MOBILE APPS DEVELOPMENT AND VALIDATION: TAILORED INTERVENTION ON DEPRESSION AMONG PARAMEDIC STUDENTS OF MALAYSIAN MINISTRY OF HEALTH TRAINING INSTITUTE AT KUCHING, SARAWAK

Authors

  • Nur Issyatul Sofea Abdullah School of Graduate Studies, Management & Science University, Malaysia.
  • Neni Widiasmoro Selamat Department of Health Science, Faculty of Sports Science and Coaching, Sultan Idris Education University, Malaysia
  • Nurul Azira Ismail School of Graduate Studies, Management & Science University, Malaysia.
  • Irwanto Department of Child Health, Airlangga University, Surabaya, Indonesia

Keywords:

Knowledge, Depression, Students, Higher Educational Institution, Mobile application

Abstract

Depression is rather common among students in any educational institution, with no exception for local students in Malaysia. Early depression intervention, such as boosting awareness of depression, has been documented in the literature as a helpful strategy to prevent this type of mental disease. Therefore, knowledge of depression was introduced through a mobile app to enhance the knowledge level of depression among paramedic students at Institut Latihan Kementerian Kesihatan Malaysia (ILKKM) Kuching, in Sarawak. An interventional study with convenience sampling was conducted among final-year paramedic students aged 22 to 27 years old. Knowledge of Depression for Students Questionnaire (KDSQ) and clinical vignette were used to assess the knowledge on depression before and after the intervention. The Knowledge of Depression for Student Mobile Application (KDS-App) consists of 12 sections and was used in intervention to enhance the knowledge of depression among the students. Assessment for knowledge of depression of the students via KDSQ reveals higher post-intervention knowledge score than the pre-intervention performance (P<0.05). The KDS-App as an intervention tool in this study contributes to greater improvement in students’ ability to recognize depression (93.0%), knowledge of appropriate first-aid for depression (98.3%), and ability to determine medical intervention for depression (99.1%). The control group presented no improvement in their knowledge of depression based on the clinical vignette and KDSQ assessments. Besides educating students about depression, this mobile app can also be used as a first-aid tool for depression; an alternative resource for anyone looking to learn more about depression, self-monitor for depression, or raise awareness of depression

Author Biographies

Neni Widiasmoro Selamat, Department of Health Science, Faculty of Sports Science and Coaching, Sultan Idris Education University, Malaysia

 

 

Nurul Azira Ismail, School of Graduate Studies, Management & Science University, Malaysia.

 

 

Irwanto, Department of Child Health, Airlangga University, Surabaya, Indonesia

 

 

References

Malhi, G. S., & Mann, J. J. (2018). Depression. The Lancet, 392(10161), 2299–2312. https://doi.org/10.1016/s0140-6736(18)31948-2

Santomauro, D. F., Herrera, A. M. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., Abbafati, C., Adolph, C., Amlag, J. O., Aravkin, A. Y., Bang-Jensen, B. L., Bertolacci, G. J., Bloom, S. S., Castellano, R., Castro, E., Chakrabarti, S., Chattopadhyay, J., Cogen, R. M., Collins, J. K., & Dai, X. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700–1712. https://doi.org/10.1016/S0140-6736(21)02143-7

Naveed, S., Waqas, A., Chaudhary, A. M. D., Kumar, S., Abbas, N., Amin, R., Jamil, N., & Saleem, S. (2020). Prevalence of Common Mental Disorders in South Asia: A Systematic Review and Meta-Regression Analysis. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.573150

Vikram Singh, J., Mohamad Anuar, M. F., Baharudin, A., Abdul Ghaffar, S., Siew Man, C., Palineveloo, L., Mohd Sallehuddin, S., Abd Aziz, N. S., Che Abdul Rahim, N., Pardi, M., Nasaruddin, N. H., & Zainuddin, A. A. (2021). Nutritional and Non-Communicable Disease (NCD) Status Association with Fall among Older Persons in Malaysia: Findings from National Health and Morbidity Survey (NHMS) Malaysia 2018. International Journal of Public Health Research, 11(02), 1448–1454. https://doi.org/10.17576/ijphr.1102.2021.07

Ahmed, G., Negash, A., Kerebih, H., Alemu, D., & Tesfaye, Y. (2020). Prevalence and associated factors of depression among Jimma University students. A cross-sectional study. International Journal of Mental Health Systems, 14(1). https://doi.org/10.1186/s13033-020-00384-5

Ashraful Islam, M., Yun Low, W., Ting Tong, W., Wan Yuen, C. C., & Abdullah, A. (2018). Factors Associated with Depression among University Students in Malaysia: A Cross-sectional Study. KnE Life Sciences, 4(4), 415. https://doi.org/10.18502/kls.v4i4.2302

