Abstract
IntroductionPersonal technology (e.g., smartphones, wearable health devices) has been leveraged extensively for mental health purposes, with upwards of 20,000 mobile applications on the market today and has been considered an important implementation strategy to overcome barriers many people face in accessing mental health care. The main question yet to be addressed is the role consumers feel technology should play in their care. One underserved demographic often ignored in this discussion are people over the age of 60. The population of adults 60 and older is predicted to double by 2,050 signaling a need to address how older adults view technology for their mental health care.ObjectiveThe objective of this study is to better understand why digital mental health tools are not as broadly adopted as predicted, what role people with lived mental health experience feel technology should play in their care and how those results compare across age groups.MethodIn a mixed-methods approach, we analyzed results from a one-time cross-sectional survey that included 998 adults aged 18–83 with lived experience of mental health concerns recruited from Prolific, an online research platform. We surveyed participant's use of technology including their perspectives on using technology in conjunction with their mental health care. We asked participants about their previous use of digital mental health tools, their treatment preferences for mental health care, and the role technology should play in their mental health care.ResultsAcross all age groups, respondents had favorable views of using digital mental health for managing mental health care. However, older adults rated their acceptability of digital mental health tools lower than middle-aged and younger adults. When asked what role technology should play in mental health care in an open-ended response, most participants responded that technology should play a complementary role in mental health care (723/954, 75.8%).ConclusionDigital mental health is seen as a valuable care management tool across all age groups, but preferences for its role in care remain largely administrative and supportive. Future development of digital mental health should reflect these preferences.
Highlights
Personal technology has been leveraged extensively for mental health purposes, with upwards of 20,000 mobile applications on the market today and has been considered an important implementation strategy to overcome barriers many people face in accessing mental health care
Older adults were more likely to have received help in the past for stress or mental health issues (χ22 = 11.3, p = 0.0035) while no differences emerged for current mental health treatment use or past lived experience across groups
Among those who have considered using an app for their mental health, about a third (115/334, 34.4%) indicated that they have downloaded a mental health app, with no differences by age found
Summary
Personal technology (e.g., smartphones, wearable health devices) has been leveraged extensively for mental health purposes, with upwards of 20,000 mobile applications on the market today and has been considered an important implementation strategy to overcome barriers many people face in accessing mental health care. The population of adults 60 and older is predicted to double by 2,050 signaling a need to address how older adults view technology for their mental health care. There is no question that access to mental health services in the US is difficult; 58% of people with mental illness never receive treatment [1]. Decades of research has shown that poor access is due to several factors, from the stigma people experience when they ask for help to the fact that there are severe mental health provider shortage areas in rural areas or urban poverty areas [2]. Even in high provider density areas, older adults remain sorely underserved because too few mental health providers are credentialed in geriatric mental health [3], and few providers accept Medicaid or Medicare [4]. Access to mental health care in this demographic is important to address
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