Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study.
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| Title: | Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study. |
|---|---|
| Authors: | Bhat, A. (AUTHOR), Goud, B. Ramakrishna (AUTHOR), Pradeep, J. R. (AUTHOR), Jayaram, G. (AUTHOR), Radhakrishnan, R. (AUTHOR), Srinivasan, K. (AUTHOR) |
| Source: | Culture, Medicine & Psychiatry. Dec2020, Vol. 44 Issue 4, p461-478. 18p. 2 Charts. |
| Subjects: | Mobile health, Patient compliance, Mental health services, Rural women, Qualitative research |
| Geographic Terms: | India |
| Abstract: | Major Depressive Disorder (MDD) is associated with low rates of treatment and medication non-adherence, more so in low- and middle-income countries (LMICs). Mobile mental health (mHealth) interventions offer promise as a tool to address these problems. However, the feasibility and acceptability of mHealth interventions among rural women in LMICs is unknown. We examined barriers to accessing mental health treatment, reasons for non-adherence, and attitudes towards mHealth solutions among women with MDD in rural south India. Six focus groups were conducted among women with MDD (n = 69) who had been in treatment at a rural community health center. The discussion was transcribed and analyzed using a modified grounded-theory approach. Women perceived limited autonomy within their family structure, and experienced financial and systemic barriers as contributing to poor treatment access and non-adherence. Illiteracy, limited personal access to mobile phones, and preference for in-person clinical consultation were identified as barriers to use of mHealth. This is the first qualitative study, to our knowledge, that examines attitude towards mHealth among women with MDD in a rural setting in India. The study identified contextual barriers that will be important to address before implementing mHealth interventions. [ABSTRACT FROM AUTHOR] |
| Copyright of Culture, Medicine & Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 145733313 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bhat%2C+A%2E%22">Bhat, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goud%2C+B%2E+Ramakrishna%22">Goud, B. Ramakrishna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pradeep%2C+J%2E+R%2E%22">Pradeep, J. R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jayaram%2C+G%2E%22">Jayaram, G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Radhakrishnan%2C+R%2E%22">Radhakrishnan, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Srinivasan%2C+K%2E%22">Srinivasan, K.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Culture%2C+Medicine+%26+Psychiatry%22">Culture, Medicine & Psychiatry</searchLink>. Dec2020, Vol. 44 Issue 4, p461-478. 18p. 2 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mobile+health%22">Mobile health</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+women%22">Rural women</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22India%22">India</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Major Depressive Disorder (MDD) is associated with low rates of treatment and medication non-adherence, more so in low- and middle-income countries (LMICs). Mobile mental health (mHealth) interventions offer promise as a tool to address these problems. However, the feasibility and acceptability of mHealth interventions among rural women in LMICs is unknown. We examined barriers to accessing mental health treatment, reasons for non-adherence, and attitudes towards mHealth solutions among women with MDD in rural south India. Six focus groups were conducted among women with MDD (n = 69) who had been in treatment at a rural community health center. The discussion was transcribed and analyzed using a modified grounded-theory approach. Women perceived limited autonomy within their family structure, and experienced financial and systemic barriers as contributing to poor treatment access and non-adherence. Illiteracy, limited personal access to mobile phones, and preference for in-person clinical consultation were identified as barriers to use of mHealth. This is the first qualitative study, to our knowledge, that examines attitude towards mHealth among women with MDD in a rural setting in India. The study identified contextual barriers that will be important to address before implementing mHealth interventions. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Culture, Medicine & Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11013-019-09664-3 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 18 StartPage: 461 Subjects: – SubjectFull: Mobile health Type: general – SubjectFull: Patient compliance Type: general – SubjectFull: Mental health services Type: general – SubjectFull: Rural women Type: general – SubjectFull: Qualitative research Type: general – SubjectFull: India Type: general Titles: – TitleFull: Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bhat, A. – PersonEntity: Name: NameFull: Goud, B. Ramakrishna – PersonEntity: Name: NameFull: Pradeep, J. R. – PersonEntity: Name: NameFull: Jayaram, G. – PersonEntity: Name: NameFull: Radhakrishnan, R. – PersonEntity: Name: NameFull: Srinivasan, K. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2020 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 0165005X Numbering: – Type: volume Value: 44 – Type: issue Value: 4 Titles: – TitleFull: Culture, Medicine & Psychiatry Type: main |
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