Pineros-Leano Maria, Tabb Karen M, Sears Heather, Meline Brandon, Huang Hsiang
School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, USA, Identifying Depression through Early Assessment (IDEA) Research Team, Urbana, IL, USA,
School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, USA, Identifying Depression through Early Assessment (IDEA) Research Team, Urbana, IL, USA.
Fam Pract. 2015 Apr;32(2):211-5. doi: 10.1093/fampra/cmu083. Epub 2014 Dec 22.
The use of mHealth technology is an innovative approach for screening low-income mothers for depression. Past studies show that the use of technology removes barriers such as literacy issues, language challenges, concerns about privacy and lack of transportation and can also increase reliability. However, little is known about staff attitudes and perceptions towards using mHealth technology for screening low-income women for depression in clinics.
Four focus groups were conducted with staff members in a supplemental nutrition program for women, infants and children located in a public health clinic. A semi-structured focus group interview guide was used to examine staff perceptions related to depression screening with tablet technology. All interviews were audio recorded and transcribed verbatim. Thematic analysis was used to analyse all focus group data.
Three major benefits and two major barriers were found. The benefits of using technology for perinatal depression screenings were reduction of literacy and language barriers, reduction of redundancy and errors and increased privacy for clients. The barriers were increased network issues and responsibility for technology, which included fear of the devices being lost, stolen or broken.
Before implementing mHealth tablet technology for depression screening in a public health clinic, it is important to address the concerns of staff members to make the transition more effective. This study provides timely information on staff-perceived benefits and barriers when implementing mHealth technology in a public health setting.
使用移动健康技术是筛查低收入母亲抑郁症的一种创新方法。过去的研究表明，技术的使用消除了诸如识字问题、语言挑战、隐私担忧和交通不便等障碍，还能提高可靠性。然而，对于在诊所中使用移动健康技术筛查低收入女性抑郁症时工作人员的态度和看法却知之甚少。
对位于一家公共卫生诊所的妇女、婴儿和儿童补充营养项目的工作人员进行了四个焦点小组访谈。使用半结构化焦点小组访谈指南来考察工作人员对使用平板电脑技术进行抑郁症筛查的看法。所有访谈都进行了录音并逐字转录。采用主题分析法对所有焦点小组数据进行分析。
发现了三大好处和两大障碍。使用技术进行围产期抑郁症筛查的好处包括减少识字和语言障碍、减少冗余和错误以及增加客户隐私。障碍包括网络问题增加以及技术责任，其中包括担心设备丢失、被盗或损坏。
在公共卫生诊所实施移动健康平板电脑技术进行抑郁症筛查之前，解决工作人员的担忧以使其过渡更有效是很重要的。本研究提供了在公共卫生环境中实施移动健康技术时工作人员所感知的好处和障碍的及时信息。
