Mental Health Mobile Apps’ Instruction: Technology Adoption Theories Applied in a Mixed Methods Study of Counseling Faculty
Abstract
This objective of this research was to determine factors influencing counselor educators’ behavioral intentions to teach counseling students about mental health mobile applications (MHMAs), factors influencing values of MHMAs as therapeutic tools, and to what extent counselor education programs are contributing to future counselors’ technological competence with regard to evaluating and integrating MHMAs. The conceptual basis was a theory triangulation approach using theories of technology use and acceptance and diffusion of innovations. Nine quantitative, two qualitative, and two mixed methods research questions served to guide the study. Participants were 132 faculty members from 99 university counseling programs. Participants completed an initial survey, an evaluation of an evidence-based mental health mobile application (app), and a postmeasure. Hierarchical multiple regression, analysis of covariance (ANCOVA), independent samples t-tests, and paired samples t-tests were used to analyze quantitative data. Results indicated that unified theory of acceptance and use of technology (UTAUT) variables along with anxiety/apprehension and ethical concerns are related to behavioral intentions to teach students about MHMAs. Semistructured video interviews were conducted and analyzed in the qualitative phase to add depth and explain quantitative findings. This study has implications for graduate counselor education programs and related accrediting agencies.
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Even if people acknowledged a perceived need for help and were willing to seek help, engagement with a particular intervention was affected by a person's preconceived belief about whether a digital intervention would be effective.
“However, even if people acknowledged a perceived need for help and were willing to seek help, engagement with a particular intervention was then affected by a person’s preconceived belief about whether a digital intervention would be effective [79,104,110-112].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [111]
Cites
User Acceptance of Information Technology: Toward A Unified View1
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003) · MIS Quarterly · doi:10.2307/30036540 · Cited by 45,035 · see citing works
Kytle, J., & Bandura, A. (1978) · Contemporary Sociology · doi:10.2307/2065952 · Cited by 25,422 · see citing works
Designing and Conducting Mixed Methods Research
Robinson, P. M. (2007) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2007.00096.x · Cited by 23,297 · see citing works
Valente, T. W. (2003) · Genetics in Medicine · doi:10.1097/01.gim.0000061743.67794.c4 · Cited by 20,555 · see citing works
Digital Natives, Digital Immigrants Part 1
Prensky, M. (2001) · On the Horizon · doi:10.1108/10748120110424816 · Cited by 11,104 · see citing works
Qualitative research: Methods in the social sciences
(2006) · PsycEXTRA Dataset · doi:10.1037/e668352010-001 · Cited by 10,620 · see citing works
Pierce, W. D., & Bandura, A. (1977) · The Canadian Journal of Sociology · doi:10.2307/3340496 · Cited by 9,733 · see citing works
Designing and Conducting Mixed Methods Research
นิลพันธุ์, ม. (2010) · Silpakorn Educational Research Journal · Cited by 9,350 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Digital Natives, Digital Immigrants
(2012) · Corwin Press eBooks · doi:10.4135/9781483387765.n6 · Cited by 7,114 · see citing works
Applied Statistics: From Bivariate Through Multivariate Techniques
Warner, R. M. (2007) · Cited by 1,336 · see citing works
Smartphones for smarter delivery of mental health programs: A systematic review
Donker, T., Petrie, K., Proudfoot, J., Clarke, J., Birch, M.-R., & Christensen, H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2791 · Cited by 1,136 · see citing works
Mobile Health Technology Evaluation
Kumar, S., Nilsen, W. J., Abernethy, A., Atienza, A., Patrick, K., Pavel, M., Riley, W. T., Shar, A., Spring, B., Spruijt-Metz, D., et al. (2013) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2013.03.017 · Cited by 900 · see citing works
mHealth for mental health: Integrating smartphone technology in behavioral healthcare.
