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'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health

Trust and trustworthiness are essential for good healthcare, especially in mental healthcare. New technologies, such as mobile health apps, can affect trust relationships. In mental health, some apps need the trust of their users for therapeutic efficacy and explicitly ask for it, for example, throu...

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Autores principales: Müller, Regina, Primc, Nadia, Kuhn, Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425297/
https://www.ncbi.nlm.nih.gov/pubmed/36997830
http://dx.doi.org/10.1007/s11019-023-10146-y
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author Müller, Regina
Primc, Nadia
Kuhn, Eva
author_facet Müller, Regina
Primc, Nadia
Kuhn, Eva
author_sort Müller, Regina
collection PubMed
description Trust and trustworthiness are essential for good healthcare, especially in mental healthcare. New technologies, such as mobile health apps, can affect trust relationships. In mental health, some apps need the trust of their users for therapeutic efficacy and explicitly ask for it, for example, through an avatar. Suppose an artificial character in an app delivers healthcare. In that case, the following questions arise: Whom does the user direct their trust to? Whether and when can an avatar be considered trustworthy? Our study aims to analyze different dimensions of trustworthiness in the context of mobile health app use. We integrate O'Neill's account of autonomy, trust, and trustworthiness into a model of trustworthiness as a relational concept with four relata: B is trustworthy with respect to A regarding the performance of Z because of C. Together with O'Neill's criteria of trustworthiness (honesty, competence, and reliability), this four-sided model is used to analyze different dimensions of trustworthiness in an exemplary case of mobile health app use. Our example focuses on an app that uses an avatar and is intended to treat sleep difficulties. The conceptual analysis shows that interpreting trust and trustworthiness in health app use is multi-layered and involves a net of interwoven universal obligations. At the same time, O'Neill's approach to autonomy, trust, and trustworthiness offers a normative account to structure and analyze these complex relations of trust and trustworthiness using mobile health apps.
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spelling pubmed-104252972023-08-16 'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health Müller, Regina Primc, Nadia Kuhn, Eva Med Health Care Philos Scientific Contribution Trust and trustworthiness are essential for good healthcare, especially in mental healthcare. New technologies, such as mobile health apps, can affect trust relationships. In mental health, some apps need the trust of their users for therapeutic efficacy and explicitly ask for it, for example, through an avatar. Suppose an artificial character in an app delivers healthcare. In that case, the following questions arise: Whom does the user direct their trust to? Whether and when can an avatar be considered trustworthy? Our study aims to analyze different dimensions of trustworthiness in the context of mobile health app use. We integrate O'Neill's account of autonomy, trust, and trustworthiness into a model of trustworthiness as a relational concept with four relata: B is trustworthy with respect to A regarding the performance of Z because of C. Together with O'Neill's criteria of trustworthiness (honesty, competence, and reliability), this four-sided model is used to analyze different dimensions of trustworthiness in an exemplary case of mobile health app use. Our example focuses on an app that uses an avatar and is intended to treat sleep difficulties. The conceptual analysis shows that interpreting trust and trustworthiness in health app use is multi-layered and involves a net of interwoven universal obligations. At the same time, O'Neill's approach to autonomy, trust, and trustworthiness offers a normative account to structure and analyze these complex relations of trust and trustworthiness using mobile health apps. Springer Netherlands 2023-03-30 2023 /pmc/articles/PMC10425297/ /pubmed/36997830 http://dx.doi.org/10.1007/s11019-023-10146-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Scientific Contribution
Müller, Regina
Primc, Nadia
Kuhn, Eva
'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
title 'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
title_full 'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
title_fullStr 'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
title_full_unstemmed 'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
title_short 'You have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
title_sort 'you have to put a lot of trust in me': autonomy, trust, and trustworthiness in the context of mobile apps for mental health
topic Scientific Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425297/
https://www.ncbi.nlm.nih.gov/pubmed/36997830
http://dx.doi.org/10.1007/s11019-023-10146-y
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