scholarly journals Development and Usability Evaluation of a Q&A knowledge database-based mobile chatbot for perinatal women’s and partners’ obstetric and mental health care: Mixed-Methods Study (Preprint)

2020 ◽  
Author(s):  
Kyungmi Chung ◽  
Hee Young Cho ◽  
Jin Young Park
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Information ◽  
Perinatal Care ◽  
Ease Of Use ◽  
Perceived Benefits ◽  
Male And Female ◽  
Knowledge Database ◽  
User Intent

BACKGROUND To motivate people to adopt medical chatbots, the establishment of a specialized medical knowledge database which fits their personal interests is of great importance in developing a medical chatbot for perinatal care, particularly with the help of health professionals. OBJECTIVE The objectives of this study are to (1) develop a user-friendly Q&A knowledge database-based chatbot (Dr. Joy) for perinatal women’s and their partners’ obstetric and mental health care by applying a text-mining technique and (2) implement a contextual usability testing (UT) by using quantitative and qualitative methods, thus determining whether this medical chatbot built on mobile instant messenger (KakaoTalk) can provide its male and female users with good user experience. METHODS Two men (mean 39.00, SD 1.41) and 13 women (mean 34.31, SD 3.95) in pregnancy preparation or different pregnancy stages were enrolled. All participants completed the 7-day long UT during which they were given the tasks of (1) asking Dr. Joy at least 3 questions per day at any time and place and giving the chatbot either positive or negative feedback with emoji, (2) using at least one feature of the obstetrics chatbot, and then (3) sending a facilitator all screenshots for the history of one-day use via KakaoTalk before midnight. One day after the UT completion, all were asked to fill out a questionnaire on the evaluation of usability, perceived benefits and risks, and intention to seek and share health information on the chatbot, as well as demographic characteristics. RESULTS Despite the relatively higher score of ease of learning (EOL), the results of the Spearman correlation indicated that EOL was not significantly associated with usefulness (ρ=0.26, P=.36), ease of use (ρ=0.19, P=.51), satisfaction (ρ=0.21, P=.46), and total usability scores (ρ=0.32, P=.24). Unlike EOL, all the 3 sub-factors and the total usability had significant positive associations each other (all ρ>0.80, P<.001). Furthermore, perceived risks exhibited no significant negative associations with perceived benefits (PB; ρ=-0.29, P=.30) and intention to seek (SEE; ρ=-0.28, P=.32) and share (SHA; ρ=-0.24, P=.40) health information on the chatbot using via KakaoTalk, whereas PB exhibited significant positive associations with both SEE and SHA. PB was more strongly associated with SEE (ρ=0.94, P<.001) than with SHA (ρ=0.70, P=.004). CONCLUSIONS This study provides the potential for the uptake of this newly developed Q&A knowledge database-based KakaoTalk chatbot for obstetric and mental health care. As Dr. Joy had quality contents with both utilitarian and hedonic value, its male and female users could be encouraged to use medical chatbots in a convenient, easy-to-use, and enjoyable manner. To boost their continued usage intention for Dr. Joy, its Q&A sets need to be periodically updated to satisfy user intent by monitoring both male and female user utterance.

Preferences for Gender-Targeted Health Information

2013 ◽  
Vol 8 (3) ◽  
pp. 240-248 ◽  
Author(s):  
Jessica A. Turchik ◽  
Samantha Rafie ◽  
Craig S. Rosen ◽  
Rachel Kimerling
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Information ◽  
Health Care Services ◽  
Sexual Trauma ◽  
Veterans Health ◽  
Health Administration ◽  
Male Veterans ◽  
Gender Neutral

No prior research has examined men’s opinions or preferences regarding receiving health education materials related to sexual violence. The objective of the current study was to investigate whether male veteran patients who have experienced military sexual trauma (MST) prefer gender-targeted versus gender-neutral printed health information and whether receipt of this information increased utilization of outpatient mental health services in the following 6-month period. In-person 45-minute interviews were conducted with 20 male veterans receiving health care services at a large Veterans Health Administration facility to evaluate opinions on a gender-targeted and a gender-neutral brochure about MST. An additional 153 veterans received psychoeducational materials through the mail and participated in the completion of a survey as part of a psychoeducational intervention. Our results demonstrate that male veterans prefer gender-targeted information about sexual trauma compared to gender-neutral information. Whereas veterans in the study had clear preferences for gender-targeted materials, receipt of information about MST (whether gender-targeted or gender-neutral) did not increase utilization of mental health care in the 6 months following receipt of these materials. These results demonstrated that materials about sexual trauma are acceptable to men and should be gender-targeted. Further research is needed to examine strategies to increase access to mental health care among male Veterans who have experienced MST.

