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Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey

BACKGROUND: With the rapid development of information technology and mobile devices, an increasing number of mobile medical services and platforms have emerged. However, China’s current mental health situation necessitates further discussion and research on how to provide more patient-centered servi...

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Autores principales: Tan, Yuxi, Teng, Ziwei, Qiu, Yan, Tang, Hui, Xiang, Hui, Chen, Jindong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7381064/
https://www.ncbi.nlm.nih.gov/pubmed/32673239
http://dx.doi.org/10.2196/16215
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author Tan, Yuxi
Teng, Ziwei
Qiu, Yan
Tang, Hui
Xiang, Hui
Chen, Jindong
author_facet Tan, Yuxi
Teng, Ziwei
Qiu, Yan
Tang, Hui
Xiang, Hui
Chen, Jindong
author_sort Tan, Yuxi
collection PubMed
description BACKGROUND: With the rapid development of information technology and mobile devices, an increasing number of mobile medical services and platforms have emerged. However, China’s current mental health situation necessitates further discussion and research on how to provide more patient-centered services in the face of many challenges and opportunities. OBJECTIVE: This study aims to explore the attitudes and preferences of mental health service stakeholders regarding mobile mental health services and discuss the challenges and opportunities faced by mobile technology developers in China. METHODS: A web-based survey was conducted by following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) checklist. A total of 586 valid questionnaires were collected. Respondents included 184 patients or their family members, 225 mental health professionals, and 177 people from the general population. Data analysis was completed using SPSS 24.0. RESULTS: Among the various problems perceived regarding the current mental health medical environment, difficulty in finding appropriate psychologists and limited visit times ranked highest. Social media (n=380/586, 64.9%) was the most preferred platform among all participants, whereas professionals showed a higher preference for smartphone apps (n=169/225, 75.1%). Professional instruction, psychological consultation, and mental health education (ranked top 3) were the most commonly identified needs. Mental health professionals generally emphasized more on treatment-related mobile mental health service needs, especially medication reminders (χ(2)(2)=70.7; P<.001), symptom monitoring (χ(2)(2)=24.0; P<.001), and access to mental health resources (χ(2)(2)=38.6; P<.001). However, patients and their family members focused more on convenient web-based prescriptions (χ(2)(2)=7.7; P=.02), with the general population interested in web-based psychological consultation (χ(2)(2)=23.1; P<.001) and mental health knowledge (χ(2)(2)=9.1; P=.01). Almost half of the participants regarded mobile mental health services as highly acceptable or supported their use, but less than 30% of participants thought mobile mental health services might be very helpful. Concerns about mobile mental health mainly focused on information security. Service receivers also suspected the quality and professionalism of content, and mental health professionals were worried about time and energy consumption as well as medical safety. CONCLUSIONS: In terms of service flow, mobile services could be used to expand service time and improve efficiency before and after diagnosis. More individualized mobile mental health service content in more acceptable forms should be developed to meet the various needs of different mental health stakeholders. Multidisciplinary training and communication could be incorporated to facilitate the integration and cooperation of more well-rounded service teams. A standard medical record system and data format would better promote the development of future intelligent medical care. Issues such as ensuring service quality, solving safety risks, and better integrating mobile services with regular medical workflows also need to be addressed.
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spelling pubmed-73810642020-08-06 Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey Tan, Yuxi Teng, Ziwei Qiu, Yan Tang, Hui Xiang, Hui Chen, Jindong JMIR Mhealth Uhealth Original Paper BACKGROUND: With the rapid development of information technology and mobile devices, an increasing number of mobile medical services and platforms have emerged. However, China’s current mental health situation necessitates further discussion and research on how to provide more patient-centered services in the face of many challenges and opportunities. OBJECTIVE: This study aims to explore the attitudes and preferences of mental health service stakeholders regarding mobile mental health services and discuss the challenges and opportunities faced by mobile technology developers in China. METHODS: A web-based survey was conducted by following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) checklist. A total of 586 valid questionnaires were collected. Respondents included 184 patients or their family members, 225 mental health professionals, and 177 people from the general population. Data analysis was completed using SPSS 24.0. RESULTS: Among the various problems perceived regarding the current mental health medical environment, difficulty in finding appropriate psychologists and limited visit times ranked highest. Social media (n=380/586, 64.9%) was the most preferred platform among all participants, whereas professionals showed a higher preference for smartphone apps (n=169/225, 75.1%). Professional instruction, psychological consultation, and mental health education (ranked top 3) were the most commonly identified needs. Mental health professionals generally emphasized more on treatment-related mobile mental health service needs, especially medication reminders (χ(2)(2)=70.7; P<.001), symptom monitoring (χ(2)(2)=24.0; P<.001), and access to mental health resources (χ(2)(2)=38.6; P<.001). However, patients and their family members focused more on convenient web-based prescriptions (χ(2)(2)=7.7; P=.02), with the general population interested in web-based psychological consultation (χ(2)(2)=23.1; P<.001) and mental health knowledge (χ(2)(2)=9.1; P=.01). Almost half of the participants regarded mobile mental health services as highly acceptable or supported their use, but less than 30% of participants thought mobile mental health services might be very helpful. Concerns about mobile mental health mainly focused on information security. Service receivers also suspected the quality and professionalism of content, and mental health professionals were worried about time and energy consumption as well as medical safety. CONCLUSIONS: In terms of service flow, mobile services could be used to expand service time and improve efficiency before and after diagnosis. More individualized mobile mental health service content in more acceptable forms should be developed to meet the various needs of different mental health stakeholders. Multidisciplinary training and communication could be incorporated to facilitate the integration and cooperation of more well-rounded service teams. A standard medical record system and data format would better promote the development of future intelligent medical care. Issues such as ensuring service quality, solving safety risks, and better integrating mobile services with regular medical workflows also need to be addressed. JMIR Publications 2020-07-07 /pmc/articles/PMC7381064/ /pubmed/32673239 http://dx.doi.org/10.2196/16215 Text en ©Yuxi Tan, Ziwei Teng, Yan Qiu, Hui Tang, Hui Xiang, Jindong Chen. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 07.07.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Tan, Yuxi
Teng, Ziwei
Qiu, Yan
Tang, Hui
Xiang, Hui
Chen, Jindong
Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey
title Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey
title_full Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey
title_fullStr Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey
title_full_unstemmed Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey
title_short Potential of Mobile Technology to Relieve the Urgent Mental Health Needs in China: Web-Based Survey
title_sort potential of mobile technology to relieve the urgent mental health needs in china: web-based survey
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7381064/
https://www.ncbi.nlm.nih.gov/pubmed/32673239
http://dx.doi.org/10.2196/16215
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