'You have to put a lot of trust in me' : autonomy, trust, and trustworthiness in the context of mobile apps for mental health

© 2023. The Author(s)..

Trust and trustworthiness are essential for good healthcare, especially in mental healthcare. New technologies, such as mobile health apps, can affect trust relationships. In mental health, some apps need the trust of their users for therapeutic efficacy and explicitly ask for it, for example, through an avatar. Suppose an artificial character in an app delivers healthcare. In that case, the following questions arise: Whom does the user direct their trust to? Whether and when can an avatar be considered trustworthy? Our study aims to analyze different dimensions of trustworthiness in the context of mobile health app use. We integrate O'Neill's account of autonomy, trust, and trustworthiness into a model of trustworthiness as a relational concept with four relata: B is trustworthy with respect to A regarding the performance of Z because of C. Together with O'Neill's criteria of trustworthiness (honesty, competence, and reliability), this four-sided model is used to analyze different dimensions of trustworthiness in an exemplary case of mobile health app use. Our example focuses on an app that uses an avatar and is intended to treat sleep difficulties. The conceptual analysis shows that interpreting trust and trustworthiness in health app use is multi-layered and involves a net of interwoven universal obligations. At the same time, O'Neill's approach to autonomy, trust, and trustworthiness offers a normative account to structure and analyze these complex relations of trust and trustworthiness using mobile health apps.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Medicine, health care, and philosophy - 26(2023), 3 vom: 30. Sept., Seite 313-324

Sprache:

Englisch

Beteiligte Personen:

Müller, Regina [VerfasserIn]
Primc, Nadia [VerfasserIn]
Kuhn, Eva [VerfasserIn]

Links:

Volltext

Themen:

Avatar
Bioethics
Digitization
Journal Article
MHealth
O'Neill
Obligation

Anmerkungen:

Date Completed 15.08.2023

Date Revised 28.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11019-023-10146-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355027399