共同设计,开发和测试使用哥伦比亚参与式设计方法的青少年心理健康平台:混合方法研究
Laura Ospina-Pinillos1, Débora L Shambo-Rodríguez1, Mónica Natalí Sánchez-Nítola1
1Department of Psychiatry and Mental Health, School of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.
JMIR human factors
|May 6, 2025
概括
这项研究为哥伦比亚青年开发了一个共同设计的心理健康 (MH) 平台,实现了高可用性. 然而,长期的用户参与和隐私问题仍然是数字MH干预的关键挑战.
科学领域:
- 数字健康数字健康
- 心理健康干预 心理健康干预
- 人与计算机的交互
背景情况:
- 全球年轻人面临着越来越多的心理健康 (MH) 挑战,严重的残疾和疾病负担.
- 像哥伦比亚这样的低收入和中等收入国家经历了由于进入障碍和数字健康差距而加剧的MH治疗差距.
- 全球南方地区有限的数字干预阻碍了对创新型卫生保健解决方案的公平获取.
研究的目的:
- 共同设计和开发一个为哥伦比亚青年量身定制的心理健康 (MH) 平台.
- 通过为期15个月的自然观测试验来评估这个MH平台的可行性.
- 采用参与式设计方法,确保以用户为中心的开发.
主要方法:
- 在结构化研发周期内采用混合方法方法.
- 与利益相关者进行共同设计研讨会,以确定用户需求,随后使用系统可用性量表 (SUS) 进行alpha和beta可用性测试.
- 进行了为期15个月的自然观测试验 (2022年7月至2023年10月),收集有关用户参与和系统性能的数据,整合了定量和定性分析.
主要成果:
- 一个共同设计的平台被开发出来,包括MH查,心理教育,量身定制的建议,MH监测,远程咨询集成和游戏化.
- 测试版原型的SUS中位数高达85.0,表明了优秀的可用性.
- 观察性试验 (n=435) 显示了普遍存在的情绪困扰 (61-64%的用户),但强调了远程咨询完成 (26.5%) 和持续参与 (18.8%超过第一天) 的挑战.
结论:
- 共同创造的方法是可行的和有效的发展青年心理健康平台,实现高可用性和相关的功能.
- 维持长期的用户参与和解决隐私问题,特别是年轻用户的隐私问题,是数字 MH 干预的关键挑战.
- 持续以用户为中心的改进对于提高数字 MH 解决方案的可访问性和保留性至关重要.
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