scholarly journals Youth and Provider Perspectives on Behavior-Tracking Mobile Apps: Qualitative Analysis

10.2196/24482 ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. e24482
Author(s):  
Courtney C Armstrong ◽  
Erica J Odukoya ◽  
Keerthi Sundaramurthy ◽  
Sabrina M Darrow
Keyword(s):  
Mental Health ◽  
Qualitative Analysis ◽  
Health Care Providers ◽  
Mobile Health ◽  
Mobile Apps ◽  
Clinical Care ◽  
Evidence Based ◽  
Care Providers ◽  
Provider Perspectives ◽  
Behavior Tracking

Background Mobile health apps stand as one possible means of improving evidence-based mental health interventions for youth. However, a better understanding of youth and provider perspectives is necessary to support widespread implementation. Objective The objective of this research was to explore both youth and provider perspectives on using mobile apps to enhance evidence-based clinical care, with an emphasis on gathering perspectives on behavior-tracking apps. Methods Inductive qualitative analysis was conducted on data obtained from semistructured interviews held with 10 youths who received psychotherapy and 12 mental health care providers who conducted therapy with youths aged 13-26 years. Interviews were independently coded by multiple coders and consensus meetings were held to establish reliability. Results During the interviews, the youths and providers broadly agreed on the benefits of behavior tracking and believed that tracking via app could be more enjoyable and accessible. Providers and youths also shared similar concerns that negative emotions and user burden could limit app usage. Participants also suggested potential app features that, if implemented, would help meet the clinical needs of providers and support long-term use among youth. Such features included having a pleasant user interface, reminders for clients, and graphical output of data to clients and providers. Conclusions Youths and providers explained that the integration of mobile health into psychotherapy has the potential to make treatment, particularly behavior tracking, easy and more accessible. However, both groups had concerns about the increased burden that could be placed on the clients and providers.

scholarly journals Youth and Provider Perspectives on Behavior-Tracking Mobile Apps: Qualitative Analysis (Preprint)

2020 ◽  
Author(s):  
Courtney C Armstrong ◽  
Erica J Odukoya ◽  
Keerthi Sundaramurthy ◽  
Sabrina M Darrow
Keyword(s):  
Mental Health ◽  
Qualitative Analysis ◽  
Health Care Providers ◽  
Mobile Health ◽  
Mobile Apps ◽  
Clinical Care ◽  
Evidence Based ◽  
Care Providers ◽  
Provider Perspectives ◽  
Behavior Tracking

BACKGROUND Mobile health apps stand as one possible means of improving evidence-based mental health interventions for youth. However, a better understanding of youth and provider perspectives is necessary to support widespread implementation. OBJECTIVE The objective of this research was to explore both youth and provider perspectives on using mobile apps to enhance evidence-based clinical care, with an emphasis on gathering perspectives on behavior-tracking apps. METHODS Inductive qualitative analysis was conducted on data obtained from semistructured interviews held with 10 youths who received psychotherapy and 12 mental health care providers who conducted therapy with youths aged 13-26 years. Interviews were independently coded by multiple coders and consensus meetings were held to establish reliability. RESULTS During the interviews, the youths and providers broadly agreed on the benefits of behavior tracking and believed that tracking via app could be more enjoyable and accessible. Providers and youths also shared similar concerns that negative emotions and user burden could limit app usage. Participants also suggested potential app features that, if implemented, would help meet the clinical needs of providers and support long-term use among youth. Such features included having a pleasant user interface, reminders for clients, and graphical output of data to clients and providers. CONCLUSIONS Youths and providers explained that the integration of mobile health into psychotherapy has the potential to make treatment, particularly behavior tracking, easy and more accessible. However, both groups had concerns about the increased burden that could be placed on the clients and providers.

