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General Practitioners' Perspectives on Digital Health Applications for Mental Disorders and Their Prescribing

Sandy Scheibe1, Sandra Salm2,3, Karola Mergenthal2

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General practitioners (GPs) show reluctance in prescribing digital health applications for mental disorders (DHA-MD), viewing them as supplementary tools. Addressing knowledge gaps and integration barriers is crucial for wider adoption of these digital mental health solutions.

Keywords:
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Area of Science:

  • Digital Health
  • Mental Health Care
  • Primary Care

Background:

  • High prevalence of mental disorders strains healthcare systems.
  • Digital Health Applications (DHAs) for mental disorders (DHA-MD) were introduced in Germany to improve outpatient mental health care.
  • Limited evidence exists on general practitioners' (GPs') perspectives and prescribing behaviors regarding DHA-MD.

Purpose of the Study:

  • To analyze GPs' perspectives on DHA-MD.
  • To investigate GPs' prescribing behavior for DHA-MD in mental disorder care.

Main Methods:

  • A mixed-methods study combining a Germany-wide online survey and qualitative interviews with GPs and medical assistants (MAs).
  • Data collected from January to October 2024.
  • Analysis included descriptive and multivariate regression for quantitative data and qualitative content analysis for interviews.

Main Results:

  • Median prescription frequency of DHA-MD was low (1 per quarter), while perceived need was higher (3).
  • Digitized practice environments and group practice settings positively predicted DHA-MD prescribing behavior and perceived need.
  • GPs and MAs viewed DHA-MD as temporary/supplementary, with effectiveness depending on adherence; barriers included lack of knowledge and integration difficulties.

Conclusions:

  • GPs exhibit reluctance to prescribe DHA-MD due to perceived low need and role as supplementary interventions.
  • Barriers such as insufficient knowledge, lack of effectiveness data, and integration challenges hinder prescription in primary care.
  • Addressing these barriers and engaging GPs and patients in research are vital for DHA-MD development.