在监狱中使用数字福利应用程序 (Stay Strong App) 与土著人:随机对照试验
Elke Perdacher1,2, David Kavanagh2,3, Jeanie Sheffield2
1Queensland Forensic Mental Health Service, Brisbane, Queensland, Australia.
JMIR mental health
|December 6, 2024
概括
这项试点试验探讨了监禁的澳大利亚原住民的数字心理健康应用程序. 虽然可行,但Stay Strong应用程序没有显示出由于招聘和保留挑战而导致的福祉或痛苦的显著改善.
科学领域:
- 数字心理健康干预数字心理健康干预
- 澳大利亚原住民的健康.
- 校正精神卫生机构的精神健康.
背景情况:
- 被关押的澳大利亚土著人面临着严重的心理健康差异.
- 数字心理健康工具提供了潜在的解决方案,但需要进行可行性评估.
- 现有的服务不足以解决这一群体的心理健康问题.
研究的目的:
- 在澳大利亚监狱的土著男性和女性中试行"保持强大"应用程序.
- 评估应用程序对福利,赋权和心理痛苦的影响.
- 为了比较即时与延迟的应用使用情况.
主要方法:
- 一项试点随机试验,涉及3个高安全设施的132名土著囚犯.
- 评估幸福,赋权和心理困扰,使用经过验证的尺度.
- 用于治疗意图分析的线性混合模型.
主要成果:
- 招聘和保留是具有挑战性的,因为道德审批,人员短缺和参与者释放.
- 低的随访率 (42.4%在3个月,28%在6个月) 影响了代表性.
- 在所有结果中观察到线性改善,但没有发现应用程序的显著差异效应.
结论:
- 这是澳大利亚首次在为土著人设置的监狱中对数字心理健康应用程序进行评估.
- 该研究表明可行性,但由于保留问题,没有显著的影响.
- 未来的研究需要增加人员资源和更长的干预期,以获得更好的结果.
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