scholarly journals Beyond clicks and downloads: a call for a more comprehensive approach to measuring mobile-health app engagement

BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Heather L. O'Brien ◽  
Emma Morton ◽  
Andrea Kampen ◽  
Steven J. Barnes ◽  
Erin E. Michalak

Downloading a mobile health (m-health) app on your smartphone does not mean you will ever use it. Telling another person about an app does not mean you like it. Using an online intervention does not mean it has had an impact on your well-being. Yet we consistently rely on downloads, clicks, ‘likes’ and other usage and popularity metrics to measure m-health app engagement. Doing so misses the complexity of how people perceive and use m-health apps in everyday life to manage mental health conditions. This article questions commonly used behavioural metrics of engagement in mental health research and care, and proposes a more comprehensive approach to measuring in-app engagement.


2016 ◽  
Vol 3 (4) ◽  
pp. e49 ◽  
Author(s):  
Nikki Rickard ◽  
Hussain-Abdulah Arjmand ◽  
David Bakker ◽  
Elizabeth Seabrook

BackgroundEmotional well-being is a primary component of mental health and well-being. Monitoring changes in emotional state daily over extended periods is, however, difficult using traditional methodologies. Providing mental health support is also challenging when approximately only 1 in 2 people with mental health issues seek professional help. Mobile phone technology offers a sustainable means of enhancing self-management of emotional well-being.ObjectiveThis paper aims to describe the development of a mobile phone tool designed to monitor emotional changes in a natural everyday context and in real time.MethodsThis evidence-informed mobile phone app monitors emotional mental health and well-being, and it provides links to mental health organization websites and resources. The app obtains data via self-report psychological questionnaires, experience sampling methodology (ESM), and automated behavioral data collection.ResultsFeedback from 11 individuals (age range 16-52 years; 4 males, 7 females), who tested the app over 30 days, confirmed via survey and focus group methods that the app was functional and usable.ConclusionsRecommendations for future researchers and developers of mental health apps to be used for research are also presented. The methodology described in this paper offers a powerful tool for a range of potential mental health research studies and provides a valuable standard against which development of future mental health apps should be considered.



Author(s):  
Kate Emond ◽  
Melanie Bish ◽  
Michael Savic ◽  
Dan I. Lubman ◽  
Terence McCann ◽  
...  

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.



2021 ◽  
Vol 20 (1-2) ◽  
pp. 247-255
Author(s):  
Quenette L Walton ◽  
Rosalyn Denise Campbell ◽  
Joan M Blakey

COVID-19 has significantly impacted a substantial number of Black Americans. Black women, in particular, are facing challenges financially, physically, and mentally during this unprecedented time. Between serving as frontline workers, being concerned about contracting the virus, contributing to their families financially, and worrying about their loved ones’ health, Black women are experiencing great strain on their mental health and well-being. These stressors illustrate the need for social work researchers and practitioners to address Black women’s mental health. This paper presents our reflections, experiences, and response to COVID-19 as Black women and scholars. Guided by our reflections and personal experiences, we put forth suggestions and reflexive thoughts for social work researchers and practitioners to prioritize Black women’s mental health during and after these unprecedented times.



Author(s):  
Samit N. Unadkat ◽  
Alfonso Luca Pendolino ◽  
Deborah Auer ◽  
Sadie Khwaja ◽  
Premjit S. Randhawa ◽  
...  

AbstractEver since the introduction of the concept of Procedures of Limited Clinical Value (PoLCV), procedures such as functional septorhinoplasty have been subject to additional funding restrictions within the British National Health Service. Recent publications have suggested that 10% of Clinical Commissioning Groups in the United Kingdom no longer fund septorhinoplasty surgery irrespective of the indications, including congenital malformations or post-trauma, and despite the strong evidence available in the literature in treating a range of health conditions. Thus, inequity exists across the country. At present functional septorhinoplasty surgery is frequently but incorrectly grouped together with aesthetic rhinoplasty, both of which are deemed to be cosmetic interventions. Moreover, as we exit the peak of the current coronavirus disease 2019 (COVID-19) pandemic, procedures deemed to be of lower clinical priority will potentially be at risk throughout Europe. The purpose of this review is twofold; the first is to put forward the evidence to commissioners in favor of functional septorhinoplasty surgery on patient well-being and mental health; the second is to demonstrate why functional septorhinoplasty surgery is a distinct procedure from aesthetic rhinoplasty and why it ought not to be classified as a procedure of limited clinical value.