Depression in Medical Patients

2017 ◽  
pp. 146-159
Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care Providers ◽  
Health Personnel ◽  
Time Constraints ◽  
Depression Treatment ◽  
Evidence Based ◽  
Medical Patients ◽  
Care Providers ◽  
Different Levels

Depression treatment that is coordinated with care for comorbid chronic conditions improves control of both the depression and the chronic medical disease. Interpersonal counseling (IPC) and briefer forms of IPT for depression have been introduced in medical practice and primary care to accommodate providers’ time constraints and different levels of training of mental health care providers. IPC is best used with patients who have low levels of depressive symptoms, or distress, and where more highly trained therapists are not available but health personnel are interested in providing counseling. There is high interest in developing briefer approaches for depression treatment in medical patients, a wealth of evidence-based choices, and much work to be done. A case example is given of a college student with comorbid depression and diabetes.

Recreational Therapy for PTSD

2016 ◽  
Author(s):  
Holly J. Ramsawh ◽  
Gary H. Wynn
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Behavioral Interventions ◽  
Evidence Based ◽  
Institute Of Medicine ◽  
Care Providers ◽  
Urban Centers ◽  
Attrition Rates

There are currently several interventions for posttraumatic stress disorder (PTSD) that meet the definition of “evidence-based therapies” as outlined by the Institute of Medicine (IOM), including several forms of exposure-based behavioral interventions and pharmacotherapies the IOM has determined are efficacious and first-line treatments for PTSD. Although exposure-based therapies are efficacious, not all patients respond adequately to treatment. In some cases, behavioral therapies have been associated with high refusal and attrition rates. Furthermore, evidence-based behavioral interventions are not yet widely available, because relatively few practitioners are trained adequately outside of academic institutions, and there are few trained professionals outside of urban centers. Even when evidence-based behavioral or pharmacological treatments are available, veterans sometimes avoid seeking these treatments because of perceived stigma about receiving traditional forms of mental health care either from traditional mental health care providers or in traditional mental health care environments. Despite large numbers of returning veterans being diagnosed with PTSD since the start of the recent conflicts in Iraq and Afghanistan, there remains a large number of Americans who have limited access to evidence-based interventions for PTSD. Although efforts to expand access to these treatments should continue, there should also be an effort to investigate novel interventions for PTSD—particularly those that may require less training and/or may be associated with less stigma than conventional treatments.

scholarly journals “That Pain Is Genuine to Them”: Provider Perspectives on Chronic Pain in University Student Populations

2017 ◽  
Author(s):  
Alexandra Nowakowski ◽  
Kaitlyn Barningham ◽  
Charlyn Buford ◽  
Martin Laguerre ◽  
J. Sumerau
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Health Care Providers ◽  
Clinical Care ◽  
University Student ◽  
Care Providers ◽  
Provider Attitudes ◽  
Provider Perspectives ◽  
Pain Prevalence

We explored provider attitudes about and experiences in chronic pain management for university student populations. Our central question was: “What do providers at a large university campus health care center experience in the process of offering pain management services?” We explored instrumental, behavioral, emotional, and attitudinal dimensions of our participants’ experiences using a qualitative case study approach. Data were gathered through semi-structured interviews with 10 health care providers at the student health center for a large research university in Florida. Interviews captured providers’ background and experiences in providing pain management to student patients with diverse needs. We used grounded theory techniques for data analysis (i.e., collaborative content analysis with open coding). Data reflect differences in perceptions of chronic pain prevalence and palliation best practices. We identified five themes: different perceptions of chronic pain prevalence, awareness of painful conditions, palliation as a contested process, importance of communication, and multidimensional perspectives. Responses varied by training, specialization, experience, and sociodemographics. Our findings mirror the broader literature on pain management. We outline priorities for further research in university health care settings, and suggest participatory strategies for translating associated findings into targeted plans for clinical care improvement.

Survey analysis: Assessing the needs of immunotherapy patients, caregivers, and health care providers.

