Exploring the experiences of mental health professionals engaged in the adoption of mobile health technology in Irish mental health services.
Mental health
Mobile health technology
Technology adoption
mHealth
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
19 08 2021
19 08 2021
Historique:
received:
05
11
2020
accepted:
10
08
2021
entrez:
20
8
2021
pubmed:
21
8
2021
medline:
27
8
2021
Statut:
epublish
Résumé
The World Health Organization report that an estimated 793,000 people died by suicide in 2016 globally. The use of digital technology has been found to be beneficial in the delivery of Web-based suicide prevention interventions. Research on the integration of digital technology within mental health services has indicated that despite the proliferation of technology, engagement by patients and professionals in adopting such technology can be poor. The current study aims to explore the experiences of 15 mental health professionals involved in integrating mobile health technology into their practice. A secondary aim was to identify the drivers and barriers to the adoption of such technology by mental health professionals, and to consider what theoretical models could best account for the data. Semi-structured interviews, conducted from July to October 2019, were used to explore the experiences of mental health professionals engaged in the adoption of mobile health technology within mental health services. Mental Health professionals and clinician managers working in HSE Child and Adolescent Mental Health, Adult Mental Health, and Primary Care Psychology services were recruited for the study. Qualitative interview data was transcribed and analysed using NVivo. Thematic Analysis was used to identify themes. Four major themes were identified: Accessibility, 'Transitional Object', Integration, and Trust. Within these 4 major themes, a total of 9 subthemes were identified: Service Accessibility, Immediate Access, Client Engagement, Adjunct-to-therapy, Therapeutic Relationship, Infrastructural Support, Enhancing Treatment, Trust in the Technology, Trust in the Organisation. Overall, Diffusion of Innovation Theory provides a useful theoretical framework which is consistent with and can adequately account for many of the Major and Subthemes identified in the data. In addition, 'Transitional Objects', a key concept within Object Relations Theory, could offer a means of better understanding how patients and professionals engage with digital technology within mental health services particularly.
Sections du résumé
BACKGROUND
The World Health Organization report that an estimated 793,000 people died by suicide in 2016 globally. The use of digital technology has been found to be beneficial in the delivery of Web-based suicide prevention interventions. Research on the integration of digital technology within mental health services has indicated that despite the proliferation of technology, engagement by patients and professionals in adopting such technology can be poor.
OBJECTIVES
The current study aims to explore the experiences of 15 mental health professionals involved in integrating mobile health technology into their practice. A secondary aim was to identify the drivers and barriers to the adoption of such technology by mental health professionals, and to consider what theoretical models could best account for the data.
METHODS
Semi-structured interviews, conducted from July to October 2019, were used to explore the experiences of mental health professionals engaged in the adoption of mobile health technology within mental health services. Mental Health professionals and clinician managers working in HSE Child and Adolescent Mental Health, Adult Mental Health, and Primary Care Psychology services were recruited for the study. Qualitative interview data was transcribed and analysed using NVivo. Thematic Analysis was used to identify themes.
RESULTS
Four major themes were identified: Accessibility, 'Transitional Object', Integration, and Trust. Within these 4 major themes, a total of 9 subthemes were identified: Service Accessibility, Immediate Access, Client Engagement, Adjunct-to-therapy, Therapeutic Relationship, Infrastructural Support, Enhancing Treatment, Trust in the Technology, Trust in the Organisation.
CONCLUSIONS
Overall, Diffusion of Innovation Theory provides a useful theoretical framework which is consistent with and can adequately account for many of the Major and Subthemes identified in the data. In addition, 'Transitional Objects', a key concept within Object Relations Theory, could offer a means of better understanding how patients and professionals engage with digital technology within mental health services particularly.
Identifiants
pubmed: 34412601
doi: 10.1186/s12888-021-03426-5
pii: 10.1186/s12888-021-03426-5
pmc: PMC8375610
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
412Informations de copyright
© 2021. The Author(s).