Author(s):  
Ranjit Kumar Dehury ◽  
Rajeev Kumar

Mental wellbeing was the centerpiece of the Indian system of medicine. Many healthcare issues are resolved by the peace of mind and brain stimulating processes. Of late, Government of India adopted many systems of medicines that are complementary to the modern allopathic medicines and named it AYUSH system of medicine. In this Ayurveda, Yoga, Homoeopathy, Siddha, Unani, Swa-rigppa, and additional healing systems are represented. There is also a great need for psychological wellbeing due to the rapid increase in stressful life situations. The current modern medical care is not adequate to provide mental health services in the society. At the same time, many indigenous and AYUSH system have come into action and solve the problem the best way it possible. The chapter focuses on the role of AYUSH system in catering to mental wellbeing in India. The policies of the government of India are to promote mental health and wellbeing in society. The specialties of various systems of medicine in curing the mental health conditions have been elaborated.



Author(s):  
Anuragini Shirish

Given the crucial need to bridge the mental health service divide, the author examines the emerging trends in digital well-being management by focusing on the mobile health market. Using a bottom-up perspective and leveraging literature from positive technology and generalized unsafety theory of stress, the author conceptualizes how positive technology as a mobile health solution can help end users to respond effectively to different kinds of stressors during a crisis. It is further argued that the use of positive technology can positively reverse the automatic route to mental ill health that is plausible in the absence of safety perceptions. The chapter offers a theory-driven conceptualization of digital coping through positive technology. By showing how a simple, scalable, and sustainable positive technology design can cater to different user segments, the author urges policymakers, entrepreneurs, and healthcare service providers to participate in the design, propagation, adoption, and diffusion of such holistic positive technologies for fostering societal resilience.



Introduction 672 Pharmacotherapy in mental health 673 Who can contribute to nutritional care in mental health? 674 Nutrition in specific mental health conditions 676 Developmental disorders 678 Eating disorders 680 Dementia 684 Mental Capacity Act 2005 687 Nutrition interacts with and influences mental health in a comparable way to physical health: a ‘healthy and varied diet’ can help promote mental well-being whilst an inadequate or excessive intake of food or specific nutrients can have a detrimental effect on mental health (...



2018 ◽  
Vol 11 (3) ◽  
pp. 234 ◽  
Author(s):  
Jacqueline Beam ◽  
Nawari O. Nawari ◽  
Bill Tilson

Sustainable design trends have historically wended down a road that supports the idea of densely populated urban planning as a strategy for mitigating sprawl. Creation of dense urban areas aims at the reduction of carbon emissions. However, studies show that densely populated areas often come with a panacea of mental health, resiliency, and quality of life ails for a community.The following research explores the possibility of combining densely populated design approaches with ancient community planning methods that encourage relationship building: close contact with natural environments and social interchange. Community planning that also creates a day to day contact with nature could be a crucial strategy for both sustaining healthy ecosystems and the development of sustainable communities. The potential for integrating dependence upon nature within built urban environments, as well as the possibility of positive place-making by harvesting nature dependent cultural and social assets in communities and neighborhoods, is, therefore, a wealthy area worthy of exploration.To explore these areas, mental health research on the effects of nature on the brain, as well as the three leading determinants of social, environmental and economic well-being, worldwide, and the founding cultures of these determinants were reviewed. Resilient indigenous groups and case studies of the happiest nation, of Norway and two leading environmentally sustainable and resilient countries, Costa Rica, Cuba, and New Mexico are examined. The paper provides recommendations for improving mental health and resilience by integrating strategies for nature and community needs in urban planning and built environments design.



2020 ◽  
Vol 57 (2) ◽  
pp. 235-249
Author(s):  
Joseph P Gone ◽  
Laurence J Kirmayer

The articles in this issue of Transcultural Psychiatry point the way toward meaningful advances in mental health research pertaining to Indigenous peoples, illuminating the distinctive problems and predicaments that confront these communities as well as unrecognized or neglected sources of well-being and resilience. As we observe in this introductory essay, future research will benefit from ethical awareness, conceptual clarity, and methodological refinement. Such efforts will enable additional insight into that which is common to Indigenous mental health across settler societies, and that which is specific to local histories, cultures and contexts. Research of this kind can contribute to nuanced understandings of developmental pathways, intergenerational effects, and community resilience, and inform policy and practice to better meet the needs of Indigenous individuals, communities and populations.



2005 ◽  
Vol 22 (2) ◽  
pp. 40-41 ◽  
Author(s):  
David L Whitford ◽  
Mimi Copty


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