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Helping Older Veterans Use Mental Health Apps: Qualitative Interviews and Development of a New Program
Julie Lutz1,2, Carter H Davis3, Sherry A Beaudreau1,2
1Sierra Pacific Mental Illness Research, Education, and Clinical Center, VA Palo Alto Health Care System, 3801 Miranda Ave (151Y MIRECC), Palo Alto, CA, 94804, United States, 1 6504935000.
Older veterans are interested in mobile mental health apps, but technology barriers exist. A coaching program (MoDAL) showed potential to improve mobile device proficiency for this population.
Area of Science:
- Gerontology
- Digital Health
- Mental Health Technology
Background:
- Mobile mental health apps offer accessible, private mental healthcare solutions for older veterans.
- Barriers to app adoption among older veterans require targeted support strategies.
- Integration within the Veterans Health Administration can enhance app utilization for veterans.
Purpose of the Study:
- Assess older veterans' interest and barriers regarding mental health app use.
- Develop and pilot a coaching program to overcome mobile technology challenges for veterans.
- Evaluate the effectiveness of a coaching intervention in improving mobile device proficiency.
Main Methods:
- Conducted semistructured qualitative interviews with 12 older veterans to identify app usage themes.
- Developed the Mobile Device and App Learning (MoDAL) coaching program based on interview findings.
- Piloted the MoDAL program with 13 older veterans to assess acceptability and feasibility.
Main Results:
- Most veterans expressed interest in mental health apps, citing technology familiarity as a key barrier.
- Barriers included usability, accessibility, motivation, and memory issues.
- The MoDAL program demonstrated a statistically significant, though small, improvement in mobile device proficiency.
Conclusions:
- Older veterans show interest in mobile mental health apps but face significant technology barriers.
- The MoDAL coaching program may enhance veterans' comfort and proficiency with digital health tools.
- Addressing technology barriers is crucial for increasing engagement with virtual care modalities.
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