Evidence map›Paper›PMID 41130588›Full record

ArticleJMIR mHealth and uHealth2025

Requirements and Concerns of Individuals Remitted From Depression for an Early Relapse Detection mHealth App: Focus Group Study.

Tina Coenen, Matthias Maerevoet, Stephanie Chen, Mathias De Brouwer, Sofie Van Hoecke, Ernst Hw Koster, Mariek Mp Vanden Abeele, Klaas Bombeke

Abstract read
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Article in JMIR mHealth and uHealth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Tina Coenenimec-mict-UGent, Department of Communication Sciences, Ghent University, Ghent, Belgium.ORCID 0009-0003-1691-9345
Matthias MaerevoetDepartment of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.ORCID 0009-0005-1855-1040
Stephanie ChenIDLab, Ghent University - imec, Ghent, Belgium.ORCID 0000-0001-8394-6472
Mathias De BrouwerIDLab, Ghent University - imec, Ghent, Belgium.ORCID 0000-0001-8769-6861
Sofie Van HoeckeIDLab, Ghent University - imec, Ghent, Belgium.ORCID 0000-0002-7865-6793
Ernst Hw KosterDepartment of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.ORCID 0000-0003-0792-476X
Mariek Mp Vanden Abeeleimec-mict-UGent, Department of Communication Sciences, Ghent University, Ghent, Belgium.ORCID 0000-0003-1806-6991
Klaas Bombekeimec-mict-UGent, Department of Communication Sciences, Ghent University, Ghent, Belgium.ORCID 0000-0003-2056-1246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depressive disorder is often a recurrent condition, with a high risk of relapse for individuals remitted from depression. Early detection of relapse is critical to improve clinical outcomes. Mobile health (mHealth) technologies offer new opportunities for real-time monitoring and prevention of relapse, if the user requirements of the target population are effectively implemented.

objectiveThis study investigated the requirements and concerns of individuals remitted from depression for an mHealth app aimed at monitoring depressive symptoms and detecting early signs of relapse through integrating both active ecological momentary assessment data and passive data from the user's smartphone and smartwatch.

methodsThree focus group discussions were conducted with 17 participants remitted from depression. Before the focus group, participants had gained some experience with an in-house designed ecological momentary assessment monitoring app, prompting questions regarding their mood multiple times throughout the day. During the focus groups, feedback and insights were gathered on participants' expectations, requirements, concerns, and attitudes toward a depression monitoring app. A thematic analysis was performed to identify recurring themes and subthemes, shedding light on the desired user experience and functionalities.

resultsWe identified 5 main themes. Participants highlighted (1) a need for customization settings, particularly in terms of data collection and sharing, and frequency of self-assessments. They also valued (2) positivity in the app's design through positive reinforcement and journaling features. Additionally, participants emphasized (3) interventions to be the main motivator for adoption and long-term usage. More specifically, they wanted the app to foster self-awareness, self-reflection, and insights, and to offer support during deteriorations in mental health. Furthermore, participants deemed (4) transparency in data use and machine learning predictions to be essential for building trust. Participants required these functionalities to bear (5) the user burdens of self-monitoring. Key concerns were for passive monitoring to cause a privacy burden and for active monitoring to raise an emotional burden.

conclusionsConsidering the vulnerability of potential users, the design of an mHealth app for early depression relapse detection should be guided by user preferences and approached with caution. Requirements for customization, positivity, interventions, and transparency must be addressed, while minimizing both the emotional and privacy burden. Future iterations should implement these findings to improve and test the app's acceptability, adoption, and usability for clinical use.

Indexed as

DepressionEarly DiagnosisMobile ApplicationsAdultEcological Momentary AssessmentFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchRecurrenceTelemedicineappsdepressionecological momentary assessmentmental healthmHealthmobile healthmobile phonepassive monitoringqualitative researchrelapse preventionself-monitoringsmartphonethematic analysiswearable devices

Identifiers

PMID41130588
PMCPMC12592899

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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.