心理健康应用程序的接受度,参与度和可行性 对于边缘化和不负责任的年轻人:系统性审查和定性研究
Holly Alice Bear1, Lara Ayala Nunes1, Giovanni Ramos2
1Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
Journal of medical Internet research
|July 30, 2024
概括
心理健康应用程序提供可扩展的解决方案,但面临的参与挑战为服务不足的年轻人. 共同设计和严格的评估对于应用程序的有效性和接触边缘化群体至关重要.
科学领域:
- 数字心理健康干预数字心理健康干预
- 为年轻人提供健康公平.
- 技术在公共卫生中的应用.
背景情况:
- 智能手机应用程序提供了一种可扩展和具有成本效益的方法来提供心理健康资源.
- 边缘化和服务不足的年轻人在访问和参与数字心理健康工具时遇到独特的障碍.
- 现有的心理健康应用程序往往无法满足这些人群的各种需求.
研究的目的:
- 评估心理健康应用在服务不足的年轻人中的可接受性和可行性.
- 确定可以提高这些群体应用程序可访问性和包容性的适应措施.
- 解决应用程序开发资金和有效性的经验证据之间的差距.
主要方法:
- 根据PRISMA指南进行了系统的文献审查.
- 对20名服务不足的年轻男性 (平均年龄19岁) 进行了定性研究.
- 搜索了5个数据库,从18687个结果中获得了14篇符合条件的文章.
主要成果:
- 用户参与和保留是各种群体和应用程序中持续存在的挑战.
- 在包括的研究中,经常报告放学率.
- 对可用性和满意度的主观报告并不总是与客观用户参与相关.
结论:
- 很少有心理健康应用程序是专门为边缘化的年轻人的需求设计或调整的.
- 需要对用户偏好 (数字与标准护理) 进行进一步的研究,并严格证明应用程序的有效性和成本效益.
- 涉及年轻人的代式,参与式方法对于现实世界的采用和可持续性至关重要.
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