2018 ◽  
Vol 36 (5_suppl) ◽  
pp. 135-135 ◽  
Author(s):  
Anabella Aspiras ◽  
Nicholas James Power ◽  
Maria Belen Gonzalo
Keyword(s):  
Side Effects ◽  
Patient Education ◽  
Health Care Providers ◽  
Clinical Care ◽  
Healthcare Providers ◽  
Care Providers ◽  
Survey Analysis ◽  
Needs Assessments ◽  
Provider Perspectives ◽  
Cancer Support

135 Background: As the use of cancer immunotherapy increases, unique challenges emerge for both patients undergoing immunotherapy and the clinical staff who care for them. To better understand these challenges, the Cancer Support Community (CSC) conducted surveys of patients, caregivers, and healthcare staff (e.g. oncologists, nurses, social workers) at nine oncology centers across the country. Methods: Needs assessments were conducted through paper and online surveys between August and September, 2017. The analysis is based upon a cross-sectional survey of adult (18 years old and older) cancer patients, caregivers, and healthcare providers. 93 healthcare providers, 65 patients, and 21 caregivers completed the survey. Descriptive statistics and statistical analyses were performed using SPSS Version 24; analyses of association used a significance level of .05. Results: Findings from this analysis yielded important provider perspectives and illustrated targeted areas of patient and caregiver concern. Of note, while only about one-third of patients and caregivers (31% and 38%, respectively) indicated that it was important to understand the science of immunotherapy, nearly half of healthcare providers (46%) reported that educational resources should go “quite a bit” in-depth into immunotherapy science. Also, although caregivers reported greater difficulty finding information about immunotherapy, the majority of both patients (55%) and caregivers (85%) identified managing treatment-related side effects as their foremost education need. Conclusions: CSC’s analysis revealed valuable insights in both clinical care and patient education. Needs assessment results will inform the development and implementation of Immunotherapy & Me, a CSC pilot program to determine whether layering in patient education and care-management tools leads to improved patient and clinical outcomes. CSC’s needs assessments conclude that for both patients and providers, treatment-related side effects are top-of-mind. This underscores the importance of developing turnkey resources to help patients and healthcare providers manage immunotherapy-related side effects – an express goal of the Immunotherapy & Me pilot.

scholarly journals Connecting Older Adults With Mental Health Apps: A Survey of Provider App and Education Material Use

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 865-865
Author(s):  
Priyanka Mehta ◽  
Chalise Carlson ◽  
Jason Anderson ◽  
Ana Alfaro ◽  
Erin Sakai ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Analysis ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Care Providers ◽  
Educational Materials ◽  
Health Apps ◽  
Education Material ◽  
Novice Users

Abstract Many older veterans have access to mobile devices and are interested in using apps for mental health self-management, but few have ever downloaded health apps. To address the need for awareness of and access to VA mental health apps, we developed patient educational materials aimed towards older (or novice) users of mobile devices. The present study explored health care providers’ and staff’s perceptions about use of mental health mobile applications (apps) with older veterans and examined potential utility of these patient educational materials. Requestors of mobile device education materials (N = 90) were surveyed when ordering materials and again 4 months later. Baseline and follow-up surveys assessed frequency of app recommendation, and comfort recommending apps. Baseline surveys examined perceived advantages of apps; follow-up surveys examined perceived utility of the educational materials. Descriptive statistics and qualitative analysis were conducted. Most requesters (68.5%) initially were not comfortable using apps, yet perceived many advantages to using apps and hoped materials could facilitate app use. At follow-up, requestors felt more comfortable recommending apps alongside our materials. Qualitative analysis revealed perceived advantages to using the education materials. The benefits of developing and disseminating educational materials for providers to share with older veterans helped support older veterans’ app use, and potentially increased providers’ comfort with and frequency of recommending apps to their older patients. Access to educational materials can mitigate discomfort among providers in recommending apps to older users and may bring about valuable discussions about apps which support mental health.

