Experiences of Bipolar Patients in Accessing Digital-Based Mental Health Services in Indonesia: A Phenomenological Study

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Herliana Riska

Abstract

Mental health disorders, particularly bipolar disorder, significantly impact individuals' psychological stability and daily functioning, necessitating continuous access to care. Digital health technologies, such as telemedicine and mental health applications, have emerged as alternative solutions to overcome access barriers in mental healthcare. However, existing research focuses primarily on clinical outcomes rather than the subjective experiences of users, leaving a gap in understanding the deeper meaning and lived realities of individuals engaging with these services. This study employs a phenomenological approach to explore how individuals with bipolar disorder experience digital mental health services, uncovering themes related to accessibility, emotional support, and service limitations. Findings reveal that while digital platforms enhance accessibility and flexibility, they lack the emotional depth required for meaningful therapeutic interactions. These insights suggest that future digital mental health interventions should integrate user-centered features to foster stronger emotional engagement and complement traditional in-person care.

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References

Au, M., Anandakumar, A. D., Preston, R., Ray, R. A., & Davis, M. (2019). A model explaining refugee experiences of the Australian healthcare system: A systematic review of refugee perceptions. BMC international health and human rights, 19(1), 22. Scopus. https://doi.org/10.1186/s12914-019-0206-6

Bonnechère, B., Kossi, O., Mapinduzi, J., Panda, J., Rintala, A., Guidetti, S., Spooren, A., & Feys, P. (2023). Mobile health solutions: An opportunity for rehabilitation in low- and middle income countries? Frontiers in Public Health, 10. Scopus. https://doi.org/10.3389/fpubh.2022.1072322

de Oliveira Roque e Lima, J., Pagotto, V., Rocha, B. S., Scalize, P. S., Guimarães, R. A., de Lima, M. D., da Silva, L. N., da Silva Oliveira, M. D., Moura, W. É. A., Teles, S. A., Rosso, C. F. W., & Caetano, K. A. A. (2023). Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil. Vaccines, 11(4). Scopus. https://doi.org/10.3390/vaccines11040838

Fekadu, H., Mekonnen, W., Adugna, A., Kloos, H., & Hailemariam, D. (2024). Barriers to equitable healthcare services for under-five children in Ethiopia: A qualitative exploratory study. BMC Health Services Research, 24(1). Scopus. https://doi.org/10.1186/s12913-024-11074-0

Graffigna, G., Barello, S., Morelli, N., Gheduzzi, E., Corbo, M., Ginex, V., Ferrari, R., Lascioli, A., Feriti, C., & Masella, C. (2020). Place4Carers: A mixed-method study protocol for engaging family caregivers in meaningful actions for successful ageing in place. BMJ Open, 10(8). Scopus. https://doi.org/10.1136/bmjopen-2020-037570

Gupta, N., & Miah, P. (2024). Imbalances in the oral health workforce: A Canadian population-based study. BMC Health Services Research, 24(1). Scopus. https://doi.org/10.1186/s12913-024-11677-7

Harriss, L. R., Thompson, F., Lawson, K., O’Loughlin, M., & McDermott, R. (2019). Corrigendum to: Preventable hospitalisations in regional Queensland: Potential for primary health? Australian health review : a publication of the Australian Hospital Association, 43(4), 483. Scopus. https://doi.org/10.1071/AH18033_CO

Hassen, S. S., & Lelisho, M. E. (2022). Determining factors associated with the prevalence of knowledge, attitude, and practice in seeking skilled maternal healthcare services among women in a remote area of Gesha district. BMC Health Services Research, 22(1). Scopus. https://doi.org/10.1186/s12913-022-08710-y

Lira Huq, N., Ahmed, A., Tahrin Islam, T., Rahman, F., Hanson, M., Sayeed, A., Nusrat, N., Mazumder, T., Golam Rasul, K., Rahman Turza, M., Abul Hasnath Siddique, R., Hossain Sheikh, A., Moshfiqur Rahman, S., & El Arifeen, S. (2023). Community-based integrated intervention for skilled maternal health care utilization in riverine remote areas, Bangladesh. Sexual and Reproductive Healthcare, 37. Scopus. https://doi.org/10.1016/j.srhc.2023.100892

