A qualitative exploration of the prospective acceptability of the MiDerm app; a complex digital intervention for adults living with skin conditions

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2025-01-05 DOI:10.1111/bjhp.12778

Rachael M. Hewitt, Carys Dale, Catherine Purcell, Rachael Pattinson, Chris Bundy

{"title":"A qualitative exploration of the prospective acceptability of the MiDerm app; a complex digital intervention for adults living with skin conditions","authors":"Rachael M. Hewitt, Carys Dale, Catherine Purcell, Rachael Pattinson, Chris Bundy","doi":"10.1111/bjhp.12778","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Skin conditions carry a substantial psychological burden but support for patients is limited. Digital technology could support patient self-management; we found preliminary evidence for the effectiveness and acceptability of digital psychological interventions for adults living with skin conditions. We have, therefore, developed a complex digital intervention called MiDerm with patients. This qualitative study explored the prospective acceptability of the complex intervention delivered via a smartphone application (app), and possible barriers and facilitators to use.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Qualitative research involving a hybrid inductive-deductive approach. Data collection and analysis were theoretically informed by The Common-Sense Model of Self-Regulation, Theoretical Framework of Acceptability and the Capability, Opportunity, Motivation - Behaviour Model.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Eight synchronous online group interviews with 43 English-speaking adults (≥ 18 years) with skin conditions. Data were analysed using Reflexive Thematic Analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three superordinate themes were generated: (1) <i>Patients' attitudes and concerns about the MiDerm app;</i> (2) <i>Need for personal competence, autonomy and relatedness for effective self-management;</i> and (3) <i>Physical, psychological and social barriers to app use</i>.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Adults with skin conditions, mainly those with vitiligo and psoriasis living in the UK, expressed the need for support to self-manage the psychological aspects of their condition(s). The idea of a new intervention comprised of informational, emotional, behavioural and peer support, delivered via a smartphone app was welcomed and may be especially beneficial for specific patients. Identified barriers must be addressed to maximize engagement and giving users choice, flexibility and control is imperative to this. We have since developed the MiDerm app using these findings.</p>\n </section>\n </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12778","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12778","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Skin conditions carry a substantial psychological burden but support for patients is limited. Digital technology could support patient self-management; we found preliminary evidence for the effectiveness and acceptability of digital psychological interventions for adults living with skin conditions. We have, therefore, developed a complex digital intervention called MiDerm with patients. This qualitative study explored the prospective acceptability of the complex intervention delivered via a smartphone application (app), and possible barriers and facilitators to use.

Design

Qualitative research involving a hybrid inductive-deductive approach. Data collection and analysis were theoretically informed by The Common-Sense Model of Self-Regulation, Theoretical Framework of Acceptability and the Capability, Opportunity, Motivation - Behaviour Model.

Methods

Eight synchronous online group interviews with 43 English-speaking adults (≥ 18 years) with skin conditions. Data were analysed using Reflexive Thematic Analysis.

Results

Three superordinate themes were generated: (1) Patients' attitudes and concerns about the MiDerm app; (2) Need for personal competence, autonomy and relatedness for effective self-management; and (3) Physical, psychological and social barriers to app use.

Conclusion

Adults with skin conditions, mainly those with vitiligo and psoriasis living in the UK, expressed the need for support to self-manage the psychological aspects of their condition(s). The idea of a new intervention comprised of informational, emotional, behavioural and peer support, delivered via a smartphone app was welcomed and may be especially beneficial for specific patients. Identified barriers must be addressed to maximize engagement and giving users choice, flexibility and control is imperative to this. We have since developed the MiDerm app using these findings.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

对期中考试应用程序的可接受性进行定性探讨；一种针对患有皮肤病的成年人的复杂数字干预。

目的：皮肤病携带大量的心理负担，但对患者的支持是有限的。数字技术可以支持患者的自我管理；我们发现了初步证据，证明了数字心理干预对患有皮肤病的成年人的有效性和可接受性。因此，我们开发了一种复杂的数字干预方法，叫做MiDerm。本定性研究探讨了通过智能手机应用程序（app）提供的复杂干预的预期可接受性，以及可能的障碍和促进因素。设计：定性研究涉及混合的归纳-演绎方法。数据收集和分析的理论依据是自我调节常识模型、可接受性理论框架和能力、机会、动机-行为模型。方法：对43名有皮肤状况的英语成年人（≥18岁）进行8次同步在线小组访谈。数据分析采用反身性主题分析。结果：生成了三个上级主题：(1)患者对mid app的态度和关注点；(2)为有效的自我管理需要个人能力、自主性和关联性；(3)使用app的生理、心理和社会障碍。结论：患有皮肤病的成年人，主要是生活在英国的白癜风和牛皮癣患者，表达了对自我管理其病情心理方面的支持的需求。通过智能手机应用程序提供由信息、情感、行为和同伴支持组成的新干预措施的想法受到欢迎，可能对特定患者特别有益。必须解决已确定的障碍，以最大限度地提高用户粘性，并为用户提供选择、灵活性和控制权。我们利用这些发现开发了期中考试应用程序。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.