Community Attitudes to the Appropriation of Mobile Phones for Monitoring and Managing Depression, Anxiety, and Stress
Open accessAbstract
BACKGROUND: The benefits of self-monitoring on symptom severity, coping, and quality of life have been amply demonstrated. However, paper and pencil self-monitoring can be cumbersome and subject to biases associated with retrospective recall, while computer-based monitoring can be inconvenient in that it relies on users being at their computer at scheduled monitoring times. As a result, nonadherence in self-monitoring is common. Mobile phones offer an alternative. Their take-up has reached saturation point in most developed countries and is increasing in developing countries; they are carried on the person, they are usually turned on, and functionality is continually improving. Currently, however, public conceptions of mobile phones focus on their use as tools for communication and social identity. Community attitudes toward using mobile phones for mental health monitoring and self-management are not known. OBJECTIVE: The objective was to explore community attitudes toward the appropriation of mobile phones for mental health monitoring and management. METHODS: We held community consultations in Australia consisting of an online survey (n = 525), focus group discussions (n = 47), and interviews (n = 20). RESULTS: Respondents used their mobile phones daily and predominantly for communication purposes. Of those who completed the online survey, the majority (399/525 or 76%) reported that they would be interested in using their mobile phone for mental health monitoring and self-management if the service were free. Of the 455 participants who owned a mobile phone or PDA, there were no significant differences between those who expressed interest in the use of mobile phones for this purpose and those who did not by gender (χ2(1), = 0.98, P = .32, phi = .05), age group (χ2(4), = 1.95, P = .75, phi = .06), employment status (χ2(2), = 2.74, P = .25, phi = .08) or marital status (χ2(4), = 4.62, P = .33, phi = .10). However, the presence of current symptoms of depression, anxiety, or stress affected interest in such a program in that those with symptoms were more interested (χ(2) (1), = 16.67, P < .001, phi = .19). Reasons given for interest in using a mobile phone program were that it would be convenient, counteract isolation, and help identify triggers to mood states. Reasons given for lack of interest included not liking to use a mobile phone or technology, concerns that it would be too intrusive or that privacy would be lacking, and not seeing the need. Design features considered to be key by participants were enhanced privacy and security functions including user name and password, ease of use, the provision of reminders, and the availability of clear feedback. CONCLUSIONS: Community attitudes toward the appropriation of mobile phones for the monitoring and self-management of depression, anxiety, and stress appear to be positive as long as privacy and security provisions are assured, the program is intuitive and easy to use, and the feedback is clear.
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Most adolescents indicated that they would use an app to screen for emotional problems and treatment if available.
“Indeed, most adolescents indicated that they would use an app to screen for emotional problems and treatment if available [20].”
From A Smartphone Serious Game for Adolescents (Grow It! App): Development, Feasibility, and Acceptance Study (2022) · cites this paper as [20]
The Results (Attitudes Toward Using a Mobile Phone for Mood Monitoring and Self-help; page unavailable) report that 76% of survey respondents were interested in a mobile-phone program to monitor and manage mood, anxiety, or health. But the Methods specify that the target population was Australian adults over 18, not adolescents, and the reported interest was in monitoring and self-management rather than screening for emotional problems and treatment. (LLM, conf=0.90)
Experimental — accuracy not yet measuredSecurity is considered by many to be "paramount and drive all other considerations" when designing interventions.
“Security is considered by many to be “paramount and drive all other considerations” when designing interventions [14,23,32].”
From Acceptability of Mental Health Apps for Aboriginal and Torres Strait Islander Australians: A Qualitative Study (2016) · cites this paper as [32]
Socially connected mobile technology can encourage people to reach out to each other and build communities.
“Socially connected mobile technology can encourage people to reach out to each other and build communities [52-55].”
From Theory-Based Design and Development of a Socially Connected, Gamified Mobile App for Men About Breastfeeding (Milk Man) (2016) · cites this paper as [55]
One study found no significant effect of age or baseline distress on adherence to an online intervention for breast cancer survivors.
“one recent exception found no significant effect of age or baseline distress on adherence, but found user perceptions of usefulness, user-friendliness, and overall satisfaction predicted higher adherence to an online intervention for breast cancer survivors [28]”
From Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake (2017) · cites this paper as [28]
User perceptions of usefulness, user-friendliness, and overall satisfaction predicted higher adherence to an online intervention for breast cancer survivors.
“one recent exception found no significant effect of age or baseline distress on adherence, but found user perceptions of usefulness, user-friendliness, and overall satisfaction predicted higher adherence to an online intervention for breast cancer survivors [28]”
From Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake (2017) · cites this paper as [28]
This adherence compares favourably with other online psychological interventions for cancer survivors, for example, one trial found 'continuous' usage to be 44.3%, with all weeks of the intervention logged in to by less than 10% of participants.
“compares favourably with other online psychological interventions for cancer survivors, for example, one trial found 'continuous' usage to be 44.3%, with all weeks of the intervention logged in to by less than 10% of participants [28].”
From Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake (2017) · cites this paper as [28]
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- Authors
- Proudfoot, J., Parker, G., Hadzi Pavlovic, D., Manicavasagar, V., Adler, E., & Whitton, A.
- Affiliations
- UNSW Sydney (AU)
- Black Dog Institute (AU)
- Corresponding author
- Proudfoot, Judith
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2010-12-19
- Volume
- 12
- Issue
- 5
- Pages
- e64
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC3057321
- OpenAlex
- W1996685790
- Cited by
- 274
- References
- 15
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 13 · 2023: 23 · 2022: 23 · 2021: 24 · 2020: 21 · 2019: 29 · 2018: 28 · 2017: 16 · 2016: 25 · 2015: 21 · 2014: 15 · 2013: 12 · 2012: 6
- FWCI
- 11.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Australian Government
- Medical Research Council
- National Health and Medical Research Council (510135)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- phones, depression, anxiety, stress, self-monitoring, self-management, community attitudes, mobile health, mental health service utilization, technology adoption barriers, social stigma, privacy concerns, community consultation, South America, Pacific Islands
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Attitude to Health, Australia, Depression, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Concept, Stress, Psychological, Monitoring, Ambulatory, Privacy, Cell Phone, Young Adult
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