Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul 10:10:e44681.
doi: 10.2196/44681.

Factors Affecting Digital Tool Use in Client Interaction According to Mental Health Professionals: Interview Study

Lauri Lukka  1 , Veli-Matti Karhulahti  2 , J Matias Palva  1   3   4
Affiliations

Factors Affecting Digital Tool Use in Client Interaction According to Mental Health Professionals: Interview Study

Lauri Lukka et al. JMIR Hum Factors. .

Abstract

Background: Digital tools and interventions are being increasingly developed in response to the growing mental health crisis, and mental health professionals (MHPs) considerably influence their adoption in client practice. However, how MHPs use digital tools in client interaction is yet to be sufficiently understood, which poses challenges to their design, development, and implementation.

Objective: This study aimed to create a contextual understanding of how MHPs use different digital tools in clinical client practice and what characterizes the use across tools.

Methods: A total of 19 Finnish MHPs participated in semistructured interviews, and the data were transcribed, coded, and inductively analyzed.

Results: We found that MHP digital tool use was characterized by 3 distinct functions: communication, diagnosis and evaluation, and facilitating therapeutic change. The functions were addressed using analog tools, digitized tools that mimic their analog counterparts, and digital tools that use the possibilities native to digital. The MHP-client communication included various media alongside face-to-face meetings, the MHPs increasingly used digitized tools in client evaluation, and the MHPs actively used digitized materials to facilitate therapeutic change. MHP tool use was generally characterized by adaptability-it was negotiated in client interactions. However, there was considerable variance in the breadth of MHPs' digital toolbox. The existing clinical practices emphasized MHP-client interaction and invited incremental rather than radical developments, which challenged the achievement of the scalability benefits expected from digital tools.

Conclusions: MHPs use digitized and digital tools in client practice. Our results contribute to the user-centered research, development, and implementation of new digital solutions in mental health care by classifying them according to their function and medium and describing how MHPs use and do not use them.

Keywords: clinical practice; digital mental health interventions; intervention design; mental health applications; mental health professionals; mobile phone; teletherapy.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
In total, 3 themes describe how mental health professionals (MHPs) used digital tools in client practice.
Figure 2
Figure 2
Differentiating between 3 modes of treatment. Psychosocial interventions are based on interpersonal interaction, biomedical interventions affect the nervous system, and independently used interventions encourage change through learning.
See this image and copyright information in PMC

References

    1. GBD 2019 Mental Disorders Collaborators Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019. Lancet Psychiatry. 2022 Mar;9(2):137–50. doi: 10.1016/S2215-0366(21)00395-3. https://linkinghub.elsevier.com/retrieve/pii/S2215-0366(21)00395-3 S2215-0366(21)00395-3 - DOI - PMC - PubMed
    1. Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ. 2004 Nov;82(11):858–66. https://europepmc.org/abstract/MED/15640922 S0042-96862004001100011 - PMC - PubMed
    1. Bucci S, Schwannauer M, Berry N. The digital revolution and its impact on mental health care. Psychol Psychother. 2019 Jun;92(2):277–97. doi: 10.1111/papt.12222. - DOI - PubMed
    1. Hollis C, Morriss R, Martin J, Amani S, Cotton R, Denis M, Lewis S. Technological innovations in mental healthcare: harnessing the digital revolution. Br J Psychiatry. 2015 Apr;206(4):263–5. doi: 10.1192/bjp.bp.113.142612. https://core.ac.uk/reader/162657017?utm_source=linkout S0007125000278677 - DOI - PubMed
    1. Murray E, Hekler EB, Andersson G, Collins LM, Doherty A, Hollis C, Rivera DE, West R, Wyatt JC. Evaluating digital health interventions: key questions and approaches. Am J Prev Med. 2016 Nov;51(5):843–51. doi: 10.1016/j.amepre.2016.06.008. https://europepmc.org/abstract/MED/27745684 S0749-3797(16)30229-X - DOI - PMC - PubMed

LinkOut - more resources