Luxton, D. D., McCann, R. A., Bush, N. E., Mishkind, M. C., & Reger, G. M. (2011) · Professional Psychology: Research and Practice · doi:10.1037/a0024485 · Cited by 809 · cited 5× · see citing works
“Other issues are client safety (Boschen & Casey, 2008; Luxton et al., 2011), data security and privacy (Bennett, Bennett, & Griffiths, 2010; Luxton et al., 2011) and device or network difficulties (Donker et al., 2013).”
BackgroundInfluentialMohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.03.008 · Cited by 693 · see citing works
Harnessing context sensing to develop a mobile intervention for depression
Burns, M. N., Begale, M., Duffecy, J., Gergle, D., Karr, C. J., Giangrande, E., & Mohr, D. C. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1838 · Cited by 646 · cited 1× · see citing works
“Several studies investigated specific mobile phone interventions for reducing depression (Burns et al., 2011; Kauer et al., 2012; Ly et al., 2014).”
BackgroundThe Smartphone Psychology Manifesto
Miller, G. F. (2012) · Perspectives on Psychological Science · doi:10.1177/1745691612441215 · Cited by 618 · see citing works
Novel Models for Delivering Mental Health Services and Reducing the Burdens of Mental Illness
Kazdin, A. E., & Rabbitt, S. M. (2013) · Clinical Psychological Science · doi:10.1177/2167702612463566 · Cited by 465 · cited 1× · see citing works
“…delivering large scale behavioral health interventions (Cohn, Hunter-Reel, Hagman, & Mitchell, 2011; Derbyshire & Dancey, 2013; Gasser et al., 2006; Kazdin & Rabbitt, 2013; Luxton et al., 2011; Ly, Carlbring, & Andersson, 2012; “mHealth Market,” 2013; “Mobile Applications,” 2012; Ricciardi et al.,…”
Kauer, S. D., Reid, S. C., Crooke, A. H. D., Khor, A., Hearps, S. J. C., Jorm, A. F., Sanci, L., & Patton, G. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1858 · Cited by 404 · see citing works
Current and Future Trends in Internet-Supported Mental Health Interventions
Barak, A., & Grohol, J. M. (2011) · Journal of Technology in Human Services · doi:10.1080/15228835.2011.616939 · Cited by 373 · cited 1× · see citing works
“…indicates the potential of mobile technologies to transform mental health services delivery and address gaps in services (Aguirre, McCoy, & Roan, 2013; Barak & Grohol, 2011; Ben-Zeev et al., 2013; Luxton McCann, Bush, Miskind, & Reger, 2011; Miller, 2012; Morris & Aguilera, 2012; The WHO, 2011).”
BackgroundBen‐Zeev, D., Kaiser, S. M., Brenner, C. J., Begale, M. J., Duffecy, J. L., & Mohr, D. C. (2013) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000019 · Cited by 306 · see citing works
Mobile, social, and wearable computing and the evolution of psychological practice.
Morris, M. E., & Aguilera, A. (2012) · Professional Psychology Research and Practice · doi:10.1037/a0029041 · Cited by 294 · see citing works
A National Action Plan To Support Consumer Engagement Via E-Health
Ricciardi, L., Mostashari, F., Murphy, J., Daniel, J. G., & Siminerio, E. P. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1216 · Cited by 282 · see citing works
Rizvi, S. L., Dimeff, L. A., Skutch, J., Carroll, D., & Linehan, M. M. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.01.003 · Cited by 271 · cited 1× · see citing works
“Rizvi, Dimeff, Skutch, Carroll, and Linehan (2011) researched the DBT Coach app for borderline personality disorder and comorbid substance use disorders.”
BackgroundLy, K. H., Trüschel, A., Jarl, L., Magnusson, S., Windahl, T., Johansson, R., Carlbring, P., & Andersson, G. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-003440 · Cited by 269 · see citing works
Applied statistics: From bivariate through multivariate techniques, 2nd ed.
