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Cited by 27Digital Mental Health InterventionsMental Health Treatment and AccessTelemedicine and Telehealth Implementation

Personal stigma, determinants of intention to use technology, and acceptance of internet-based psychological interventions for depression

Open access
Lamela, Diogo, Cabral, Joana, Coelho, Sara, Jongenelen, Inês·2020·International Journal of Medical Informatics
DOI 10.1016/j.ijmedinf.2020.104076
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Abstract

Objective Despite showing comparable levels of efficacy, internet-based psychological interventions (IPI) exhibited lower acceptance and intention of use as compared to psychological treatment delivered by face-to-face methods. Surprisingly, no research has inspected whether IPI acceptance is associated with variables linked with intentions of technology use and with barriers to seeking professional psychological help, such as personal depression stigma. Informed by the Unified Theory of Acceptance and Use of Technology, the current study tested the role of technology and mental health-related determinants as predictors of acceptance of IPI for depression.Methods Participants were 417 community Portuguese adults, who completed a pencil-and-paper survey.Results Our results indicated that performance expectancy, social influence, and personal stigma against depression were significantly associated with the acceptance of IPI for depression.Conclusions These results suggest that barriers to seeking professional psychological help should be considered in the understanding of IPI acceptance.

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  • Studies on the acceptance of IMIs show that willingness to be treated via IMIs applies to only a small part of the target population regarding both patients and therapists.

    “Studies on the acceptance of IMIs show that this only applies to a small part of the target population regarding both patients (13–16) and therapists (17, 18).”

    From Clinical and Cost-Effectiveness of PSYCHOnlineTHERAPY: Study Protocol of a Multicenter Blended Outpatient Psychotherapy Cluster Randomized Controlled Trial for Patients With Depressive and Anxiety Disorders (2021) · cites this paper as [15]

    The Introduction (p. 3) reports that internet-based psychological interventions have lower acceptance than face-to-face treatment, supporting the general concern about willingness to use them. It does not say that only a small part of the patient population is willing; the study surveyed Portuguese community adults rather than patients. The therapist portion of the citing sentence is assigned to other citations, not this paper. (LLM, conf=0.82)

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Authors
Lamela, D., Cabral, J., Coelho, S., & Jongenelen, I.
Affiliations
Universidade Lusófona do Porto (PT)
Corresponding author
Lamela, Diogo
ORCID
Venue
International Journal of Medical Informatics
Publisher
Elsevier BV
Published
2020-04
Volume
136
Pages
104076
ISSN
1386-5056 (ISSN-L)
DOI
10.1016/j.ijmedinf.2020.104076
OpenAlex
W3000529386
Cited by
27
References
39
Citations by year
2026: 5 · 2025: 6 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 1
FWCI
3.17
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Medical Informatics (publishedVersion)
  • PubMed (publishedVersion)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
online psychological intervention, depression, personal stigma, technology acceptance, intention to use, Unified Theory of Acceptance and Use of Technology, performance expectancy, social influence, help-seeking barriers, mental health help-seeking
MeSH terms
Adult, Depression, Female, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Acceptance of Health Care, Surveys and Questionnaires, Internet, Intention, Social Stigma

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