A roadmap for providing psychiatric services to incarcerated veterans

2015 ◽  
Author(s):  
James F. DeGroot
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Vietnam Veterans ◽  
Military Service ◽  
Stress Disorders ◽  
Evidence Based ◽  
Care Providers ◽  
Mental Health Care Providers

The incarcerated population includes an increasing number of veterans with issues specific to their past military service. The demographics, criminogenic risk factors, and life experiences of incarcerated veterans, both combat and noncombat, differ substantially from nonveteran offenders. The trend observed with Vietnam veterans suggests that there is a gap between the time veterans are discharged from the military and the time they are incarcerated. With over two million personnel having served in Iraq and Afghanistan, the number of incarcerated veterans is likely to rise unless community resources are increased. Nonveterans are being treated with evidence-based correctional mental health and substance abuse treatment programs; however, similar programs have not been developed with the unique characteristics of veterans in mind. The pervasive trauma and posttraumatic stress disorders (PTSD) in this population can be profound. There is a critical need to create and implement evidence-based programs to treat the emotional, behavioral, and neurological needs of mentally ill and traumatized veterans. Society also struggles with the ambivalence of wanting to simultaneously punish and rescue them; mental health care providers struggle with their own emotional responses as they treat these distressed people. To help mental health care providers meet their personal and professional challenges in working with this complex population, an informational road map is presented in this chapter in order to navigate difficult terrain. The goal of this map is to help providers avoid potholes (of burn-out, cynicism, and malevolence) and head-on collisions with prison leadership and/or offenders resulting in a loss of credibility.

scholarly journals First 28: Design of a Mobile App for Neonatal Health Risk Assessment and Support for New Mothers (Preprint)

2018 ◽  
Author(s):  
Andy Pham ◽  
Elsie F Bluett ◽  
Priyanka Puthran ◽  
Sayantani Sarkar ◽  
Katherine K Kim ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Mobile Apps ◽  
Pragmatic Trial ◽  
Newborn Health ◽  
Mobile App ◽  
Evidence Based ◽  
Health Issues ◽  
Care Providers ◽  
New Mothers

BACKGROUND Factors like dehydration and respiratory infection pose risks to infant survival in the critical first 28 days of life. UNICEF reported the 2016 global rate of neonatal death was 19 per 1000 live births. Typically, women manage multiple household and family responsibilities in addition to care of a new baby and often feel overwhelmed by the demands of new motherhood. The American College of Obstetricians and Gynecologists recommends that support to new mothers be an ongoing process, rather than a single postnatal visit. However, in low-resource environments such as developing countries and remote communities, access to ongoing support for breastfeeding, health education, and infant check-ups from a professional health care provider or health worker may not be possible. Numerous examples exist of successful mobile health interventions in low-resource environments. However, existing mobile apps for newborn health often focus on single issues that are disconnected from health care providers. There is a need to comprehensively address multiple newborn health issues, with evidence-based and personalized interventions that support new mothers. OBJECTIVE This study aims to design and build a prototype of a mobile app to comprehensively identify early signs and symptoms of common newborn illnesses, access relevant evidence-based health information, and support decision-making with the overall goal of enhancing new mothers’ ability to improve newborn health outcomes. The prototype will be used in a future pragmatic trial. METHODS An interdisciplinary and international team including nursing, medicine, dietary, health informatics, and public health collaborated on this study. First, a literature review was conducted to supplement the team’s existing knowledge on common neonatal problems, generate the evidence base for appropriate in-home interventions, and identify best practices in breast feeding. Second, a review of current mobile apps available in neonatal risks was conducted to assess gaps with attention to comprehensiveness of health issues, interface/integration with clinical decision support systems, and application of user-centered design and state of the art design principles and standards. RESULTS Our app, First 28, works offline for easy accessibility and displays evidence-based best practices and guidelines, personalized for mothers based on risks. Using a tailored symptoms list and computerized data entry to gather information, the mobile app performs analysis using a decision table algorithm to identify the risks the baby might encounter and suggests best solutions based on the outcomes. Mothers can submit images or crucial information about their baby and track growth through the app’s data visualization tools. Data is stored on a FHIR server for integration with health care services and electronic health records. Future plans include automated data and image analytics of the uploaded information to alert health care providers of any abnormalities that may provide critical early evidence for potential neonatal risks and complications. CONCLUSIONS First 28 empowers mothers with the knowledge and resources to maintain proper breastfeeding techniques, assess newborn health risks, and improve health outcomes within the crucial first 28 days of life. In the next phase, the prototype will be evaluated by users with a plan to utilize it in a pragmatic trial.

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