Warner, R. M. (2013) · Cited by 247 · see citing works
Smartphones as smart pedagogical tools: Implications for smartphones as u-learning devices
Shin, D., Shin, Y.-J., Choo, H., & Beom, K. (2011) · Computers in Human Behavior · doi:10.1016/j.chb.2011.06.017 · Cited by 230 · see citing works
Mindfulness-Based Mobile Applications: Literature Review and Analysis of Current Features
Plaza, I., Demarzo, M., Herrera‐Mercadal, P., & García‐Campayo, J. (2013) · JMIR mhealth and uhealth · doi:10.2196/mhealth.2733 · Cited by 205 · see citing works
Cohn, A. M., Hunter‐Reel, D., Hagman, B. T., & Mitchell, J. N. (2011) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2011.01571.x · Cited by 194 · see citing works
Kristjánsdóttir, Ó. B., Fors, E. A., Eide, E., Finset, A., Stensrud, T. L., van Dulmen, S., Wigers, S. H., & Eide, H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2249 · Cited by 176 · see citing works
Continuous Evaluation of Evolving Behavioral Intervention Technologies
Mohr, D. C., Cheung, K., Schueller, S. M., Brown, C. H., & Duan, N. (2013) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2013.06.006 · Cited by 166 · see citing works
Persuasiveness of a Mobile Lifestyle Coaching Application Using Social Facilitation
Gasser, R., Brodbeck, D., Degen, M., Luthiger, J., Wyss, R., & Reichlin, S. (2006) · Lecture notes in computer science · doi:10.1007/11755494_5 · Cited by 134 · see citing works
The use of mobile telephones as adjuncts to cognitive behavioral psychotherapy.
Boschen, M. J., & Casey, L. M. (2008) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.39.5.546 · Cited by 126 · see citing works
Mental Health Mobile Apps: From Infusion to Diffusion in the Mental Health Social System
East, M. L., & Havard, B. (2015) · JMIR Mental Health · doi:10.2196/mental.3954 · Cited by 115 · see citing works
Self-citationSmartphone Medical Applications for Women’s Health: What Is the Evidence-Base and Feedback?
Derbyshire, E. J., & Dancey, D. (2013) · International Journal of Telemedicine and Applications · doi:10.1155/2013/782074 · Cited by 99 · see citing works
Behavioral Screening Measures Delivered With a Smartphone App
Bush, N. E., Skopp, N. A., Smolenski, D. J., Crumpton, R. M., & Fairall, J. M. (2013) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000039 · Cited by 83 · see citing works
Security Considerations for E-Mental Health Interventions
Bennett, K., Bennett, A. J., & Griffiths, K. M. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1468 · Cited by 81 · see citing works
Lappalainen, P., Kaipainen, K., Lappalainen, R., Hoffrén, H., Myllymäki, T., Kinnunen, M.-L., Mattila, E., Happonen, A. P., Rusko, H., & Korhonen, I. (2013) · JMIR Research Protocols · doi:10.2196/resprot.2389 · Cited by 79 · see citing works
Who Uses Smoking Cessation Apps? A Feasibility Study Across Three Countries via Smartphones
BinDhim, N. F., McGeechan, K., & Trevena, L. J. (2014) · JMIR mhealth and uhealth · doi:10.2196/mhealth.2841 · Cited by 79 · see citing works
Vaccaro, N., & Lambie, G. W. (2007) · Counselor Education and Supervision · doi:10.1002/j.1556-6978.2007.tb00037.x · Cited by 73 · see citing works
Lindsay, M., Messing, J., Thaller, J., Baldwin, A., Clough, A., Bloom, T. L., Eden, K., & Glass, N. (2013) · Journal of Technology in Human Services · doi:10.1080/15228835.2013.861784 · Cited by 65 · see citing works
Ly, K. H., Carlbring, P., & Andersson, G. (2012) · Trials · doi:10.1186/1745-6215-13-62 · Cited by 61 · cited 1× · see citing works
“…large scale behavioral health interventions (Cohn, Hunter-Reel, Hagman, & Mitchell, 2011; Derbyshire & Dancey, 2013; Gasser et al., 2006; Kazdin & Rabbitt, 2013; Luxton et al., 2011; Ly, Carlbring, & Andersson, 2012; “mHealth Market,” 2013; “Mobile Applications,” 2012; Ricciardi et al., 2013).”