Predictors of mental health care use among male and female veterans deployed in support of the wars in Afghanistan and Iraq.

2013 ◽  
Vol 10 (2) ◽  
pp. 145-151 ◽  
Author(s):  
Brooke A. L. Di Leone ◽  
Dawne Vogt ◽  
Jaimie L. Gradus ◽  
Amy E. Street ◽  
Hannah L. Giasson ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Use ◽  
Female Veterans ◽  
Male And Female ◽  
Mental Health Care Use

Exploring the use of Routine Outcome Monitoring in the treatment of patients with a psychotic disorder

2017 ◽  
Vol 42 ◽  
pp. 89-94 ◽  
Author(s):  
M. Tasma ◽  
E.J. Liemburg ◽  
H. Knegtering ◽  
P.A.E.G. Delespaul ◽  
A. Boonstra ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Clinical Practice ◽  
Mental Health Care ◽  
Psychotic Disorder ◽  
Treatment Process ◽  
Treatment Plan ◽  
Ease Of Use ◽  
Routine Outcome Monitoring ◽  
Outcome Monitoring

AbstractBackgroundRoutine Outcome Monitoring (ROM) has become part of the treatment process in mental health care. However, studies have indicated that few clinicians in psychiatry use the outcome of ROM in their daily work. The aim of this study was to explore the degree of ROM use in clinical practice as well as the explanatory factors of this use.MethodsIn the Northern Netherlands, a ROM-protocol (ROM-Phamous) for patients with a psychotic disorder has been implemented. To establish the degree of ROM-Phamous use in clinical practice, the ROM results of patients (n = 204) were compared to the treatment goals formulated in their treatment plans. To investigate factors that might influence ROM use, clinicians (n = 32) were asked to fill out a questionnaire about ROM-Phamous.ResultsCare domains that were problematic according to the ROM-Phamous results were mentioned in the treatment plan in 28% of cases on average (range 5–45%). The use of ROM-Phamous in the treatment process varies considerably among clinicians. Most of the clinicians find ROM-Phamous both useful and important for good clinical practice. In contrast, the perceived ease-of-use is low and most clinicians report insufficient time to use ROM-Phamous.ConclusionsMore frequent ROM use should be facilitated in clinicians. This could be achieved by improving the fit with clinical routines and the ease-of-use of ROM systems. It is important for all stakeholders to invest in integrating ROM in clinical practice. Eventually, this might improve the diagnostics and treatment of patients in mental health care.

scholarly journals Leidraad voor de screening en detectie van perinatale depressieve en angststoornissen tijdens de zwangerschap tot 1 jaar na de bevalling

2021 ◽  
Author(s):  
R. Van Damme ◽  
A.-S. Van Parys ◽  
C. Vogels ◽  
K. Roelens ◽  
G. Lemmens
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Workers ◽  
Mental Health Problems ◽  
Perinatal Care ◽  
Health Problems ◽  
Perinatal Health ◽  
Care Workers ◽  
Perinatal Health Care

A protocol for the screening, detection and treatment of perinatal anxiety and depressive disorders Importance. With a prevalence of 20%, mental health problems are considered as one of the most frequent complications during pregnancy and the postnatal period. Despite their high prevalence, these mental health problems often remain underdiagnosed and undertreated. Objective. The protocol aims to offer perinatal health care workers (health care and mental health care workers) a framework helping them to detect and discuss depressive and anxiety complaints of women during the perinatal period (up to 1 year after childbirth) and to refer them for treatment. Evidence acquisition. The protocol, which was based on international guidelines and recent scientific evidence, was developed by an interdisciplinary task force taking into account concerns about its daily practicability and current perinatal health care. Results. The protocol guides staff through a psychosocial assessment, a stepped screening, a clinical assessment and treatment steps. It is currently being implemented throughout Flanders (Belgium) with support of the Flemish Ministry of Welfare, Public Health and Family. Conclusion. Integrating mental health screening and treatment in standard perinatal care will improve the mental health care for women, their partners and their offspring.

