Uptake of mental health websites in primary care: Insights from an Australian longitudinal cohort study of depression.

Abstract:

OBJECTIVE:To describe the characteristics of primary care attendees with depressive symptoms who use mental health websites. METHODS:789 individuals with depressive symptoms recruited and followed up annually for nine years. Self-reported written surveys included mental health, professional and self-help use, e-mental health interventions or therapeutic websites. Marginal logistic regression examined association between mental health website (MHW) use and patient's mental health, health services use, anti-depressant use and self-help strategies. RESULTS:36% of participants used an MHW at least once. MHW users were more likely to be female, younger, highly educated and employed. MHW use increased with depressive symptom severity; reported in 16% of assessments when minimal symptoms were present and 28% when severe symptoms were present. MHW use was associated with: GP mental health visits, psychologist and psychiatrist visits and other self-help strategies including self-help books and telephone helplines. CONCLUSION(S):Mental health websites were more likely to be used by those with severe depressive symptoms rather than those with mild depression as recommended in current guidelines. PRACTICE IMPLICATION(S):Whilst mental health websites offer potential to support the high volume of people with mild depression new strategies may be required to ensure uptake.

journal_name

Patient Educ Couns

authors

Gunn J,Cameron J,Densley K,Davidson S,Fletcher S,Palmer V,Chondros P,Dowrick C,Pirkis J

doi

10.1016/j.pec.2017.07.008

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

105-112

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(17)30421-4

journal_volume

101

pub_type

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