Development Guidelines from a Study of Suicide Prevention Mobile Applications (Apps)
Praetorius, R. T., McCoy, M. K., & Roan, M. (2013) · Journal of Technology in Human Services · doi:10.1080/15228835.2013.814750 · Cited by 53 · see citing works
Chapman, R. A., Baker, S. B., Nassar‐McMillan, S. C., & Gerler, E. R. (2011) · Counselor Education and Supervision · doi:10.1002/j.1556-6978.2011.tb01917.x · Cited by 52 · see citing works
Clinician Perceptions of Using a Smartphone App with Prolonged Exposure Therapy
Kuhn, E., Eftekhari, A., Hoffman, J. E., Crowley, J. J., Ramsey, K. M., Reger, G. M., & Ruzek, J. I. (2014) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0532-2 · Cited by 50 · see citing works
Alhusen, J. L., Bloom, T. L., Clough, A., & Glass, N. (2015) · Journal of Technology in Human Services · doi:10.1080/15228835.2015.1037414 · Cited by 47 · see citing works
Video Journaling as a Method of Reflective Practice
Parikh, S. B., Janson, C., & Singleton, T. (2012) · Counselor Education and Supervision · doi:10.1002/j.1556-6978.2012.00003.x · Cited by 47 · see citing works
Poucke, S. V., Thomeer, M., Heath, J., & Vukičević, M. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5549 · Cited by 47 · see citing works
Usability and Feasibility of Smartphone Video Capabilities for Telehealth Care in the U.S. Military
Luxton, D. D., Mishkind, M. C., Crumpton, R. M., Ayers, T., & Mysliwiec, V. (2012) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2011.0219 · Cited by 45 · see citing works
Alcohol Assessment Among College Students Using Wireless Mobile Technology
Bernhardt, J. M., Usdan, S., Mays, D. M., Martin, R. J., Cremeens, J. L., & Arriola, K. J. (2009) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2009.70.771 · Cited by 34 · see citing works
What Adolescents Can Tell Us: Technology and the Future of Social Work Education
Ahmedani, B. K., Harold, R. D., Fitton, V. A., & Gibson, E. D. S. (2010) · Social Work Education · doi:10.1080/02615479.2010.504767 · Cited by 25 · see citing works
Burns, M. N., Montague, E., & Mohr, D. C. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2826 · Cited by 24 · see citing works
easyHealthApps: e-Health Apps Dynamic Generation for Smartphones & Tablets
Paschou, M., Sakkopoulos, E., & Tsakalidis, A. K. (2013) · Journal of Medical Systems · doi:10.1007/s10916-013-9951-6 · Cited by 22 · see citing works
A Conceptual Framework for Contextualizing Information Technology Competencies
Quinn, A. S., & Fitch, D. (2014) · Journal of Technology in Human Services · doi:10.1080/15228835.2013.860367 · Cited by 12 · see citing works
Technology-Enhanced Counselor Training: Essential Technical Competencies
Chandras, K. V. (2000) · Journal of instructional psychology · Cited by 11 · see citing works
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BackgroundConnected Mental Health: Systematic Mapping Study
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- Authors
- East, M. L., Havard, B., & Hastings, N. B.
- Affiliations
- University of West Florida (US)
- Corresponding author
- East, Marlene L.
- Venue
- Journal of Technology in Human Services
- Publisher
- Informa UK Limited
- Published
- 2016-10
- Volume
- 34
- Issue
- 4
- Pages
- 301-325
- ISSN
- 0740-445X (ISSN-L)
- 1522-8835
- 1522-8991
- OpenAlex
- W2535615232
- Cited by
- 7
- References
- 56
- Citations by year
- 2023: 2 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Technology in Human Services (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Keywords
- counselor educators, technology acceptance, UTAUT, diffusion of innovations, behavioral intention, ethical considerations, technological competence, graduate counseling education, app evaluation
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