"I don’t trust it, but I have to trust it": The Paradox of Trust vs Use of Online Technology Across The Mental Health Spectrum

• DOI: 10.31219/osf.io/n6rvx
• Publication Date: 2024-11-06T13:26:02Z
• Authors: Emma Gentry; Elena Nichele; Tayyaba Azim; Mohammad Naiseh; Liz Dowthwaite; Mohamad Armouch; Frances Greenway; Mark Weal; Ann-Marie Hughes; Emma Claire Palme...
• Keywords: Clinical Psychology; 150; 610; Psychology; Social and Behavioral Sciences

Background: Interest in eHealth has grown since the Coronavirus (COVID-19) pandemic. Use of internet-based technologies (IBTs) and artificial intelligence (AI) potential to transform delivery mental healthcare services, however, trust remains a pivotal factor public acceptance adoption these systems. Aims: We investigated attitudes behaviours towards with focus on health wellbeing provision, general population individuals experience serious illness. Our investigation was underpinned by extended technology model (TAM2), which included trust.Methods: After trialling cognitive training exercise involving autonomous feedback, we prompted participants’ views IBTs, systems (AS) AI for care. conducted 22 semi-structured interviews total, including 8 who declared having Results: principally identified privacy paradox extends eHealth, whereby engaged IBTs despite distrusting them and/or concerns regarding them, this across all participants. Behaviours instead were driven both convenience, ease use, lack choice or alternatives. Conclusions: Whilst is uptake engagement there are other factors involved. It concerning that will utilise mistrusting their developers. There clear ethical implications providers prescribing developers systems, considerations relevant spectrum. To foster particularly those using AI, balance needed between human provision. This may lead greater acceptability yielding better outcomes patients.