Mental Health Mobile Applications and Psychiatric Nursing

Öz

In recent years, difficulties have been experienced in mental health treatment, care, and follow-up services due to reasons such as the increase in mental health problems, delays in accessing health institutions, stigma, and the low number of beds. Despite these difficulties, current technological developments offer important opportunities to improve the quality of mental health care and the use of mobile applications in the field of mental health is becoming increasingly widespread. Today, protecting the mental health of individuals; early diagnosis and management of many mental disorders such as depression, anxiety, schizophrenia, and addiction; Mobile applications have been developed for issues such as rehabilitation of individuals. It provides convenience to both patients and mental health professionals with content such as assessing mental status, managing daily functions, reminding appointments and medication use, stress and symptom management, psychoeducation, and homework control. It can improve the quality of care of psychiatric nursing, especially with features such as easy access to patient data, coordinating holistic care, and ensuring patients' participation in care. It is seen in the literature that there are a limited number of mobile applications developed directly for psychiatric nursing, and psychiatric nurses can use mental health mobile applications. In Turkey, there are a limited number of mobile applications developed in the field of mental health, and there is no mobile application developed for psychiatric nursing services. In this context, the compilation was carried out with the aim of providing information and raising awareness about mobile applications that psychiatric nursing can use.

Anahtar Kelimeler

• Psychiatric nursing
• mental health
• mobile applications
• mobile health

Ruh Sağlığı Mobil Uygulamaları ve Psikiyatri Hemşireliği

Öz

Son yıllarda ruh sağlığı sorunlarındaki artış, sağlık kurumlarına erişimde gecikmeler, damgalanma, yatak sayısının azlığı gibi nedenler ile ruh sağlığı tedavi, bakım ve takip hizmetlerinde güçlükler yaşanmaktadır. Bu güçlüklere karşın, güncel teknolojik gelişmeler ruh sağlığı bakım kalitesini artırmada önemli fırsatlar sunmakta ve ruh sağlığı alanında mobil uygulamalarının kullanımı giderek yaygınlaşmaktadır. Günümüzde bireylerin ruh sağlığını koruma; depresyon, anksiyete, şizofreni, bağımlılık gibi pek çok ruhsal bozukluğu erken tanılama ve yönetme; bireylerin rehabilitasyonunu sağlama gibi konularda mobil uygulamalar geliştirilmiştir. Mobil uygulamalar ruhsal durumu değerlendirme, günlük işlevleri yönetme, randevu ve ilaç kullanımını hatırlatma, stres ve semptom yönetimi, psikoeğitim, ev ödevi kontrolü gibi içerikler ile hem hastalara hem de ruh sağlığı çalışanlarına kolaylık sağlamaktadır. Ayrıca mobil uygulamalar hasta verilerine kolayca ulaşabilme, bütüncül bakımı koordine etme, hastaların bakıma katılımını sağlama gibi özellikleri ile psikiyatri hemşireliği bakım kalitesini artırabilmektedir. Literatürde doğrudan psikiyatri hemşireliğine yönelik geliştirilen sınırlı sayıda mobil uygulama olduğu, psikiyatri hemşirelerinin ruh sağlığı mobil uygulamalarını kullanabildiği görülmektedir. Türkiye’de ise ruh sağlığı alanında geliştirilen mobil uygulamalar sınırlı sayıdadır, psikiyatri hemşireliği hizmetlerine yönelik geliştirilmiş bir mobil uygulama bulunmamaktadır. Bu bağlamda derleme psikiyatri hemşireliğinin kullanabileceği mobil uygulamalar konusunda bilgi vermek ve farkındalık oluşturmak amacı ile gerçekleştirilmiştir.

Anahtar Kelimeler

• Psikiyatri hemşireliği
• mobil uygulamalar
• mobil sağlık
• ruh sağlığı

Kaynakça

1. Elias BL, Fogger SA, McGuinness TM, D'Alessandro KR. Mobile apps for psychiatric nurses. J Psychosoc Nurs Ment Health Serv. 2014; 52(4), 42–47. DOI:10.3928/02793695-20131126-07
2. Türkiye İstatistik Kurumu. İstatistiklerle Aile. 2021. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Aile-2020-37251
3. Aitken M, Lyle J. Patient adoption of mhealth use, evidence and remaining barriers to mainstream acceptance. 2015. Available from: https://www.iqvia.com/-/media/iqvia/pdfs/institute-reports/patient-adoption-of-mhealth.pdf
4. World Health Organization. mHealth New Horizons For Health Through Mobile Technologies. 2011. Available from: http://apps.who.int/iris/ bitstream/handle/10665/44607/9789241564250_eng.pdf?sequence=1.
5. Tezcan C. Sağlığa yenilikçi bir bakış açısı: mobil sağlık. 2016. Available from: https://tusiad.org/tr/yayinlar/raporlar/item/download/7502_ a47302116c5b67349e165947b88c7e62
6. Barton AJ. The regulation of mobile health applications. BMC Med. 2012; 10, 46. DOI:10.1186/1741-7015-10-46
7. Güler E, Eby G. Akıllı ekranlarda mobil sağlık uygulamaları. Eğitim ve Öğretim Araştırmaları Dergisi. 2015; 4(3): 45-51.
8. Rosser BA, Eccleston, C. Smartphone applications for pain management. J Telemed Telecare. 2011; 17(6), 308–312. DOI: 10.1258/ jtt.2011.101102

