为数字青少年心理健康服务 (调节在线社会疗法) 开发变革理论:混合方法知识综合研究研究
Shane Cross1,2, Jennifer Nicholas1,2, Shaminka Mangelsdorf1,2
1Orygen, Melbourne, Australia.
JMIR formative research
|November 3, 2023
概括
这项研究开发了适度在线社会治疗 (MOST) 的变革理论 (ToC),这是一个增强青少年心理健康服务的数字平台. 该 ToC 指导大多数的指导.
科学领域:
- 数字心理健康干预数字心理健康干预
- 青少年心理健康服务 青少年心理健康服务
- 变化理论框架的框架.
背景情况:
- 青少年心理健康服务在获取,参与和有效性方面面临挑战.
- 数字技术看起来很有前途,但在现实世界的整合方面却存在困难.
- 调节在线社会疗法 (MOST) 将数字工具集成到现有服务中.
研究的目的:
- 为大多数人开发一个变化理论 (ToC).
- 阐明MOST的机制,受益者和成功条件.
- 为指导MOST的代改进和现实世界的影响评估.
主要方法:
- 一种多方法方法合成了来自随机对照试验,试点研究和共同设计会议的数据.
- 包括来自不同临床背景的定性发现和文献综述.
- 由专家提供信息的ToC框架,以叙事和表格形式呈现.
主要成果:
- 该MOST ToC解决了数字化采用准备,服务需求和基础设施限制的问题.
- 确定关键挑战,如有限的可访问性,低参与度和缺乏个性化.
- 将平台组件与减少症状,改善功能和降低医疗保健成本等结果联系起来.
结论:
- MOST ToC为MOST的代开发和改进提供了一个战略框架.
- 指导个性化,参与度提升和临床医生采用策略.
- 为其他寻求基于证据的影响的数字健康干预提供了可复制的模型.
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