Mobile Health Adoption in Mental Health: User Experience of a Mobile Health App for Patients With an Eating Disorder
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Abstract
BACKGROUND: Despite the worldwide growth in mobile health (mHealth) tools and the possible benefits for both patients and health care providers, the overall adoption levels of mHealth tools by health professionals remain relatively low. OBJECTIVE: This study aimed (1) to investigate attitudes of health care providers and mHealth experts toward mHealth tools in the health context in general, and this study aimed (2) to test the acceptability and feasibility of a specific mHealth tool for patients with an eating disorder (ED), called TCApp, among patients and ED specialists. METHODS: To this purpose, we conducted an explorative qualitative study with 4 in-depth group discussions with several groups of stakeholders: our first focus group was conducted with 11 experts on mHealth from the Catalan Association of Health Entities; the second focus group included 10 health care professionals from the Spanish College of Doctors of Barcelona; the third focus group involved 9 patients with an ED who had used the TCApp over a 12-week period, and the fourth and last focus group involved 8 ED specialists who had monitored such ED patients on the Web. RESULTS: The focus groups showed that health care providers and mHealth experts reported barriers for mHealth adoption more often than facilitators, indicating that mHealth techniques are difficult to obtain and use. Most barriers were attributed to external factors relating to the human or organizational environment (ie, lack of time because of workload, lack of direct interest on a legislative or political level) rather than being attributed to internal factors relating to individual obstacles. The results of the mHealth intervention study indicate that the TCApp was considered as easy to use and useful, although patients and the ED specialists monitoring them on the Web reported different adoption problems, such as the inability to personalize the app, a lack of motivational and interactive components, or difficulties in adhering to the study protocol. CONCLUSIONS: In general, this paper indicates that both health professionals and patients foresee difficulties that need to be addressed before comprehensive adoption and usage of mHealth techniques can be effectively implemented. Such findings are in line with previous studies, suggesting that although they acknowledge their possible benefits and cost-effectiveness, health care providers are quite resistant and conservative about integrating mHealth technologies in their daily practice.
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Perceived fit is facilitated by the ability to customize or personalize the intervention.
“and the ability to customize or personalize the intervention [30,46,83,84,122,134,135,138,158-165].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [135]
Other implementation factors were administrative barriers and barriers related to the organization in which the intervention was or would be implemented.
“Other implementation factors were administrative barriers [42,118,129,211] and barriers related to the organization in which the intervention was or would be implemented [118,122,135].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [135]
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- Authors
- Anastasiadou, D., Folkvord, F., Serrano-Troncoso, E., & Lupiañez-Villanueva, F.
- Affiliations
- Universitat Oberta de Catalunya (ES)
- Corresponding author
- Anastasiadou, Dimitra
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2019-05-31
- Volume
- 7
- Issue
- 6
- Pages
- e12920
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC6592393
- OpenAlex
- W2940737227
- Cited by
- 75
- References
- 50
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 13 · 2023: 13 · 2022: 17 · 2021: 11 · 2020: 9
- FWCI
- 12.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- O2 - Repositori Institucional (Universitat Oberta de Catalunya) (publishedVersion, cc-by)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
- Keywords
- mobile health adoption, eating disorders, user experience, clinician attitudes, patient adherence
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Female, Humans, Male, Mental Health Services, Spain, Focus Groups, Telemedicine, Qualitative Research, Mobile Applications
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