Références
Psychiatr Serv. 2019 Jul 1;70(7):538-544
pubmed: 30914003
Am J Psychiatry. 2002 Jun;159(6):909-16
pubmed: 12042175
JMIR Res Protoc. 2018 Jan 26;7(1):e28
pubmed: 29374003
JMIR Mhealth Uhealth. 2014 Jan 21;2(1):e2
pubmed: 25098314
BMC Med. 2019 Dec 3;17(1):226
pubmed: 31801532
JMIR Mhealth Uhealth. 2020 Jan 15;8(1):e12516
pubmed: 31939744
BMC Med. 2019 Dec 19;17(1):231
pubmed: 31852455
J Med Internet Res. 2014 Jan 28;16(1):e30
pubmed: 24472876
J Clin Psychiatry. 2006 Apr;67(4):517-23
pubmed: 16669716
BMC Psychiatry. 2017 Aug 15;17(1):297
pubmed: 28810841
Int J Environ Res Public Health. 2020 Aug 15;17(16):
pubmed: 32824149
Behav Ther. 2018 Mar;49(2):249-261
pubmed: 29530263
Psychol Psychother. 2011 Dec;84(4):442-57
pubmed: 22903885
J Nerv Ment Dis. 2017 Jan;205(1):4-8
pubmed: 28005647
Evid Based Ment Health. 2018 Aug;21(3):116-119
pubmed: 29871870
JAMA. 2019 Apr 16;321(15):1530-1532
pubmed: 30990543
Health Serv Res. 1999 Dec;34(5 Pt 2):1101-18
pubmed: 10591275
JMIR Ment Health. 2017 Jul 06;4(3):e27
pubmed: 28684386
JMIR Mhealth Uhealth. 2019 Jun 7;7(6):e13364
pubmed: 31199338
Philos Trans R Soc Lond B Biol Sci. 2018 Sep 5;373(1754):
pubmed: 30012735
JAMA. 2019 Dec 10;322(22):2169-2170
pubmed: 31725854
Psychiatr Serv. 2018 May 1;69(5):498-500
pubmed: 29446337
PLoS Med. 2016 Mar 01;13(3):e1001968
pubmed: 26930055
J Clin Child Adolesc Psychol. 2014;43(6):890-901
pubmed: 24134063
JMIR Ment Health. 2019 Feb 20;6(2):e9819
pubmed: 30785404
JAMA Psychiatry. 2018 Sep 1;75(9):894-900
pubmed: 29998307
Lancet Psychiatry. 2019 Jul;6(7):573-581
pubmed: 31175059
Psychiatr Rehabil J. 2017 Sep;40(3):336-338
pubmed: 28891660
Lancet Diabetes Endocrinol. 2016 Dec;4(12):983-995
pubmed: 27717766
Psychol Bull. 2017 Feb;143(2):187-232
pubmed: 27841450
JMIR Mhealth Uhealth. 2019 May 31;7(6):e12920
pubmed: 31199329
BMC Med Inform Decis Mak. 2017 Oct 2;17(1):141
pubmed: 28969704
Z Evid Fortbild Qual Gesundhwes. 2020 Dec;158-159:94-106
pubmed: 33223491
J Med Internet Res. 2018 Jun 06;20(6):e199
pubmed: 29875089
Int J Psychoanal. 1953;34(2):89-97
pubmed: 13061115
JAMA Psychiatry. 2020 Dec 1;77(12):1211-1212
pubmed: 32391861
J Med Internet Res. 2015 Aug 17;17(8):e198
pubmed: 26283290
Nurse Res. 2006;13(3):7-21
pubmed: 16594366
Int J Environ Res Public Health. 2019 Sep 02;16(17):
pubmed: 31480718
Psychol Assess. 2007 Sep;19(3):309-17
pubmed: 17845122
BMJ Open. 2019 Feb 19;9(2):e025591
pubmed: 30782938
J Med Internet Res. 2020 Jul 30;22(7):e17481
pubmed: 32729845
JAMA Netw Open. 2019 Apr 5;2(4):e192542
pubmed: 31002321
Lancet. 2002 Jul 27;360(9329):319-26
pubmed: 12147388
Ment Health Serv Res. 2005 Jun;7(2):75-87
pubmed: 15974154
Curr Opin Psychol. 2015 Aug 1;4:21-25
pubmed: 25664334
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
J Med Internet Res. 2019 May 02;21(5):e12390
pubmed: 31045497
JMIR Ment Health. 2015 Mar 25;2(1):e7
pubmed: 26543913
NPJ Digit Med. 2018 May 9;1:12
pubmed: 31304297