Development of a user-centered health information service system for depressive symptom management.

A user-centered, Web-based depressive symptoms management system might be particularly useful in Korea, where those who seek mental health care face stigmatizing and where personal computers and the Internet have reached saturation levels. The purpose of this article is to describe the development process of a Web-based system for depressive symptom management through user-centered design principles. Our design process included four distinct phases: a needs assessment, analysis, design/development/testing, and the application release. The final revised website was released with the URL address, "http://www.baejy.com/smiles/". In the 3 years since the site was made available publicly, it is notable that 161,604 Koreans have accessed this website, either for educational purposes or for managing their depressive symptoms. A Web-based depressive symptom management system with a high degree of usability was developed. This website can be used to assess depressive symptoms and to serve as an intervention strategy to improve mental health.

[1]  P. Yorgin,et al.  The use of art therapy to detect depression and post‐traumatic stress disorder in pediatric and young adult renal transplant recipients , 2004, Pediatric transplantation.

[2]  Alan D. Lopez,et al.  Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study , 1997, The Lancet.

[3]  William A. Knaus,et al.  Implementation Brief: A User-centered Model for Web Site Design: Needs Assessment, User Interface Design, and Rapid Prototyping , 2002, J. Am. Medical Informatics Assoc..

[4]  H. Lai,et al.  Effects of music on major depression in psychiatric inpatients. , 2004, Archives of psychiatric nursing.

[5]  F. Lynch,et al.  Overcoming Depression on the Internet (ODIN): A Randomized Controlled Trial of an Internet Depression Skills Intervention Program , 2002, Journal of medical Internet research.

[6]  William J. Doll,et al.  The Measurement of End-User Computing Satisfaction , 1988, MIS Q..

[7]  Yue-Cune Chang,et al.  Evaluation of an assertiveness training program on nursing and medical students' assertiveness, self-esteem, and interpersonal communication satisfaction. , 2004, Nurse education today.

[8]  J. Greist,et al.  Computer-administered cognitive-behavioral therapy for depression. , 1990, The American journal of psychiatry.

[9]  Jiajie Zhang,et al.  Human-centered computing in health information systems Part 1: Analysis and design , 2005, J. Biomed. Informatics.

[10]  Richard L. Horst,et al.  A systems engineering perspective on the human-centered design of health information systems , 2005, J. Biomed. Informatics.

[11]  G. Lewith,et al.  A single-blinded, randomized pilot study evaluating the aroma of Lavandula augustifolia as a treatment for mild insomnia. , 2005, Journal of alternative and complementary medicine.

[12]  B. Everitt,et al.  Computerized, interactive, multimedia cognitive-behavioural program for anxiety and depression in general practice , 2003, Psychological Medicine.

[13]  Y. Ahn,et al.  Validity and Reliability of the Korean Version of the Hamilton Depression Rating Scale(K-HDRS) , 2005 .

[14]  Scott R. Bishop,et al.  What Do We Really Know About Mindfulness-Based Stress Reduction? , 2002, Psychosomatic medicine.

[15]  B N Gangadhar,et al.  Antidepressant efficacy of Sudarshan Kriya Yoga (SKY) in melancholia: a randomized comparison with electroconvulsive therapy (ECT) and imipramine. , 2000, Journal of affective disorders.

[16]  B. Peterson,et al.  Relaxation to Assist Sleep Medication Withdrawal , 1999, Behavior modification.

[17]  Janet Morahan-Martin,et al.  How Internet Users Find, Evaluate, and Use Online Health Information: A Cross-Cultural Review , 2004, Cyberpsychology Behav. Soc. Netw..

[18]  E. Ernst,et al.  Which complementary and alternative therapies benefit which conditions? A survey of the opinions of 223 professional organizations. , 2001, Complementary therapies in medicine.

[19]  Kathleen M Griffiths,et al.  A Comparison of Changes in Anxiety and Depression Symptoms of Spontaneous Users and Trial Participants of a Cognitive Behavior Therapy Website , 2004, Journal of medical Internet research.

[20]  J. Ogden,et al.  Adherence, behavior change, and visualization: a qualitative study of the experiences of taking an obesity medication. , 2006, Journal of psychosomatic research.

[21]  C. Nagel,et al.  Use of complementary and alternative therapies to promote sleep in critically ill patients. , 2003, Critical care nursing clinics of North America.

[22]  H. Christensen,et al.  Delivering interventions for depression by using the internet: randomised controlled trial , 2004, BMJ : British Medical Journal.

[23]  S. Youngstedt.  Effects of exercise on sleep. , 2005, Clinics in sports medicine.

[24]  M. Bruce.  Depression and Disability , 2002 .

[25]  M. Mcmurdo,et al.  Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder: randomised controlled trial. , 2002, The British journal of psychiatry : the journal of mental science.