JMIR Publications

ABSTRACT

Background:

Mindfulness-based apps can be an effective and accessible resource to mental health support. However, little is known about their use outside of research settings and what user characteristics relate to app use.

Objective:

This study aimed to examine the characteristics of people who decided to use, not use, or stop using Headspace within the context of a large-scale public deployment, which offered the mindfulness meditation app Headspace as a free mental health resource to community members.

Methods:

Nearly 100,000 community members received Headspace. All members (N = 92,311) received an email inviting them to complete a voluntary and unpaid survey. Participants (n = 2,725) completed the survey. The 20-minute survey asked about use of Headspace, user experience, mental health problems, mental health stigma, and mental health utilization. Logistic regression models were used to examine relationships between predictors and non-use, past use, or current use of Headspace.

Results:

Participants who were still using Headspace at the time of completing the survey (76%) were more likely to experience mental health challenges, distress, and made more use of other digital mental health resources (i.e., online tools and connecting with people online) than people who were not using Headspace. Additionally, current Headspace users rated the app higher on user experience compared to past users. The most common reasons for abandoning Headspace were that people were already using other strategies to support their mental health (35%), no longer needed Headspace (13%), and/or did not think Headspace was useful (8%).

Conclusions:

Results indicate that a person’s mental health challenges, a perceived need for support, and familiarity with digital resources were associated with continued Headspace use. While the most common reason for not using Headspace was that people were already using other resources, it is important to consider the continuity of mental health support beyond these free programs for those who may not have easy access to other resources. We discuss potential implications of our findings for offering and using apps such as Headspace as a mental health resource, along with factors that influence engagement with this app.