Evidence map›Paper›PMID 30698535›Full record

ArticleJMIR mHealth and uHealth2019

Barriers to and Facilitators of Engagement With mHealth Technology for Remote Measurement and Management of Depression: Qualitative Analysis.

Sara Simblett, Faith Matcham, Sara Siddi, Viola Bulgari, Chiara Barattieri di San Pietro, Jorge Hortas López, José Ferrão, Ashley Polhemus, Josep Maria Haro, Giovanni de Girolamo and 5 more

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sara SimblettInstitute of Psychology, Psychiatry and Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0002-8075-8238
Faith MatchamInstitute of Psychology, Psychiatry and Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0002-4055-904X
Sara SiddiParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Centro de Investigacion Biomedica en Red CIBERSAM, Madrid, Spain.ORCID 0000-0002-1494-9028
Viola BulgariIRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.ORCID 0000-0003-3956-1190
Chiara Barattieri di San PietroIRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.ORCID 0000-0003-4407-7037
Jorge Hortas LópezResearch Department, QITERIA Investigación Social Aplicada, Madrid, Spain.ORCID 0000-0002-7728-2486
José FerrãoInformation Technology Department, MSD Czech Republic, Prague, Czech Republic.ORCID 0000-0003-1001-1451
Ashley PolhemusInformation Technology Department, MSD Czech Republic, Prague, Czech Republic.ORCID 0000-0002-5056-5785
Josep Maria HaroParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Centro de Investigacion Biomedica en Red CIBERSAM, Madrid, Spain.ORCID 0000-0002-3984-277X
Giovanni de GirolamoIRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.ORCID 0000-0002-1611-8324
Peter GambleInformation Technology Department, MSD Czech Republic, Prague, Czech Republic.ORCID 0000-0003-1851-6681
Hans ErikssonClinical Development, Depression and Paediatrics, H Lundbeck A/S, Copenhagen, Denmark.ORCID 0000-0002-1799-289X
Matthew HotopfInstitute of Psychology, Psychiatry and Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0002-3980-4466
Til WykesInstitute of Psychology, Psychiatry and Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0002-5881-8003
RADAR-CNS Consortium *

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile technology has the potential to provide accurate, impactful data on the symptoms of depression, which could improve health management or assist in early detection of relapse. However, for this potential to be achieved, it is essential that patients engage with the technology. Although many barriers to and facilitators of the use of this technology are common across therapeutic areas and technology types, many may be specific to cultural and health contexts.

objectiveThis study aimed to determine the potential barriers to and facilitators of engagement with mobile health (mHealth) technology for remote measurement and management of depression across three Western European countries.

methodsParticipants (N=25; 4:1 ratio of women to men; age range, 25-73 years) who experienced depression participated in five focus groups held in three countries (two in the United Kingdom, two in Spain, and one in Italy). The focus groups investigated the potential barriers to and facilitators of the use of mHealth technology. A systematic thematic analysis was used to extract themes and subthemes.

resultsFacilitators and barriers were categorized as health-related factors, user-related factors, and technology-related factors. A total of 58 subthemes of specific barriers and facilitators or moderators emerged. A core group of themes including motivation, potential impact on mood and anxiety, aspects of inconvenience, and ease of use was noted across all countries.

conclusionsSimilarities in the barriers to and facilitators of the use of mHealth technology have been observed across Spain, Italy, and the United Kingdom. These themes provide guidance on ways to promote the design of feasible and acceptable cross-cultural mHealth tools.

Indexed as

AdultAgedDepressionFemaleFocus GroupsHumansItalyMaleMiddle AgedPatient ParticipationQualitative ResearchSpainTelemedicineUnited KingdomacceptabilitybarriersdepressionfacilitatorsfeasibilitymHealthqualitative

Identifiers

PMID30698535
PMCPMC6372936

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.