Self-Directed Engagement with a Mobile App (Sinasprite) and Its Effects on Confidence in Coping Skills, Depression, and Anxiety: Retrospective Longitudinal Study
| Autor: | Armando Silva Almodovar, David R. Axon, David Cooper, Milap C. Nahata, Swatee Surve |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Coping (psychology)
Longitudinal study 020205 medical informatics Referral Health Informatics Information technology 02 engineering and technology 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering medicine longitudinal studies 030212 general & internal medicine Medical prescription mobile apps Original Paper business.industry anxiety T58.5-58.64 medicine.disease Mental health Patient Health Questionnaire retrospective studies depression Anxiety Public aspects of medicine RA1-1270 medicine.symptom business mental health Anxiety disorder Clinical psychology |
| Zdroj: | JMIR mHealth and uHealth, Vol 6, Iss 3, p e64 (2018) JMIR mHealth and uHealth |
| ISSN: | 2291-5222 |
| DOI: | 10.2196/mhealth.9612 |
| Popis: | BackgroundInadequacies in mental health care coverage remain an enormous problem in the United States. Barriers include scarcity of accessible mental health care professionals. Use of a mental health mobile app incorporating social cognitive theory may help improve confidence in coping skills and improve anxiety and depression. Sinasprite is a mobile app that recruited users via self-referral and clinician referral. Users completed questionnaires to obtain demographic and medical histories. At baseline and 6-week follow-up, users completed the Patient Health Questionnaire 8 (PHQ-8), General Anxiety Disorder 7-Item (GAD-7), and the Coping Self-Efficacy Scale (CSE). It is unknown how self-directed use of a mobile app improves confidence in coping skills and its effects on self-reported depression and anxiety. ObjectiveThe objective of this study was to evaluate the Sinasprite database to assess self-directed engagement and how use of this mobile app impacted self-reported confidence in coping skills and severity of depression and anxiety. MethodsThis retrospective longitudinal study involved users recruited via clinician referral and self-referral through social media and news media. Questionnaires were used to record demographic, medical, and prescription medication histories. Mental health status was assessed via PHQ-8, GAD-7, and CSE questionnaires. A deidentified dataset reporting mobile app use data was provided to investigators. Individuals with verifiable usage data and at least one completed questionnaire at 6 weeks of use were included. Mann–Whitney U and Kruskal-Wallis tests were used to assess whether demographic data and psychotherapy were related to baseline questionnaire scores and usage. A Spearman rho (ρ) test was used to assess the relationship between improvement in the CSE and GAD-7 and PHQ-8 questionnaires. Changes in mental health status were assessed using Wilcoxon signed-rank test. A mixed-effects repeated-measures linear regression model assessed the main effects of time, concomitant counseling, and psychotropic prescription medication use on mental health status. ResultsThirty-four users were eligible for inclusion in the analysis. Users were predominantly female, white, married, and college educated. At baseline, 35% (12/34) of respondents reported the use of individual/group counseling, and 38% (19/34) reported using prescription medications for their mental health. The median user completed 5.7 (interquartile range 2.7-14.1) trackable activities per week. Statistically significant improvements using a Wilcoxon signed-ranked test were observed in the PHQ-8 (P |
| Databáze: | OpenAIRE |
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