Before COVID-19 outbreak, city centers offered a high-quality life with a wide range of services, utilities, public and green spaces, as well as city parks (Sharifi & Khavarian- Garmsird, 2020). Living in a small apartment with a minimal private space in the city center was balanced by the high level of socialization in public spaces, outdoor activities and events, intense interactions among inhabitants, allowing them to maintain relations (Portegijs et al., 2021). With COVID-19 outbreak, this modern urban standard of living was challenged. Social distancing took place at several levels: at home and at work, and, in the city, in the street and on public transport. Everything created for urban life changed and became uncertain. Societies got used to sharing common spaces, often crowded, and everyone was cut off from everyday socialisation. The isolation forced millions of individuals and families to remain at home, causing them to change their routines, rituals, and habits (McCay, 2020). In dense urban areas, this mostly meant locking people in cramped apartments, cut off from everyday physical activity outside the home (Portegijs et al, 2021; Bil et al, 2021).
Smart cities are instrumented, interconnected, and intelligent urban areas (Harrison et al., 2010) that pursue shared growth through an integrated set of technologies that shape interactions between actors (Nam & Pardo, 2011). A smart city can be defined as complex set of technology (infrastructures of hardware and software), people (creativity, diversity, and education), and institutions (governance and policy) (Nam & Pardo, 2011). Smart cities aim is to create an environment that drives innovation from a technological, managerial, and organizational point of view by fostering environmental and social wellbeing (Karvonen et al., 2018; Polese et al., 2021].
Further than this, field research was conducted through a qualitative method in the particular case of Paphos Municipality in Cyprus, the introduction of various ICT technology solutions during the pandemic lockdowns and their impact on citizens mental health. ICT tools were briefly analyzed and their contributions towards citizens mental health was evaluated based on questionnaires distributed to the citizens before and after the use of these tools. Now the key question that needs an answer is “Did smart cities impact on citizens mental health during the pandemic?”
During the pandemic, Pafos Municipality introduced to its citizens various ICT solutions that despite initially they were targeting foreign tourists visiting the district, they ended up as entertainment tools that ease the lockdown period during the quarantine phase. As part of the E.U. co-funded by European Union program “Smart Cities – Interreg: Greece – Cyprus” the municipality implemented the “Collection, Documentation and Digitization of Cultural and Tourist material, Development of Digital Tourism / Culture and Entrepreneurship Platform and Development of digital applications of e-democracy and participation in the Municipality of Pafos” project. The result of this project was the creation of 3 websites: 1. Explore Pafos
These platforms were presented to the citizens of Pafos Municipality on the 27th of February 2020, slightly earlier than the first lockdown. After the first strict lockdown, the administrators of the website reported a significant increase in the traffic of the website among local citizens compared to pre-pandemic. This led the creators of the platforms among which is the author of this article to provide online questionnaires to people using the digital platforms on their leisure time during COVID-19 lockdowns to answer various questions regarding the impact of these digital tools in their mental health status during COVID-19 lockdown.
A questionnaire containing 5-point Likert scale questions and questions about qualitative and quantitative use of the ICT tools and their mental health during COVID-19 lockdowns was completed by citizens of Pafos Municipality.
Due to this study objective, two main criteria were established for sample selection. First, respondents should be citizens of Pafos Municipality from various areas over at least the past 5 years. Additionally, respondents must have been present during COVID-19 outbreak and lockdowns in the city. To verify this criterion, an initial survey question asked whether respondents were staying in the city during the COVID-19 outbreak.
The questionnaire was constructed in three parts. Its first one aimed at collecting descriptive variables (demographic information) of respondents’ location, and professional profile. The second part asked citizens about their mental health status before and after COVID-19 outbreak and lockdowns. Each question was assessed according to a 5-point Likert scale (1 referred to ‘not used’ and 5 denoted ‘fully used’). The last section of the questionnaire examined the adoption level of the ICT tools introduced by the Municipality as supporting tools for their mental status during the COVID-19 outbreak. For that, all 6 ICT tools were listed and evaluated based upon a similar Likert scale that ranged from 1 (not used) to 5 (fully used).
For analyzing data, two distinctive procedures were carried out using the SPSS® Statistics 23 software to identify differences in levels of each characteristic related to ICT tools, device available (PC, mobile phone, tablet), and content (Cultural, Environmental, Social, Multimedia Content) when considering the degree of how they impact their mental health during COVID-19 lockdowns.
Our respondents were half men and half women. Moreover, 10% are aged between 20 and 25, 34% between 26 and 35, 36% between 36 and 45, 14% in the interval of 46 till 55 and only 6% are older than 55. 36% are single, 59% being married and almost 5% under another non-defined situation. Most respondents were living in a house (56%), with their family (54%), and had 1 or more kids (44%). 75% of the respondents mentioned that they use more often their mobile/laptops to access the internet compared to before. The majority of respondents (62%) mentioned that they used ICT tools provide 1 or more times per week to remind them of their daily habits while 56% mentioned that they used the platforms to navigate at their favorite place at least once. The largest majority (82%) accessed the services from their mobile phone while the smallest percent (12% accessed the services from their PC/Laptop. Regarding COVID-19 lockdowns, 86% stated that it is very stressful to stay at home in another lockdown while 36% said they wouldn’t comply if they were forced to stay at home in another lockdown. 65% mentioned that they found the ICT tools useful to keep them mentally active and 72% mentioned that they wouldn’t be able to stay in quarantine without access to internet. 68% of the people using the platforms declared that using the platforms helped to remain mentally active during the quarantine and 70% said they would use the platforms again in case there is a new lockdown.
Other studies are in line with the above findings (Troisi et al., 2022) where their key theoretical contribution of their study is the building of a framework that detects the main psychological, rational, social, and cultural determinants that can foster or prevent the acceptance of the changes forced by the pandemic, the adhesion to digitalization, and the transactional distance processes launched in the public sectors. These results are more evident in vulnerable groups (Dai et al., 2020; Ammar et al., 2021) which will require further development and usage of e-health solutions.
Finally, two other studies targeting different populations investigated the effectiveness of interventions by considering, as primary outcomes, not mental illness indicators (e.g., depression and anxiety symptoms), but positive mental health indicators (positive affect and positive mental health). Vara et al. (2020) provided us with a secondary analysis of a randomized controlled trial that assessed the efficacy of a low-intensity internet intervention aimed to promote positive affect in depressive patients in primary care, as an adjunct therapy to improved treatment as usual (Fonseca & Osma, 2021).