BACKGROUND: The number of mobile apps tailored for people living with mental health conditions has increased tremendously. However, the majority of the existing apps are not evidence-based and are being developed by teams without mental health expertise. OBJECTIVE: We aimed to explore psychiatrists' perceptions of what they and their patients need in a mental health app and eventually inform the design of future mobile apps in this area. METHODS: Semi-structured interviews were conducted with psychiatrists (N = 18) from three European countries: Austria, the Czech Republic, and Slovakia. Content analysis using inductive and deductive coding was used to analyze the interviews. RESULTS: Four major themes were deductively identified: current system, gaps in the current system, recommendations for a mobile app, and promoting app use. Psychiatrists provided a comprehensive list of app features they suggested would be helpful. Of particular importance seemed to be enabling patients to self-monitor various aspects of their lives and including an emergency plan. Participants also emphasized that the app should be positive and motivating for patients to use, with some suggesting that users be able to communicate with other users for support. Within the theme of "current system," a common topic was the current shortage of psychiatrists and the feelings of time pressure amongst existing psychiatrists. CONCLUSIONS: The results of this study can be used by software developers to inform future designs of mental health mobile apps, which will hopefully translate to a greater availability of evidence-based apps that address clinical needs.

BC Reproductive Mental Health Program BC Women's Hospital Vancouver Canada

BCCH Centre for Mindfulness BC Children's Hospital Vancouver Canada

Centre for Psychosocial Medicine University Medical Center Hamburg Eppendorf Hamburg Germany

Department of Department of Obstetrics and Gynaecology University of British Columbia Vancouver Canada

Department of English and American Studies Masaryk University Brno Czechia

Department of Medical Psychology University Medical Center Hamburg Eppendorf Hamburg Germany

Department of Pharmacology Masaryk University Brno Czechia

Department of Psychiatry Tanta University Tanta Egypt

Department of Psychiatry University of British Columbia Vancouver Canada

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Mental health atlas 2020. World Health Organization. 2021. https://apps.who.int/iris/handle/10665/345946

Firth J, Torous J, Nicholas J, et al. Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. J Affective Disord 2017; 218: 15–22. PubMed

Ebert DD, Van Daele T, Nordgreen T, et al. Internet- and mobile-based psychological interventions: applications, efficacy, and potential for improving mental health. Eur Psychol 2018; 23: 167–187.

Gindidis S, Stewart S, Roodenburg J. A systematic scoping review of adolescent mental health treatment using mobile apps. Adv Ment Health 2019; 17: 161–177.

Koh J, Tng GYQ, Hartanto A. Potential and pitfalls of mobile mental health apps in traditional treatment: an umbrella review. J Pers Med 2022; 12: 1376. PubMed PMC

Li J. Digital technologies for mental health improvements in the COVID-19 pandemic: a scoping review. BMC Public Health 2023; 23: 1–11. PubMed PMC

Sinha C, Meheli S, Kadaba M. Understanding digital mental health needs and usage with an artificial intelligence–led mental health app (WYSA) during the COVID-19 pandemic: retrospective analysis. JMIR Form Res 2023; 7: e41913. PubMed PMC

Santomauro DF, Mantilla Herrera AM, Shadid J, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 2021; 398: 1700–1712. PubMed PMC

Chan S. Mobile wellness apps forecasted to exceed 1 billion downloads in 2021. Sensor Tower; 2021. https://sensortower.com/blog/mobile-wellness-market-trends-2021

Clay R. Mental health apps are gaining traction. Monit Psychol 2021; 52: 55.

Grist R, Porter J, Stallard P. Mental health mobile apps for preadolescents and adolescents: a systematic review. J Med Internet Res 2017; 19: e176. PubMed PMC

Tabi K, Randhawa AS, Choi F, et al. Mobile apps for medication management: review and analysis. JMIR Mhealth Uhealth 2019; 7: e13608. PubMed PMC

Huckvale K, Nicholas J, Torous J, et al. Smartphone apps for the treatment of mental health conditions: status and considerations. Curr Opin Psychol 2020; 36: 65–70. PubMed

