Perceptions, beliefs, and attitudes toward mental health and the implementation of digital mental health interventions in a university community in an Andean region: A qualitative study

The design and implementation of digital mental health interventions (DMHI) requires understanding users' attitudes and perceptions to enhance acceptance in practice. In Peru’s university settings, this remains underexplored. To identify coping strategies, attitudes toward mental health, and perceptions of implementing DMHI among members of a public university in Peru. A qualitative phenomenological study with purposive sampling was conducted with 34 participants: 10 students, 10 faculty members, 10 administrative staff, and 4 institutional policy decision-makers from a public university in Peru. Semi-structured interviews were used to collect data, and thematic and content analysis was performed to identify patterns and categories. Participants reported various coping strategies, most commonly seeking professional help and social interaction. Although most consider mental health essential, economic barriers and negative experiences hinder adherence to services. Virtual care during the pandemic was positively valued for continuity and convenience, although some expressed doubts about its effectiveness compared to in-person care. In a public Andean university, there is openness to digital solutions for managing mental health, yet barriers persist related to cost, privacy, and connectivity. Universities should strengthen workforce training and advance context-tailored DMHI efforts within the campus setting. • Explores coping and attitudes in a public Andean university • Includes students, faculty, administrative staff, and decision-makers • Challenges: stigma, costs, connectivity, and data privacy • ICT-based care valued during COVID-19 despite doubts about effectiveness • Proposes short- and longer-term actions for Andean universities