Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress.
Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress.
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DOI：
10.2196/jmir.1475
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发表时间：
2010-12-19
影响因子：
7.4
通讯作者：
Whitton A
中科院分区：
文献类型：
--
作者：
Proudfoot J;Parker G;Hadzi Pavlovic D;Manicavasagar V;Adler E;Whitton A
自我监测在症状严重程度、应对和生活质量方面的益处已得到充分证明。然而，纸和铅笔的自我监测可能很麻烦，而且容易受到与回顾性召回相关的偏见的影响，而基于计算机的监测可能不方便，因为它依赖于用户在预定的监测时间坐在电脑前。因此，不遵守自我监督是很常见的。手机提供了另一种选择。它们在大多数发达国家已达到饱和点，在发展中国家正在增加；它们是由人携带的，它们通常是开启的，并且功能在不断改进。然而，目前公众对手机的概念主要集中在它们作为交流和社会身份的工具。社区对使用移动电话进行心理健康监测和自我管理的态度尚不清楚。目的是探讨社区对将移动电话用于心理健康监测和管理的态度。我们在澳大利亚进行了社区咨询，包括在线调查（n = 525）、焦点小组讨论（n = 47）和访谈（n = 20）。受访者每天使用手机，主要用于通讯目的。在完成在线调查的人中，大多数人（399/525或76%）报告说，如果这项服务是免费的，他们将有兴趣使用手机进行心理健康监测和自我管理。在455名拥有手机或PDA的参与者中，在性别（χ21, = 0.98, P = 0.32, phi = 0.05）、年龄组（χ24, = 1.95, P = 0.75, phi = 0.06）、就业状况（χ22, = 2.74, P = 0.25, phi = 0.08）或婚姻状况（χ24, = 4.62, P = 0.33, phi = 0.10）方面，表示有兴趣使用手机的人与没有兴趣使用手机的人之间没有显著差异。然而，当前抑郁、焦虑或压力症状的存在影响了人们对该计划的兴趣，有症状的人更感兴趣（χ 21, = 16.67, P < 0.001, phi = 0.19）。人们对使用手机程序感兴趣的原因是，它很方便，可以消除孤独感，并有助于识别情绪状态的触发因素。缺乏兴趣的原因包括不喜欢使用手机或技术，担心它会过于侵入或缺乏隐私，以及没有看到这种需求。参与者认为关键的设计特征是增强的隐私和安全功能，包括用户名和密码、易用性、提醒的提供以及明确反馈的可用性。只要隐私和安全条款得到保证，程序直观易用，反馈明确，社区对使用手机监测和自我管理抑郁、焦虑和压力的态度似乎是积极的。
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. The objective was to explore community attitudes toward the appropriation of mobile phones for mental health monitoring and management. We held community consultations in Australia consisting of an online survey (n = 525), focus group discussions (n = 47), and interviews (n = 20). 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 (χ21, = 0.98, P = .32, phi = .05), age group (χ24, = 1.95, P = .75, phi = .06), employment status (χ22, = 2.74, P = .25, phi = .08) or marital status (χ24, = 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 (χ2 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. 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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DOI：
10.1016/j.pcrj.2006.03.001
发表时间：
2006-08-01
期刊：
Primary care respiratory journal : journal of the General Practice Airways Group
影响因子：
--
作者：
Pinnock, Hilary;Slack, Roger;Sheikh, Aziz
通讯作者：
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影响因子：
6.3
作者：
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通讯作者：
Couper, Mick
影响因子：
7.4
作者：
Sorbi, Marjolijn J.;Mak, Sander B.;van Doornen, Lorenz J. P.
通讯作者：
van Doornen, Lorenz J. P.
影响因子：
7.4
作者：
Whittaker, Robyn;Maddison, Ralph;Rodgers, Anthony
通讯作者：
Rodgers, Anthony
影响因子：
2.3
作者：
Collins, RL;Kashdan, TB;Gollnisch, G
通讯作者：
Gollnisch, G