Song MJ, Tabi K, Krausz M. Navigating e-mental health: how to choose an effective and trustable app? In: Okpaku SOE. (eds) Innovations in global mental health. Cham: Springer International Publishing, 2020, pp.1–12

Wang K, Varma DS, Prosperi M. A systematic review of the effectiveness of mobile apps for monitoring and management of mental health symptoms or disorders. J Psychiatr Res 2018; 107: 73–78. PubMed

Nicholas J, Larsen ME, Proudfoot J, et al. Mobile apps for bipolar disorder: a systematic review of features and content quality. J Med Internet Res 2015; 17: e198. PubMed PMC

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007; 19: 349–357. PubMed

Marshall MN. Sampling for qualitative research. Fam Pract 1996; 13: 522–526. PubMed

Creswell JW. Research design: qualitative, quantitative, and mixed methods approaches. 4th ed. Thousand Oaks California: Sage Publications, 2014, ISBN: 1452226105.

Palinkas LA, Horwitz SM, Green CA, et al. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health 2015; 42: 533–544. PubMed PMC

Patton MQ. Qualitative research & evaluation methods. 3rd ed. Thousand Oaks California: Sage Publications, 2002, ISBN: 0761919716.

Stratton SJ. Purposeful sampling: advantages and pitfalls. Prehosp Disaster Med 2024; 39: 121–122. PubMed

Leighton K, Kardong-Edgren S, Schneidereith T, et al. Using social media and snowball sampling as an alternative recruitment strategy for research. Clin Simul Nurs 2021; 55: 37–42.

Kvale S. Doing interviews. London, England: Sage Publications, 2007.

VERBI Software. MAXQDA 2018. 2017. https://www.maxqda.com/

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15: 1277–1288. PubMed

Kuckartz U. Qualitative text analysis: a guide to methods, practice & using software. 2nd ed. London, England: Sage Publications, 2014.

Mayring P. Qualitative content analysis: theoretical foundation, basic procedures and software solution. 2014. https://nbn-resolving.org/urn:nbn:de:0168-ssoar-395173

Chandrashekar P. Do mental health mobile apps work: evidence and recommendations for designing high-efficacy mental health mobile apps. MHealth 2018; 4: 6–6. PubMed PMC

Lui JHL, Marcus DK, Barry CT. Evidence-based apps? A review of mental health mobile applications in a psychotherapy context. Prof Psychol Res Pr 2017; 48: 199–210.

Reid SC, Kauer SD, Hearps SJ, et al. A mobile phone application for the assessment and management of youth mental health problems in primary care: a randomised controlled trial. BMC Fam Pract 2011; 12: 131. PubMed PMC

Chan AHY, Honey MLL. User perceptions of mobile digital apps for mental health: acceptability and usability - an integrative review. J Psychiatr Ment Health Nurs 2022; 29: 147–168. PubMed

Seiferth C, Vogel L, Aas B, et al. How to e-mental health: a guideline for researchers and practitioners using digital technology in the context of mental health. Nat Ment Health 2023; 1: 542–554.

Balaskas A, Schueller SM, Cox AL, et al. Ecological momentary interventions for mental health: a scoping review. PLoS One 2021; 16: e0248152. PubMed PMC

Kenny R, Dooley B, Fitzgerald A. Developing mental health mobile apps: exploring adolescents’ perspectives. Health Inf J 2016; 22: 265–275. PubMed

Torous J, Wisniewski H, Liu G, et al. Mental health mobile phone app usage, concerns, and benefits among psychiatric outpatients: comparative survey study. JMIR Ment Health 2018; 5: e11715. PubMed PMC

Miralles I, Granell C, Díaz-Sanahuja L, et al. Smartphone apps for the treatment of mental disorders: systematic review. JMIR Mhealth Uhealth 2020; 8: e14897. PubMed PMC

Wasil A, Venturo-Conerly KE, Shingleton RMet al. et al. A review of popular smartphone apps for depression and anxiety: assessing the inclusion of evidence-based content. Behav Res Ther 2019; 123: 103498. PubMed

Dragovic M, Davison S, Morgan VA, et al. ‘Validated, easy to use and free’: top three requests for mobile device applications (‘apps’) from mental health consumers and clinicians. Adv Ment Health 2020; 18: 106–114.