Chowdhury, U., Suvro, Md. A. H., Farhan, S. M. D., & Uddin, M. J. (2022). Depression and stress regarding future career among university students during COVID-19 pandemic. PLOS ONE, 17(4), e0266686.

https://doi.org/10.1371/journal.pone.0266686

Mofatteh, M. (2020). Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health, 8(1), 36–65. https://doi.org/10.3934/publichealth.2021004

Tambling, R. R., D’Aniello, C., & Russell, B. S. (2021). Mental Health Literacy: a Critical Target for Narrowing Racial Disparities in Behavioral Health. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-021-00694-w

Cheng, S., An, D., Yao, Z., Liu, J. J.-W., Ning, X., Wong, J. P.-H., Fung, K. P.-L., Vahabi, M., Poon, M. K.-L., Yamada, J., Cheng, S., Gao, J., Cong, X., Sun, G., Li, A. T.-W., Wang, X., & Jia, C. (2021). Association between Mental Health Knowledge Level and Depressive Symptoms among Chinese College Students. International Journal of Environmental Research and Public Health, 18(4), 1850. https://doi.org/10.3390/ijerph18041850

Dogan-Sander, E., Kohls, E., Baldofski, S., & Rummel-Kluge, C. (2021). More Depressive Symptoms, Alcohol and Drug Consumption: Increase in Mental Health Symptoms Among University Students After One Year of the COVID-19 Pandemic. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.790974

Iribarren, S.J., Akande, T.O., Kamp, K.J., Barry, D., Kader, Y.G. and Suelzer, E. (2021). Effectiveness of Mobile Apps to Promote Health and Manage Disease: Systematic Review and Meta-analysis of Randomized Controlled Trials. JMIR mHealth and uHealth, 9(1), p.e21563. https://doi.org/10.2196/21563

Oliveira, C., Pereira, A., Vagos, P., Nóbrega, C., Gonçalves, J., & Afonso, B. (2021). Effectiveness of Mobile App-Based Psychological Interventions for College Students: A Systematic Review of the Literature. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.647606

Seo, J.-M., Kim, S.-J., Na, H., Kim, J.-H., & Lee, H. (2022). Effectiveness of a Mobile Application for Postpartum Depression Self-Management: Evidence from a Randomised Controlled Trial in South Korea. Healthcare (Basel, Switzerland), 10(11), 2185. https://doi.org/10.3390/healthcare10112185

Lee, J. E., Goh, M. L., & Yeo, S. F. (2023). Mental health awareness of secondary schools students: Mediating roles of knowledge on mental health, knowledge on professional help, and attitude towards mental health. Heliyon, 9(3), e14512. https://doi.org/10.1016/j.heliyon.2023.e14512

Raosoft. (2004). Sample Size Calculator by Raosoft, Inc. Raosoft.com. http://www.raosoft.com/samplesize.html

Duncan, F., Baskin, C., McGrath, M., Coker, J. F., Lee, C., Dykxhoorn, J., Adams, E. A., Gnani, S., Lafortune, L., Kirkbride, J. B., Kaner, E., Jones, O., Samuel, G., Walters, K., Osborn, D., & Oliver, E. J. (2021). Community interventions for improving adult mental health: mapping local policy and practice in England. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11741-

Campion, J. (2018). Public mental health: key challenges and opportunities. BJPsych International, 15(3), 51–54. https://doi.org/10.1192/bji.2017.11

Colizzi, M., Lasalvia, A. & Ruggeri, M. Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care?. Int J Ment Health Syst 14, 23 (2020). https://doi.org/10.1186/s13033-020-00356-9

Salazar de Pablo, G., De Micheli, A., Nieman, D. H., Correll, C. U., Kessing, L. V., Pfennig, A., Bechdolf, A., Borgwardt, S., Arango, C., van Amelsvoort, T., Vieta, E., Solmi, M., Oliver, D., Catalan, A., Verdino, V., Di Maggio, L., Bonoldi, I., Vaquerizo-Serrano, J., Baccaredda Boy, O., & Provenzani, U. (2020). Universal and selective interventions to promote good mental health in young people: Systematic review and meta-analysis. European Neuropsychopharmacology, 103592. https://doi.org/10.1016/j.euroneuro.2020.10.007

Singh, V., Kumar, A., & Gupta, S. (2022). Mental Health Prevention and Promotion—A Narrative Review. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.898009

Chandrashekar, P. (2018). Do mental health mobile apps work: evidence and recommendations for designing high-efficacy mental health mobile apps. MHealth, 4(6), 6–6. https://doi.org/10.21037/mhealth.2018.03.02

Goldberg, S. B., Lam, S. U., Simonsson, O., Torous, J., & Sun, S. (2022). Mobile phone-based interventions for mental health: A systematic meta-review of 14 meta-analyses of randomized controlled trials. PLOS Digital Health, 1(1), e0000002. https://doi.org/10.1371/journal.pdig.0000002

