Understanding the acceptability of e-mental health - attitudes and expectations towards computerised self-help treatments for mental health problems

BMC Psychiatry

Nicholas Tarrier¹  Philip Goldstone¹  Peter Musiat¹ 

[1]King’s College London, Institute of Psychiatry, De Crespigny Park, PO-Box 077, London SE5 8AF, UK

关键词: Mental health;    Smartphones;    Internet;    Computerised CBT;    M-health;    E-mental health;   

Others  :  1123643
DOI  :  10.1186/1471-244X-14-109

 received in 2013-11-18, accepted in 2014-04-01,  发布年份 2014

【 摘 要 】

Background

E-mental health and m-mental health include the use of technology in the prevention, treatment and aftercare of mental health problems. With the economical pressure on mental health services increasing, e-mental health and m-mental health could bridge treatment gaps, reduce waiting times for patients and deliver interventions at lower costs. However, despite the existence of numerous effective interventions, the transition of computerised interventions into care is slow. The aim of the present study was to investigate the acceptability of e-mental health and m-mental health in the general population.

Methods

An advisory group of service users identified dimensions that potentially influence an individual’s decision to engage with a particular treatment for mental health problems. A large sample (N = 490) recruited through email, flyers and social media was asked to rate the acceptability of different treatment options for mental health problems on these domains. Results were analysed using repeated measures MANOVA.

Results

Participants rated the perceived helpfulness of an intervention, the ability to motivate users, intervention credibility, and immediate access without waiting time as most important dimensions with regard to engaging with a treatment for mental health problems. Participants expected face-to-face therapy to meet their needs on most of these dimensions. Computerised treatments and smartphone applications for mental health were reported to not meet participants’ expectations on most domains. However, these interventions scored higher than face-to-face treatments on domains associated with the convenience of access. Overall, participants reported a very low likelihood of using computerised treatments for mental health in the future.

Conclusions

Individuals in this study expressed negative views about computerised self-help intervention and low likelihood of use in the future. To improve the implementation and uptake, policy makers need to improve the public perception of such interventions.

【 授权许可】

   
2014 Musiat et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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