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

Thumbnail Image
Journal Title
Journal ISSN
Volume Title
A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Degree programme
JMIR Human Factors, Volume 10
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.
Funding Information: LL and JMP are funded by the Jane and Aatos Erkko Foundation and Technology Industries of Finland Centennial, The Future Makers Program, and Business Finland Research2Business (42173/31/2020). VMK is funded by the Academy of Finland (grant 353267) and the European Research Council under the European Union Horizon Europe research and innovation program (grant 101042052). The authors would like to thank all the mental health professionals who participated in the research, Saara Tikka and Sini Oksanen for their help in the transcriptions of the first 5 interviews, and Maria Vesterinen for her valuable input with the translation of the quotes. Publisher Copyright: © 2023 The Author(s). All rights reserved.
clinical practice, digital mental health interventions, intervention design, mental health applications, mental health professionals, mobile phone, teletherapy
Other note
Lukka, L, Karhulahti, V M & Palva, J M 2023, ' Factors Affecting Digital Tool Use in Client Interaction According to Mental Health Professionals : Interview Study ', JMIR Human Factors, vol. 10, e44681 . https://doi.org/10.2196/44681