Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal

Detalhes bibliográficos
Autor(a) principal: Nogueira-Leite, Diogo
Data de Publicação: 2023
Outros Autores: Diniz, José Miguel, Cruz-Correia, Ricardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/162561
Resumo: Funding Information: This work was conducted under the scope of and funded by the Health Data Science PhD Program of the Faculty of Medicine of the University of Porto, Portugal [82]. The authors would like to thank Knok healthcare, the Order of Portuguese Psychologists, the Portuguese Society of Psychiatry and Mental Health, and all those who contributed to disseminating the survey in appropriate media and forums. The authors would like to thank those whose inputs have made this paper richer in content and form. Funding Information: This work was conducted under the scope of and funded by the Health Data Science PhD Program of the Faculty of Medicine of the University of Porto, Portugal [82]. Publisher Copyright: ©Diogo Nogueira-Leite, José Miguel Diniz, Ricardo Cruz-Correia.
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spelling Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in PortugalMixed methods studyadoptionappsdigital healthgovernment regulationhealth policymental healthmHealthmobile healthpsychiatristspsychologiststechnology acceptanceHuman Factors and ErgonomicsHealth InformaticsSDG 3 - Good Health and Well-beingFunding Information: This work was conducted under the scope of and funded by the Health Data Science PhD Program of the Faculty of Medicine of the University of Porto, Portugal [82]. The authors would like to thank Knok healthcare, the Order of Portuguese Psychologists, the Portuguese Society of Psychiatry and Mental Health, and all those who contributed to disseminating the survey in appropriate media and forums. The authors would like to thank those whose inputs have made this paper richer in content and form. Funding Information: This work was conducted under the scope of and funded by the Health Data Science PhD Program of the Faculty of Medicine of the University of Porto, Portugal [82]. Publisher Copyright: ©Diogo Nogueira-Leite, José Miguel Diniz, Ricardo Cruz-Correia.Background: Digital health apps are among the most visible facets of the ongoing digital transition in health care, with mental health–focused apps as one of the main therapeutic areas. However, concerns regarding their scientific robustness drove regulators to establish evaluation procedures, with Germany’s Digitale Gesundheitsanwendungen program pioneering in app prescription with costs covered by statutory health insurance. Portugal gathers a set of conditions and requirements that position it as an excellent test bed for digital health apps. Its daunting mental health landscape reinforces the potential interest in new interventions. To understand if they would be acceptable, we need to understand the supply side’s attitudes and perceptions toward them, that is, those of psychiatrists and psychologists. Objective: This study aims to understand the attitudes and expectations of psychiatrists and psychologists toward digital mental health apps (DMHAs) in the Portuguese context, as well as perceived benefits, barriers, and actions to support their adoption. Methods: We conducted a 2-stage sequential mixed methods study. Stage 1 consisted of a cross-sectional web survey adapted to the Portuguese context that was delivered to mental health professionals and psychologists. Stage 2 complemented the insights of the web survey results with a key opinion leader analysis. Results: A total of 160 complete survey responses were recorded, most of which were from psychologists. This is the most extensive study on mental health professionals’ attitudes and perceptions of DMHAs in Portugal. A total of 87.2% (136/156) of the respondents supported the opportunity to prescribe DMHAs. Increased health literacy (139/160, 86.9%), wider adherence to treatment (137/160, 85.6%), and proper disease management (127/160, 79.4%) were the most frequently agreed upon benefits of DMHAs. However, only less than half (68/156, 43.6%) of the respondents planned to prescribe or recommend DMHAs, with psychologists being more favorable than psychiatrists. Professionals faced substantial barriers, such as a lack of information on DMHAs (154/160, 96.3%), the level of initial training effort (115/160, 71.9%), and the need for adjustments of clinical processes and records (113/160, 70.6%). Professionals reported that having more information on the available apps and their suitability for health objectives (151/160, 94.4%), more scientific evidence of the validity of the apps as a health intervention (147/160, 91.9%), and established recommendations of apps by specific clinical guidelines or professional societies (145/160, 90.6%) would be essential to foster adoption. Conclusions: More information about DMHAs regarding their clinical validity and how they work is necessary so that such an intervention can be adopted in Portugal. Recommendations from professional and scientific societies, as well as from governmental bodies, are strongly encouraged. Although the benefits of and the barriers to using these apps are consensual, more evidence, along with further promotion of mental health professionals’ digital literacy, is needed.NOVA School of Business and Economics (NOVA SBE)RUNNogueira-Leite, DiogoDiniz, José MiguelCruz-Correia, Ricardo2024-01-19T22:50:16Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/162561eng2292-9495PURE: 68872471https://doi.org/10.2196/45949info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:45:31Zoai:run.unl.pt:10362/162561Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:58:58.606189Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
Mixed methods study
title Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
spellingShingle Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
Nogueira-Leite, Diogo
adoption
apps
digital health
government regulation
health policy
mental health
mHealth
mobile health
psychiatrists
psychologists
technology acceptance
Human Factors and Ergonomics
Health Informatics
SDG 3 - Good Health and Well-being
title_short Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
title_full Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
title_fullStr Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
title_full_unstemmed Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
title_sort Mental health professionals’ attitudes toward digital mental health apps and implications for adoption in Portugal
author Nogueira-Leite, Diogo
author_facet Nogueira-Leite, Diogo
Diniz, José Miguel
Cruz-Correia, Ricardo
author_role author
author2 Diniz, José Miguel
Cruz-Correia, Ricardo
author2_role author
author
dc.contributor.none.fl_str_mv NOVA School of Business and Economics (NOVA SBE)
RUN
dc.contributor.author.fl_str_mv Nogueira-Leite, Diogo
Diniz, José Miguel
Cruz-Correia, Ricardo
dc.subject.por.fl_str_mv adoption
apps
digital health
government regulation
health policy
mental health
mHealth
mobile health
psychiatrists
psychologists
technology acceptance
Human Factors and Ergonomics
Health Informatics
SDG 3 - Good Health and Well-being
topic adoption
apps
digital health
government regulation
health policy
mental health
mHealth
mobile health
psychiatrists
psychologists
technology acceptance
Human Factors and Ergonomics
Health Informatics
SDG 3 - Good Health and Well-being
description Funding Information: This work was conducted under the scope of and funded by the Health Data Science PhD Program of the Faculty of Medicine of the University of Porto, Portugal [82]. The authors would like to thank Knok healthcare, the Order of Portuguese Psychologists, the Portuguese Society of Psychiatry and Mental Health, and all those who contributed to disseminating the survey in appropriate media and forums. The authors would like to thank those whose inputs have made this paper richer in content and form. Funding Information: This work was conducted under the scope of and funded by the Health Data Science PhD Program of the Faculty of Medicine of the University of Porto, Portugal [82]. Publisher Copyright: ©Diogo Nogueira-Leite, José Miguel Diniz, Ricardo Cruz-Correia.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-01-01T00:00:00Z
2024-01-19T22:50:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/162561
url http://hdl.handle.net/10362/162561
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2292-9495
PURE: 68872471
https://doi.org/10.2196/45949
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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