Araújo Ana Isabel, Pereira Ana Telma, Duarte Isabel Catarina, Cardoso Remy, Castelo-Branco Miguel, Macedo António
Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal; Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), University of Coimbra, 3000-548 Coimbra, Portugal; Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal; Department of Psychiatry, Coimbra Hospital and University Centre, 3004-561 Coimbra, Portugal.
Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal; Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), University of Coimbra, 3000-548 Coimbra, Portugal; Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal.
Actas Esp Psiquiatr. 2025 Jan;53(1):100-109. doi: 10.62641/aep.v53i1.1715.
The increasingly fast development of mobile health technologies holds significant value for individuals dealing with mental health conditions. However, inadequate consideration of patients' preferences and expectations undermines real-world outcomes, including sustained adherence. Driven by the belief that specific characteristics, such as youth and higher education, of individuals with obsessive-compulsive disorder make them suitable for digital adoption, we investigated mHealth-related desirability factors within this patient group.
Fifty-one conveniently selected adults with obsessive-compulsive disorder filled in a self-report questionnaire about symptom self-management preferences, with an emphasis on assessing mobile health options and perceptions of patient-centeredness.
The smartphone phone app emerged as the top choice of most of the sample for receiving information about symptom status (82.4%), obtaining general information about obsessive-compulsive disorder (74.5%), and symptom self-registration (66.7%), with no significant effect of sex or living location. Although only 23.5% of participants were using a health-related app, most expressed interest in using it for receiving symptom management tips (98.1%), medical advice (94.2%), symptom evolution updates (90.2%), lifestyle information (92.2%), medication tracking (88.2%) and short symptom self-reports (90.2%). Median expectations regarding mobile health's impact on patient-centeredness, satisfaction, and adherence were positive or very positive.
Our data confirm that individuals with obsessive-compulsive disorder exhibit strong inclinations and optimistic expectations toward technology-based solutions. We highlight some of the preferences within this patient group, which can inform the design of practical, real-world applications.
移动健康技术的快速发展对患有精神健康问题的个体具有重要价值。然而，对患者偏好和期望的考虑不足会影响实际效果，包括持续的依从性。由于坚信强迫症患者的特定特征（如年轻和高等教育程度）使他们适合采用数字技术，我们调查了该患者群体中与移动健康相关的期望因素。
方便选取51名患有强迫症的成年人填写一份关于症状自我管理偏好的自我报告问卷，重点评估移动健康选项和以患者为中心的认知。
智能手机应用程序成为大多数样本接收症状状态信息（82.4%）、获取强迫症一般信息（74.5%）和症状自我登记（66.7%）的首选，性别和居住地点无显著影响。尽管只有23.5%的参与者在使用与健康相关的应用程序，但大多数人表示有兴趣使用它来接收症状管理提示（98.1%）、医疗建议（94.2%）、症状演变更新（90.2%）、生活方式信息（92.2%）、药物跟踪（88.2%）和简短的症状自我报告（90.2%）。关于移动健康对以患者为中心、满意度和依从性影响的预期中位数为积极或非常积极。
我们的数据证实，强迫症患者对基于技术的解决方案表现出强烈的倾向和乐观的期望。我们强调了该患者群体中的一些偏好，可为实际的现实应用设计提供参考。