Clinician perceptions of My Health Record in mental health care: medication management and sharing mental health information

2019 ◽  
Vol 25 (1) ◽  
pp. 66 ◽  
Author(s):  
Timothy C. Kariotis ◽  
Keith M. Harris
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Information ◽  
Medication Management ◽  
Health Record ◽  
Limited Information ◽  
Information Need ◽  
Australian Health ◽  
Mental Health Information

My Health Record (MHR) is a national personally controlled electronic health record, which is projected to be used by all Australian health professionals by 2022. It has also been proposed for use in mental health care, but there is limited information on how clinicians will successfully implement it. This study interviewed seven general practitioners and four psychologists in Tasmania, Australia. Participants were asked about information continuity and barriers and benefits to using My Health Record in mental health care. Thematic analysis identified two pertinent themes: Medication Management and Mental Health Information. Participants reported MHR could improve the quality and frequency of medication information shared between clinicians, but wanted additional medication-related alert features. Mental health information issues were broad in scope and included concerns over sensitive data that might be accessed through MHR and completeness of information. Participants also reported barriers to MHR use, including time burdens and privacy and confidentiality concerns. My Health Record used in mental health care may improve the timely sharing of medication-related information, but clinicians’ concerns regarding the sharing of patients’ highly sensitive mental health information need to be addressed.

scholarly journals Mental health information systems: problems and opportunities

1995 ◽  
Vol 1 (8) ◽  
pp. 216-222 ◽  
Author(s):  
Paul Lelliott
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Information Systems ◽  
Mental Health Care ◽  
Health Information ◽  
Nursing Staff ◽  
Health Information Systems ◽  
Mental Health Information ◽  
Working Lives ◽  
Audit Commission

Medical and nursing staff in acute specialities spend up to 25% of their working lives collecting, analysing, using and communicating information (Audit Commission, 1995). It is likely that staff delivering mental health care, which often involves services and staff based in a number of locations and inter-agency collaboration, spend just as much of their time on these activities.

scholarly journals “It’s a sign of weakness:” Masculinity, Help-Seeking Behaviors, and Gender-Specific Experiences Accessing VA PTSD Care

2021 ◽  
Author(s):  
Molly Silvestrini ◽  
Jessica A. Chen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Help Seeking ◽  
Female Veterans ◽  
Male And Female ◽  
Help Seeking Behaviors ◽  
Ptsd Treatment ◽  
Male Veterans ◽  
Gender Specific

Abstract Background: Male veterans delay post-traumatic stress disorder (PTSD) treatment and are less likely to engage in help-seeking behaviors or receive adequate mental health treatment. Male veterans face additional stigma seeking mental health care due to traditional masculine ideologies perpetuated by military culture. This study presents the gender-specific perspectives of veterans accessing VA PTSD care, focusing particularly on the help-seeking behaviors and barriers to care experienced by male veterans. Methods: Semi-structured interviews were conducted with 25 U.S. veterans seeking treatment in VA primary care. Qualitative data analysis was coded using Atlas.ti, and thematic analysis was used to develop and refine themes. This study is part of a larger study examining veterans’ initiation of PTSD treatment. Results: Findings indicate that male veterans may be reluctant to initiate PTSD care due to stigma, distrust of the military or mental health care, and a desire to avoid reliving their trauma. Social support may encourage help-seeking behaviors among this population. Both male and female veterans reported a need for non-combat PTSD care and resources for military sexual trauma (MST). Conclusions: Findings indicate that male veterans face unique challenges accessing mental health services and PTSD treatment, while both male and female veterans may benefit from increased VA services focused on MST and non-combat specific PTSD.

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