9. Larsen ME, Nicholas J, Christensen H. A systematic assessment of smartphone tools for suicide prevention. PloS one. 2016; 11(4), e0152285. DOI: 10.1371/journal.pone.0152285
10. Torous J, Luo J, Chan SR. Mental Health Apps: What to tell patients. Current Psychiatry. 2018; 17(3): 21-25
11. Basavarajappa C, Chand P. Digital platforms for mental health-care delivery. Indian J Psychol Med. 2017; 39(5), 703–706. DOI: 10.4103/ IJPSYM.IJPSYM_209_17
12. Aitken M, Clancy B, Nass D. The growing value of digital health: evidence and ımpact on human health and the healthcare system. 2017. Available from: https://regresearchnetwork.org/wp-content/uploads/ the-growing-value-of-digital-health.pdf
13. Mani M, Kavanagh DJ, Hides L, Stoyanov, SR. review and evaluation of mindfulness-based iphone apps. JMIR Mhealth Uhealth. 2015; 3(3), e82.
14. Ben-Zeev D. Mobile technologies in the study, assessment, and treatment of schizophrenia. Schizophr Bull. 2012; 38(3):384-385. DOI:10.1093/schbul/sbr179
15. Kaipainen K, Välkkynen P, Kilkku N. Applicability of acceptance and commitment therapy-based mobile app in depression nursing. Transl Behav Med. 2017;7(2):242-253. DOI:10.1007/s13142-016-0451-3
16. Mohr DC, Tomasino KN, Lattie EG, Palac HL, Kwasny MJ, Weingardt K, et al. IntelliCare: an eclectic, skills-based app suite for the treatment of depression and anxiety. J Med Internet Res. 2017;19(1):e10.
17. T.C. Sağlık Bakanlığı. Sağlık Bilgi Sistemleri Genel Müdürlüğü Erişim tarihi: 10.02.2024 https://sbsgm.saglik.gov.tr/TR-73581/ruh-sagligi-destek-sistemi.html
18. Baysan Arabacı L. Sağlığı ve hastalıklarında temel hemşirelik bakımı. Ankara Nobel Tıp Kitabevleri; 2020. 10 p
19. Handsley S, Stocks S. Sociology and Nursing: role performance in a psychiatric setting. Int J Ment Health Nurs. 2009;18(1):26-34. DOI:10.1111/j.1447-0349.2008.00571.x
20. Kaas MJ. Will we be ready? preparing psychiatric-mental health nurses for future practice. J Am Psychiatr Nurses Assoc. 2020; 26(1), 112–119.
21. O'Connor S, Andrews T. Using Co-Design with nursing students to create educational apps for clinical training. Stud Health Technol Inform 2016; 225: 334-338.
22. Hsu L, Hsiang H, Tseng Y, Huang S, Hsieh S. Nursing students' experiences of using a smart phone application for a physical assessment course: a qualitative study. Jpn J Nurs Sci 2019; 16(2): 115-124.
23. Egilsdottir HÖ, Heyn LG, Brembo EA, Byermoen KR, Moen A, Eide H. Configuration of mobile learning tools to support basic physical assessment in nursing education: longitudinal participatory design approach. JMIR Mhealth Uhealth 2021; 9(1): e22633
24. Bodur G, Kaya H. Hemşireliğin geleceği: 2050’li yıllar. Florence Nightingale J Nurs. 2015; 23(2): 166-173
25. Finnell DS, Nowzari S, Reimann B, Fischer L, Pace E, Goplerud E. Screening, brief intervention, and referral to treatment (SBIRT) as an integral part of nursing practice. Subst Abus. 2014;35(2):114-118. DOI:1 0.1080/08897077.2014.888384
26. Hollis C, Morriss R, Martin J, Amani S, Cotton R, Denis M, et al. Technological innovations in mental healthcare: harnessing the digital revolution. Br J Psychiatry. 2015;206(4):263-265. DOI:10.1192/bjp. bp.113.142612
27. Kim J, Lim S, Min YH, Shin YW, Lee B, Sohn G, et al. Depression screening using daily mental-health ratings from a smartphone application for breast cancer patients. J Med Internet Res. 2016; 18(8), e216. DOI: 10.2196/jmir.5598
28. Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J Psychiatry. 2016 Jun 22;6(2):269-82.
29. Engel CC, Litz B, Magruder KM, Harper E, Gore K, Stein N, et al. Delivery of self training and education for stressful situations (DESTRESS-PC): a randomized trial of nurse assisted online self-management for PTSD in primary care. Gen Hosp Psychiatry. 2015; 37(4), 323–328. DOI:10.1016/j. genhosppsych.2015.04.007
