Evidence map›Paper›PMID 31916181›Full record

ArticleCulture, medicine and psychiatry2020

Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study.

A Bhat, B Ramakrishna Goud, J R Pradeep, G Jayaram, R Radhakrishnan, K Srinivasan

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Article in Culture, medicine and psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
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

13 citing papers in PubMed, 18 citations in OpenAlex.

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  13. Temple-healing in South India.Indian journal of psychiatry
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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

6 authors at 4 institutions in 2 countries.

A BhatDepartment of Psychiatry and Behavioral Sciences, University of Washington, NE Pacific Street, 1959, Seattle, WA, 98052, USA. amritha@uw.edu.ORCID http://orcid.org/0000-0002-9284-0650
B Ramakrishna GoudDepartment of Community Health, St John's Medical College, Bengaluru, India.
J R PradeepDepartment of Psychiatry, St John's Medical College Hospital, Bengaluru, India.
G JayaramDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
R RadhakrishnanDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
K SrinivasanDepartment of Psychiatry, St John's Medical College Hospital, Bengaluru, India.
St.John's Medical College Hospital · INJohns Hopkins University · USSeattle Pacific University · USYale University · US

Funding

Rotary Foundation Howard WestRotary Foundation the Rotary Clubs of Bangalore, MidtownYale University Yale Global Mental Health program
6 · The paper itself

Abstract

Major Depressive Disorder (MDD) is associated with low rates of treatment and medication non-adherence, more so in low- and middle-income countries (LMICs). Mobile mental health (mHealth) interventions offer promise as a tool to address these problems. However, the feasibility and acceptability of mHealth interventions among rural women in LMICs is unknown. We examined barriers to accessing mental health treatment, reasons for non-adherence, and attitudes towards mHealth solutions among women with MDD in rural south India. Six focus groups were conducted among women with MDD (n = 69) who had been in treatment at a rural community health center. The discussion was transcribed and analyzed using a modified grounded-theory approach. Women perceived limited autonomy within their family structure, and experienced financial and systemic barriers as contributing to poor treatment access and non-adherence. Illiteracy, limited personal access to mobile phones, and preference for in-person clinical consultation were identified as barriers to use of mHealth. This is the first qualitative study, to our knowledge, that examines attitude towards mHealth among women with MDD in a rural setting in India. The study identified contextual barriers that will be important to address before implementing mHealth interventions.

Indexed as

Cell PhoneHealth Services AccessibilityAdultAgedAged, 80 and overCommunity Mental Health ServicesFemaleFocus GroupsHumansIndiaMajor Depressive DisorderMiddle AgedPovertyQualitative ResearchRural PopulationTelemedicineDepressionGlobal mental healthMobile mental healthNon-adherenceQualitative study

Identifiers

PMID31916181
OpenAlexW3000543932

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.