobile metadata on app usage was obtained. Results: All patients used the app for 4 weeks, but only 35% (n = 6) sustained use at 8 weeks. Prior to discontinuing use, 88% (n = 15) completed all PHQ-9 and GAD-7 measures, with lower response rates for daily measures. Four themes emerged from interviews: understanding the purpose; care manager's role in supporting use; benefits of daily monitoring; and privacy/security concerns. Two themes were user-specific: patients' desire for personalization; and care manager burden. Conclusions: The feasibility and acceptability of the mobile platform is supported by the high early response rate, however attrition was steep. Our qualitative findings revealed nuanced participant experiences and uncovered some concerns about mobile health. To encourage retention, attention may need to be directed toward promoting patient understanding and provider engagement, and offering personalized patient experiences.

引用

页码：22 / 29

页数：8

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