Little, F., Croker, A., & Carey, T. A. (2019). Valued but tenuous? Postgraduate clinical psychology placements for psychology students in rural and remote areas—Implications for future directions. Rural and Remote Health, 19(3). Scopus. https://doi.org/10.22605/RRH4621

Morris-Paxton, A. A., Reid, S., & Ewing, R. M. G. (2020). Primary healthcare services in the rural Eastern Cape, South Africa: Evaluating a service-support project. African Journal of Primary Health Care and Family Medicine, 12(1). Scopus. https://doi.org/10.4102/PHCFM.V12I1.2207

Nolan-Isles, D., Macniven, R., Hunter, K., Gwynn, J., Lincoln, M., Moir, R., Dimitropoulos, Y., Taylor, D., Agius, T., Finlayson, H., Martin, R., Ward, K., Tobin, S., & Gwynne, K. (2021). Enablers and barriers to accessing healthcare services for aboriginal people in new south wales, australia. International Journal of Environmental Research and Public Health, 18(6), 1–13. Scopus. https://doi.org/10.3390/ijerph18063014

Peritogiannis, V., Rousoudi, S., Vorvolakos, T., Gioti, P., Gogou, A., Arre, A., & Samakouri, M. (2022). A comparative study of two Mobile Mental Health Units in different catchment rural areas in Greece. International Journal of Social Psychiatry, 68(2), 324–333. Scopus. https://doi.org/10.1177/0020764020985896

Politis, A., Vorvolakos, T., Kontogianni, E., Alexaki, M., Georgiou, E.-Z. E., Aggeletaki, E., Gkampra, M., Delatola, M., Delatolas, A., Efkarpidis, A., Thanopoulou, E., Kostoulas, K., Naziri, V., Petrou, A., Savvopoulou, K., Siarkos, K., Soldatos, R. F., Stamos, V., Nguyen, K.-H., … Alexopoulos, P. (2023). Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: Design, iterative development and single-site pilot study findings. BMC Health Services Research, 23(1). Scopus. https://doi.org/10.1186/s12913-023-09583-5

Randall, S., White, D., & Dennis, S. (2023). A collaborative primary health care model for children and young people in rural Australia: Explorations of cross-sectoral leader action. Australian Journal of Primary Health, 29(6), 566–574. Scopus. https://doi.org/10.1071/PY23023

Ssengooba, F., Babirye, S., Tuhebwe, D., Ssennyonjo, A., Ssendagire, S., Rutaroh, A., Mutesa, L., & Nangami, M. (2022). The right of access to healthcare: An analysis of how legal and institutional frameworks constrain or facilitate access to healthcare for residents in border areas in the East African Community. International Journal for Equity in Health, 21(1). Scopus. https://doi.org/10.1186/s12939-022-01785-3

Sullivan, C., Cazin, M., Higa, C., Zalud, I., & Lee, M.-J. (2023). Maternal telehealth: Innovations and Hawai’i perspectives. Journal of Perinatal Medicine, 51(1), 69–82. Scopus. https://doi.org/10.1515/jpm-2022-0394

Theron, E., & Pelser, A. (2020). Trust in independent community pharmacies: Do employee-related factors matter? Health SA Gesondheid, 25, 1–10. Scopus. https://doi.org/10.4102/hsag.v25i0.1344

Waibel, S., Williams, J., Tuff, Y., Shum, J., Scarr, J., & O’Donnell, M. (2021). Development of the Tiers of Service framework to support system and operational planning for children’s healthcare services. BMC Health Services Research, 21(1). Scopus. https://doi.org/10.1186/s12913-021-06616-9

Yates, M., Perry, L., Onyx, J., & Levett-Jones, T. (2022). ‘Grey nomad’ travellers’ use of remote health services in Australia: A qualitative enquiry of hospital managers’ perspectives. BMC Health Services Research, 22(1). Scopus. https://doi.org/10.1186/s12913-022-07580-8