McCarthy Michael J, Wicker Alexandra, Roddy Juliette, Remiker Mark, Roy Indrakshi, McCoy Megan, Cerino Eric S, Baldwin Julie
Department of Social Work, Northern Arizona University, 19 W McConnell Dr., Flagstaff, AZ 86011, United States of America.
Department of Psychological Sciences, Northern Arizona University, 1100 S Beaver St., Flagstaff, AZ 86011, United States of America.
Internet Interv. 2024 Feb 3;35:100724. doi: 10.1016/j.invent.2024.100724. eCollection 2024 Mar.
Despite the potential of mobile health (mHealth) to address high rates of depression and anxiety in underserved rural communities, most mHealth interventions do not explicitly consider the realities of rural life. The aim of this scoping review is to identify and examine the available literature on mHealth interventions that consider the needs of rural populations in order to gauge their feasibility and utility for addressing depression and anxiety. Additionally, we provide an overview of rural users' perceptions about and preferences for mHealth-delivered mental health screening and intervention systems. Out of 169 articles identified, 16 met inclusion criteria. Studies were conducted across a wide range of countries, age groups, and rural subpopulations including individuals with bipolar disorder, anxiety, perinatal depression, PTSD, and chronic pain, as well as refugees, veterans, and transgender and LGBTQ+ individuals. All interventions were in the feasibility/acceptability testing stage for rural users. Identified strengths included their simplicity, accessibility, convenience, availability of support between sessions with providers, and remote access to a care team. Weaknesses included problems with charging phone batteries and exceeding data limits, privacy concerns, and general lack of comfort with app-based support. Based upon this review, we provide recommendations for future mHealth intervention development including the value of developer-user coproduction methods, the need to consider user variation in access to and comfort with smartphones, and potential data or connectivity limitations, mental health stigma, and confidentiality concerns in rural communities.
尽管移动健康（mHealth）有潜力解决农村贫困地区高发的抑郁症和焦虑症问题，但大多数移动健康干预措施并未明确考虑农村生活的实际情况。本范围综述的目的是识别和审查关于考虑农村人口需求的移动健康干预措施的现有文献，以评估其在解决抑郁症和焦虑症方面的可行性和实用性。此外，我们还概述了农村用户对移动健康提供的心理健康筛查和干预系统的看法及偏好。在169篇已识别的文章中，有16篇符合纳入标准。研究在广泛的国家、年龄组和农村亚人群中进行，包括双相情感障碍、焦虑症、围产期抑郁症、创伤后应激障碍和慢性疼痛患者，以及难民、退伍军人、跨性别者和 LGBTQ+ 群体。所有干预措施都处于针对农村用户的可行性/可接受性测试阶段。已识别的优势包括其简单性、可及性、便利性、在与提供者会诊期间可获得支持以及远程访问护理团队。劣势包括手机电池充电问题和超出数据限额、隐私问题以及对基于应用程序的支持普遍缺乏舒适度。基于本综述，我们为未来移动健康干预措施的发展提供建议，包括开发者 - 用户共同生产方法的价值、需要考虑用户在使用智能手机方面的差异以及舒适度、潜在的数据或连接限制、农村社区的心理健康污名化和保密性问题。