30. Price M, Yuen EK, Goetter EM, Herbert JD, Forman EM, Acierno R, et al. mHealth: a mechanism to deliver more accessible, more effective mental health care. Clin Psychol Psychother. 2014; 21(5), 427–436. DOI: 10.1002/ cpp.1855
31. Brandt LR, Hidalgo L, Diez-Canseco F, Araya R, Mohr DC, Menezes PR, et al. Addressing depression comorbid with diabetes or hypertension in resource-poor settings: a qualitative study about user perception of a nurse-supported smartphone app in peru, JMIR Ment Health 2019;6(6):e11701 DOI: 10.2196/1170
32. Anguera JA, Gunning FM, Areán PA. Improving late life depression and cognitive control through the use of therapeutic video game technology: A proof-of-concept randomized trial. Depress Anxiety. 2017; 34(6), 508–517.
33. Arean PA, Hallgren KA, Jordan JT, et al. The use and effectiveness of mobile apps for depression: results from a fully remote clinical trial. J Med Internet Res. 2016;18(12):e330. Published 2016 Dec 20. DOI:10.2196/ jmir.6482
34. Ahtinen A, Mattila E, Välkkynen P, Kaipainen K, Vanhala T, Ermes M, et al. Mobile mental wellness training for stress management: feasibility and design implications based on a one-month field study. JMIR Mhealth Uhealth. 2013;1(2):e11. Published 2013 Jul 10. DOI:10.2196/ mhealth.2596
35. Marley J, Farooq S. Mobile telephone apps in mental health practice: uses, opportunities and challenges. BJPsych bulletin. 2015: 39(6), 288– 290. DOI:10.1192/pb.bp.114.050005
36. Christoforou M, Sáez Fonseca JA, Tsakanikos E. Two novel cognitive behavioral therapy-based mobile apps for agoraphobia: randomized controlled trial. J Med Internet Res. 2017;19(11):e398. Published 2017 Nov 24. DOI:10.2196/jmir.7747
37. Barrowclough C, Ainsworth J, Machin M, Morris R, Berry K, Bucci S, et al. Actissist: Proof-of-concept trial of a theory-driven digital ıntervention for psychosis. Schizophr Bull. 2018;44(5):1070-1080. DOI:10.1093/schbul/ sby032
38. Palmier-Claus JE, Ainsworth J, Machin M, Barrowclough C, Dunn G, Barkus E, et al. The feasibility and validity of ambulatory self-report of psychotic symptoms using a smartphone software application. BMC Psychiatry. 2012;12:172. Published 2012 Oct 17. DOI:10.1186/1471- 244X-12-172
39. Ben-Zeev D, Brenner CJ, Begale M, Duffecy J, Mohr DC, Mueser KT. Feasibility, acceptability, and preliminary efficacy of a smartphone intervention for schizophrenia. Schizophr Bull. 2014;40(6):1244-1253. DOI:10.1093/schbul/sbu033
40. Naslund JA, Aschbrenner KA, Barre LK, Bartels SJ. Feasibility of popular m-health technologies for activity tracking among individuals with serious mental illness. Telemed J E Health. 2015;21(3):213-216. DOI:10.1089/tmj.2014.0105
41. Macias C, Panch T, Hicks YM, Scolnick SJ, Weene DL, Öngür D, et al. Using smartphone apps to promote psychiatric and physical well-being. Psychiatr Q. 2015;86(4):505-519. DOI:10.1007/s11126-015-9337-7
42. Schlosser DA, Campellone TR, Truong B, Etter K, Vergani S, Komaiko K, et al. Efficacy of PRIME, a mobile app ıntervention designed to ımprove motivation in young people with schizophrenia. Schizophr Bull. 2018;44(5):1010-1020. DOI:10.1093/schbul/sby078
43. Terp M, Jørgensen R, Laursen BS, Mainz J, Bjørnes CD. A smartphone app to foster power in the everyday management of living with schizophrenia: qualitative analysis of young adults' perspectives. JMIR Ment Health. 2018;5(4):e10157. Published 2018 Oct 1. DOI:10.2196/10157
44. Rojnic Kuzman M, Andlauer O, Burmeister K, Dvoracek B, Lencer R, Koelkebeck K, et al. Effective assessment of psychotropic medication side effects using PsyLOG mobile application. Schizophr Res. 2018; 192, 211–212