Feasibility and implementation of depression and trauma-focused mobile apps in integrated primary care clinics: Lessons learned from two pilot studies.

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Margaret R Emerson, David J Johnson, Danae Dinkel, Robbin Thomas, Carli Culjat
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Abstract

Introduction: Integrated primary care (IPC) settings serve as primary access points for mental health care, particularly for underserved populations that face barriers to traditional care. This brief report investigates the feasibility and practical implementation of two mobile health (mHealth) applications, MindLAMP and BounceBackNow, deployed in IPC settings. MindLAMP was selected for its evidence-based design tailored to support patients with depression, offering tools for mood tracking, cognitive behavioral strategies, and personalized feedback. BounceBackNow was chosen due to its focus on trauma-related symptoms, providing psychoeducational resources, symptom monitoring, and coping strategies specifically designed for individuals experiencing posttraumatic stress. Both apps were selected for their user-centered design, accessibility, and alignment with IPC goals of improving mental health access for underserved populations.

Method: The apps were deployed to support patients with depression and trauma-related symptoms, offering a digital tool to complement in-person therapy sessions. Both patient outcome measures and individual interview data from behavioral health providers and other clinical staff members were collected and analyzed.

Results: Despite the promising potential of these apps, the studies faced significant challenges, including low patient recruitment, technical barriers, and time constraints for health care providers.

Discussion: The findings highlight the need for comprehensive strategies to integrate digital health tools into existing health care systems. Future directions and lessons learned include addressing organizational barriers, enhancing provider training, and exploring community-based engagement strategies to improve patient adoption and sustained use of mHealth apps. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

在综合初级保健诊所应用以抑郁症和创伤为重点的移动应用程序的可行性和实施:从两项试点研究中获得的经验教训。
综合初级保健(IPC)环境是精神卫生保健的主要获取点,特别是对于在传统保健方面面临障碍的服务不足人群。这份简短的报告调查了两个移动医疗(mHealth)应用程序的可行性和实际实施,MindLAMP和BounceBackNow,部署在IPC设置。MindLAMP因其为抑郁症患者量身定制的循证设计而被选中,提供情绪跟踪、认知行为策略和个性化反馈的工具。之所以选择BounceBackNow,是因为它专注于创伤相关症状,提供心理教育资源、症状监测和专门为经历创伤后应激的个人设计的应对策略。这两款应用程序都因其以用户为中心的设计、可访问性以及与IPC改善服务不足人群心理健康获取的目标相一致而被选中。方法:应用程序用于支持患有抑郁症和创伤相关症状的患者,提供一种数字工具来补充面对面的治疗过程。收集和分析了患者结果测量和来自行为健康提供者和其他临床工作人员的个人访谈数据。结果:尽管这些应用程序有很大的潜力,但这些研究面临着重大的挑战,包括患者招募率低、技术障碍和卫生保健提供者的时间限制。讨论:研究结果强调需要制定综合战略,将数字卫生工具整合到现有卫生保健系统中。未来的方向和经验教训包括解决组织障碍,加强供应商培训,探索以社区为基础的参与战略,以提高患者对移动医疗应用的采用和持续使用。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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