Exploring Challenges in Conducting E-Mental Health Research Among Asian American Women

• Main Authors: Andrew Thomas Reyes, Rose E. Constantino, Rogelio A. Arenas, Judzia N. Bombard, Alvin Ryan Acupan
• Format: Article
• Language: English
• Published: University of Hawaii Press 2019-02-01
• Series: Asian/Pacific Island Nursing Journal
• Subjects: Asian American women; e-mental health; e-mental health research
• Online Access: https://kahualike.manoa.hawaii.edu/apin/vol3/iss4/3/

In this discussion paper, we explore the challenges of conducting e-mental health intervention research among Asian American women and propose a model for addressing these barriers. Based on an extensive literature review, we identify two main types of barriers to conducting e-mental health intervention research among Asian American women: recruitment barriers and adherence barriers. Recruitment barriers are further subcategorized into those related to (1) stigmatized cultural beliefs about mental illness and mental health services; (2) lack of awareness about mental health services; and (3) language barrier. As to adherence barriers, the two identified subtypes concern (1) acuity and severity of mental health condition; and (2) lack of time. In order to enhance recruitment and adherence in e-mental health intervention research among the studied population, we formulate the following three main research strategies, namely: (1) considering the cultural and social contexts of Asian American women in the development of e-mental health interventions; (2) determining appropriate program length; and (3) conducting feasibility studies to test e-mental health interventions. We suggest that nurse researchers integrate our proposed model in conducting e-mental health interventions among Asian American women. Our proposed model also implies that nurses play an important role in encouraging Asian American women’s acceptance of and adherence to e-mental health interventions. In order to overcome the obstacles to conducting e-mental health research among Asian American women, we recommend that nurses familiarize themselves with credible, relevant, and evidence-based e-mental health resources and integrate online mental health services and information within their nursing practice.