Abstract
BackgroundWith the rapid development of information technology and mobile devices, an increasing number of mobile medical services and platforms have emerged. However, China’s current mental health situation necessitates further discussion and research on how to provide more patient-centered services in the face of many challenges and opportunities.ObjectiveThis study aims to explore the attitudes and preferences of mental health service stakeholders regarding mobile mental health services and discuss the challenges and opportunities faced by mobile technology developers in China.MethodsA web-based survey was conducted by following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) checklist. A total of 586 valid questionnaires were collected. Respondents included 184 patients or their family members, 225 mental health professionals, and 177 people from the general population. Data analysis was completed using SPSS 24.0.ResultsAmong the various problems perceived regarding the current mental health medical environment, difficulty in finding appropriate psychologists and limited visit times ranked highest. Social media (n=380/586, 64.9%) was the most preferred platform among all participants, whereas professionals showed a higher preference for smartphone apps (n=169/225, 75.1%). Professional instruction, psychological consultation, and mental health education (ranked top 3) were the most commonly identified needs. Mental health professionals generally emphasized more on treatment-related mobile mental health service needs, especially medication reminders (χ22=70.7; P<.001), symptom monitoring (χ22=24.0; P<.001), and access to mental health resources (χ22=38.6; P<.001). However, patients and their family members focused more on convenient web-based prescriptions (χ22=7.7; P=.02), with the general population interested in web-based psychological consultation (χ22=23.1; P<.001) and mental health knowledge (χ22=9.1; P=.01). Almost half of the participants regarded mobile mental health services as highly acceptable or supported their use, but less than 30% of participants thought mobile mental health services might be very helpful. Concerns about mobile mental health mainly focused on information security. Service receivers also suspected the quality and professionalism of content, and mental health professionals were worried about time and energy consumption as well as medical safety.ConclusionsIn terms of service flow, mobile services could be used to expand service time and improve efficiency before and after diagnosis. More individualized mobile mental health service content in more acceptable forms should be developed to meet the various needs of different mental health stakeholders. Multidisciplinary training and communication could be incorporated to facilitate the integration and cooperation of more well-rounded service teams. A standard medical record system and data format would better promote the development of future intelligent medical care. Issues such as ensuring service quality, solving safety risks, and better integrating mobile services with regular medical workflows also need to be addressed.
Highlights
BackgroundOf the 1.39 billion people in China, more than 16 million are affected by severe mental disorders [1]
More individualized mobile mental health service content in more acceptable forms should be developed to meet the various needs of different mental health stakeholders
The content of the questionnaire was designed based on existing mobile mental health services in China and the designers’ clinical experience, which consisted of 3 parts: (1) demographic characteristics, including gender, age, marital status, education, and economic status of the patients, family members, and the general population; mental illnesses that the patients, family members, and the general population focus on or are interested in; sex, age, and job title of mental health professionals; mobile device usage frequency and attitude toward current mental health services for all participants; (2) preference for web-based service platforms and service categories; and (3) perceived acceptance https://mhealth.jmir.org/2020/7/e16215
Summary
BackgroundOf the 1.39 billion people in China, more than 16 million are affected by severe mental disorders [1]. The number of people who require professional intervention for any mental disorder is even higher, estimated at 230 million [1], that is, approximately 1 in 8 people in China have psychological problems and would likely benefit from psychological counseling. The mental health system in China is facing many challenges, such as a low service utilization rate, unevaluated treatment effectiveness, limited access, and unbalanced allocation of resources [2]. The worldwide emergence of mobile apps in the field of mental health can be divided into 4 categories: evaluation, tracking or monitoring, treatment, and multitargets [4]. More research is needed to promote the formulation of standards and suggestions for better mobile mental health services, especially in the large untapped market of China. China’s current mental health situation necessitates further discussion and research on how to provide more patient-centered services in the face of many challenges and opportunities
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