Oliveira, C., Pereira, A., Vagos, P., Nóbrega, C., Gonçalves, J., & Afonso, B. (2021). Effectiveness of Mobile App-Based Psychological Interventions for College Students: A Systematic Review of the Literature. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.647606

Wong, P. W. C., Arat, G., Ambrose, M. R., Qiuyuan, K. X., & Borschel, M. (2019). Evaluation of a mental health course for stigma reduction: A pilot study. Cogent Psychology, 6(1), 1595877. https://doi.org/10.1080/23311908.2019.1595877

Arean, P. A., Hallgren, K. A., Jordan, J. T., Gazzaley, A., Atkins, D. C., Heagerty, P. J., & Anguera, J. A. (2016). The Use and Effectiveness of Mobile Apps for Depression: Results From a Fully Remote Clinical Trial. Journal of Medical Internet Research, 18(12), e330. https://doi.org/10.2196/jmir.6482

Graham, A. K., Greene, C. J., Kwasny, M. J., Kaiser, S. M., Lieponis, P., Powell, T., & Mohr, D. C. (2020). Coached Mobile App Platform for the Treatment of Depression and Anxiety Among Primary Care Patients: A Randomized Clinical Trial. JAMA Psychiatry, 77(9), 906–914. https://doi.org/10.1001/jamapsychiatry.2020.1011

Kotera, Y., Ting, S.-H., & Neary, S. (2020). Mental health of Malaysian university students: UK comparison, and relationship between negative mental health attitudes, self-compassion, and resilience. Higher Education, 81. https://doi.org/10.1007/s10734-020-00547-w

Marshall, J. M., Dunstan, D. A., & Bartik, W. (2019). Clinical or gimmickal: The use and effectiveness of mobile mental health apps for treating anxiety and depression. Australian & New Zealand Journal of Psychiatry, 54(1), 20–28. https://doi.org/10.1177/0004867419876700

Polhemus, A., Simblett, S., Dawe-Lane, E., Gilpin, G., Elliott, B., Jilka, S., Novak, J., Nica, R., Temesi, G., & Wykes, T. (2022). Health tracking via mobile apps for depression self-management: a qualitative content analysis of user reviews (Preprint). JMIR Human Factors. https://doi.org/10.2196/40133

Stiles-Shields, C., Montague, E., Lattie, E. G., Kwasny, M. J., & Mohr, D. C. (2017). What might get in the way: Barriers to the use of apps for depression. DIGITAL HEALTH, 3, 205520761771382. https://doi.org/10.1177/2055207617713827

Wasil, A. R., Venturo-Conerly, K. E., Shingleton, R. M., & Weisz, J. R. (2019). A review of popular smartphone apps for depression and anxiety: Assessing the inclusion of evidence-based content. Behaviour Research and Therapy, 123, 103498. https://doi.org/10.1016/j.brat.2019.103498

Noori, S., Mansor, E. I., Ibrahim, N., & Hinds, J. (2016). Promoting awareness of depression with a mobile application: A usability study and evaluation. 2016 4th International Conference on User Science and Engineering (I-USEr). https://doi.org/10.1109/iuser.2016.7857934

Martinengo, L., Stona, A.-C., Tudor Car, L., Lee, J., Griva, K., & Car, J. (2022). Education on Depression in Mental Health Apps: Systematic Assessment of Characteristics and Adherence to Evidence-Based Guidelines. Journal of Medical Internet Research, 24(3), e28942. https://doi.org/10.2196/28942

Van, V. H., Dao, K. T. A., & Minh, D. H. (2020). Effectiveness of Shining Mind- A Smartphone App to Increase Mental Health Literacy Among College Students. VNU Journal of Science: Education Research. https://doi.org/10.25073/2588-1159/vnuer.4480

Wu, A., Scult, M. A., Barnes, E. D., Betancourt, J. A., Falk, A., & Gunning, F. M. (2021). Smartphone apps for depression and anxiety: a systematic review and meta-analysis of techniques to increase engagement. Npj Digital Medicine, 4(1). https://doi.org/10.1038/s41746-021-00386-8

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Published

2024-04-28

How to Cite

Abdullah, N. I. S., Selamat, N. W., Ismail, N. A., & Irwanto. (2024). MOBILE APPS DEVELOPMENT AND VALIDATION: TAILORED INTERVENTION ON DEPRESSION AMONG PARAMEDIC STUDENTS OF MALAYSIAN MINISTRY OF HEALTH TRAINING INSTITUTE AT KUCHING, SARAWAK. Malaysian Journal of Public Health Medicine, 24(1), 149–164. Retrieved from https://mjphm.org/index.php/mjphm/article/view/2202