JMIR Publications

ABSTRACT

Background:

smartphones have become ubiquitous in China, offering a promising way to deliver mental health interventions. However, little is known about current use and characteristics of smartphone Apps for mental health.

Objective:

The purpose of this study was to gain insight into available Mobile Mental Health apps in China as of December 2018.

Methods:

A systematic review was conducted to search, screen and evaluate the most downloaded apps from the iOS and Android platforms. Selected apps were categorized according to their main purpose and downloaded to further evaluate their content. Each app’s affiliation, cost, target users, information security and evidence-based nature were evaluated.

Results:

172 unique apps were identifies. There were 37 apps (35.2%) for psychological counseling, 50 apps (47.6%) for assessment, 12 apps (11.4%) for stress relieve, 24 apps (22.9%) for psychoeducation, and 49 multipurpose apps (e.g., combination of counseling and assessment; 46.7%). Most apps were developed for adults (96.5%) in the general population, rather than psychiatric patients. App-based counseling was mostly provided by psychologists and of assessment apps, only 40% used evidence-based scales to assess mental problems such as anxiety and/or depressed mood. Guided meditation was used as the main method to reduce stress in the stress relieving apps.

Conclusions:

Many apps contain useful and evidence-based elements, such as good quality information, validated measurements and useful meditation methods. However, for mobile apps to contribute significantly to mental healthcare in China, considerable challenges remain, including the need for more patient-focused apps that can actually take on the role of a healthcare provider. In addition, efficacy studies are needed.