Digitale Navigatoren zur Akzeptanz- und Kompetenzentwicklung mit Mental Health Apps

ZUSAMMENFASSUNG

Hintergrund In Deutschland warten Patienten in der Regel mehrere Monate auf einen psychotherapeutischen Behandlungsplatz. Digitale Gesundheitsanwendungen (DiGAs) ermöglichen dagegen eine zeitnahe Unterstützung der psychischen Gesundheit, werden aber nur begrenzt genutzt. Digitale Navigatoren (DN) sind speziell geschulte Gesundheitsfachkräfte, die Behandler und Patienten bei der Auswahl und Nutzung von DiGAs unterstützen und dabei sprachliche, sozioökonomische und soziodemografische Besonderheiten berücksichtigen. Dadurch kann die digitale Gesundheitskompetenz gestärkt, das Engagement erhöht und die Behandler entlastet werden.

Ziel Die DigiNavi-Studie pilotiert erstmals DN exemplarisch in der hausärztlichen und ambulanten psychiatrischen Versorgung in Deutschland.

Methoden 1. Die Akzeptanz und die Erwartungen von Behandlern und Patienten gegenüber DN werden qualitativ exploriert. 2. Das Trainingsmanual für DN der Harvard Medical School wird adaptiert und an n = 6 Studienzentren werden Medizinische Fachangestellte (MFA) zu DN ausgebildet. 3. Die DN begleiten n = 48 Pt bei der Nutzung von jeweils einer DiGA. Die digitale Gesundheitskompetenz und die psychische Symptomschwere der Pt werden im Prä-Post-Vergleich quantitativ evaluiert. Zusätzlich werden die Nutzungserfahrungen und Implementierungshürden qualitativ exploriert.

Ergebnisse Die Studie liefert wichtige Erkenntnisse zur Akzeptanz und Machbarkeit von Human Guidance zur Kompetenzentwicklung mit Mental Health Apps in multiprofessionellen Gesundheitsteams.

Diskussion Die erfolgreiche Implementierung von DN kann die Nutzung von DiGAs in Deutschland fördern und damit die Versorgungssituation von Menschen mit psychischen Erkrankungen verbessern.

ABSTRACT

Background In Germany, patients often have to wait several months for a psychotherapy appointment. Digital health applications (DiGAs) offer a promising approach to providing timely mental health support. However, their use is still limited. Digital Navigators (DN) are specially trained health professionals who support practitioners and patients in the selection and use of DiGAs. This can improve digital health literacy, increase engagement and reduce the burden on clinicians. They take into account the linguistic, socio-economic and socio-demographic characteristics of patients.

Objective The DigiNavi study represents the first pilot study to test the feasibility of implementing DN into general practitioner (GP) and outpatient psychiatric care in Germany.

Methods 1. In order to analyze the acceptance and expectations of practitioners and patients towards DN, data will be collected quantitatively. 2. Furthermore, the Harvard Medical School training manual for DN will be adapted and DN will be trained at n = 6 study centers. 3. The DN accompany a total of n = 48 Pt in the use of DiGAs. The patients’ digital health literacy and psychological symptom severity will be quantitatively evaluated in a pre-post comparison. In addition, user experiences and implementation barriers are explored qualitatively.

Results The study provides important insights into the acceptance and feasibility of human guidance for competence development in relation to mental health apps in multi-professional healthcare teams.

Discussion The successful implementation of DN can promote the use of DiGAs in Germany and thus enhance the provision of healthcare for individuals with mental health conditions.

Schlüsselwörter

Digitale Gesundheitsanwendungen - digitale Navigatoren - eHealth - mHealth - digitale Gesundheitskompetenz - psychische Gesundheit

Key words

Digital therapeutics - digital health applications - digital navigators - eHealth - mHealth - digital health literacy - mental health

Publication History

Article published online:
02 December 2024

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