scholarly journals Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study

2018 ◽  
Author(s):  
Amritha Bhat ◽  
Ramakrishna Goud ◽  
Johnson Pradeep ◽  
Geetha Jayaram ◽  
Rajiv Radhakrishnan ◽  
...  

Introduction: Low rates of follow up with mental health treatments, and medication non-adherence are common among patients with Major Depressive Disorder (MDD), more so in low-middle income countries (LMIC). While mobile mental health has the potential to address this problem in resource-poor settings, the feasibility and acceptability of its use in rural women is unknown. We aimed to explore barriers to access and adherence to mental health treatment, and the feasibility of using mobile health to address these barriers among women with MDD in rural south India. Methods: Six focus groups were conducted among women with MDD (n=69) seeking care at a rural community health center in South India. Discussion centered on barriers to mental health treatment access and adherence and attitudes toward use of technology in addressing these barriers. We transcribed the discussions and analyzed them using qualitative analysis software. Results: Reasons for non-adherence were: transcultural explanatory model of illness; structural, financial and social barriers to access, and medication side-effects. Women were unenthusiastic about mobile health solutions due to illiteracy, lack of family support, unfamiliarity with use of mobile devices, lack of access to mobile phones and preference for in-person clinical consultation. Conclusions: This qualitative study examines the acceptability of mobile-mental health as a strategy to address barriers to depression treatment access and adherence among women in a rural setting. There are several barriers to adoption of mobile mental health technology in LMIC. It is important to address these barriers before implementing mobile health based solutions.

2020 ◽  
Vol 44 (4) ◽  
pp. 461-478 ◽  
Author(s):  
A. Bhat ◽  
B. Ramakrishna Goud ◽  
J. R. Pradeep ◽  
G. Jayaram ◽  
R. Radhakrishnan ◽  
...  

2021 ◽  
Author(s):  
Chantelle A Roulston ◽  
Sarah McKetta ◽  
Maggi Price ◽  
Kathryn Fox ◽  
Jessica L. Schleider

Objective: Many youth with mental health needs cannot access treatment, with multiply-marginalized youth, such as sexual minority youth of Color (SMYoC), experiencing both structural and identity-related barriers to care. The COVID-19 pandemic threatens to exacerbate multi-level treatment access barriers facing SMYoC youth nationwide. However, little large-scale research has examined access to mental health care among SMYoC across the United States, either during or prior to the pandemic. Such work is critical to understanding and ameliorating barriers in this domain. Methods: Using data from adolescents who self-identified as SMYoC and who endorsed a desire for mental health support during the COVID-19 pandemic (N=470, ages 13-16, from 43 U.S. states), we examined associations between state-level, structural factors (income inequality; mental healthcare provider shortage; anti-Black racism; homophobia; and the interaction between anti-Black racism and homophobia) and SMYoC mental health treatment access. Results: Multinomial logistic regressions revealed state-level mental healthcare provider shortage as the only significant predictor of SMYoC reporting they never (versus always) accessed mental health support during the COVID-19 pandemic. SMYoC living in areas with both lower homophobia and lower anti-Black racism were more likely to report always (versus sometimes) accessing mental health treatment. Conclusions: Results highlight the critical importance of considering diverse structural factors and applying an intersectional lens when exploring barriers to mental health treatment among multiply-marginalized youth. In locations where provider shortages are less severe, cultural stigma—including anti-Black racism and homophobia—may still pose challenges for SMYoC in need of mental health care.


Author(s):  
Brian E. Bunnell ◽  
Lynne S. Nemeth ◽  
Leslie A. Lenert ◽  
Nikolaos Kazantzis ◽  
Esther Deblinger ◽  
...  

Author(s):  
Joshua P. Mersky ◽  
James Topitzes ◽  
Jeffrey Langlieb ◽  
Kenneth A. Dodge

2018 ◽  
Vol 39 (6) ◽  
pp. 519-526 ◽  
Author(s):  
Ann-Mari Lofthus ◽  
Bente M. Weimand ◽  
Torleif Ruud ◽  
Diana Rose ◽  
Kristin S. Heiervang

2007 ◽  
Vol 88 (4) ◽  
pp. 637-644 ◽  
Author(s):  
Kim M. Anderson ◽  
Catherine Hiersteiner

This qualitative study examines the healing and recovery stories of 27 adult sexual abuse survivors. Three main themes emerged in their narratives: (1) creating a coherent life narrative, (2) the importance of turning points along the way, and (3) developing supportive connections. Results from this study underscore the importance of grounding mental health treatment and services in the words, style, content, and form of client stories. Narrative theory holds particular promise as a guiding model for understanding the stories of adults who experienced sexual abuse in childhood.


2016 ◽  
Vol 196 ◽  
pp. 54-61 ◽  
Author(s):  
Alison Salloum ◽  
Carly Johnco ◽  
Adam B. Lewin ◽  
Nicole M. McBride ◽  
Eric A. Storch

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