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Table 1 Summary of the results

From: Perception of healthcare workers on mobile app-based clinical guideline for the detection and treatment of mental health problems in primary care: a qualitative study in Nepal

Themes

Key findings

(1) Facilitating factors for using the app

Availability of internet in most of the health facilities

Familiarity with smart phones and tablets

Experienced in using m-health apps

Experienced in online recording and reporting system

(2) Perceived benefits of using the app

Guides and supports in diagnosis and treatment

Verifies health workers' diagnosis

Easily accessible

Brings standardization of diagnosis and management among all health workers and health facilities

Makes remote supervision possible

May increase patients’ trust in treatment

(3) Perceived barriers for using the app

Lack of internet in some of the remote health facilities

Limited experience with digital technology among senior health workers

Limited use of typing feature by health workers in mobile phones

Concern that patients may doubt health workers’ skills and competencies

(4) Perceived risk factors of using the app

May distract from the interaction with patient

Adds an extra task to enter the same information in the app as well as in patient register until government adapt online reporting system

May take more time to enter information, so may not be possible to use app during busy clinics

May make patients experiencing delusions more suspicious

Confidentiality of patients’ data

Less chance of using the app continuously when health workers becomes familiar with all aspect of the app

(5) Suggested features and functions in the app

Suggestive diagnosis and treatment after entering the symptoms of a particular disorder

Minimal typing function

Inclusion of patient record system in the app

Send reminder messages to the patients about the follow-up appointments

Content in both English and Nepali languages

Short and simple sentences with large font size

Offline function

Inclusion of other relevant reference material (e.g. videos of psychosocial support, deep breathing exercise) in the app