Boydell Katherine M, Volpe Tiziana, Pignatiello Antonio
Community Health Systems Resource Group, The Hospital for Sick Children, Toronto, Ontario.
J Can Acad Child Adolesc Psychiatry. 2010 Feb;19(1):5-11.
It is critical to consult young people about their experiences. This study addresses the paucity of research on the perspective of young people in general, and in paediatric telepsychiatry specifically. The goal is to understand the experience of young people receiving telepsychiatry.
Interpretive interactionism (Denzin, 1989) was used to interview 30 young people; immediately following the consultation and four to six weeks later. Analysis occurred via a series of steps in keeping with the interpretive interactionist framework.
Four themes arose repeatedly: the encounter with the psychiatrist and experience of having others in the room; the helpfulness of the session; a sense of personal choice during the consultation; and, the technology. Participants highlighted the importance of their relationship with the psychiatrist. Participant's narratives were replete with examples of ways that they actively took responsibility and exerted control within the session itself.
Young people have a significant role to play in their own care. It is critical that telepsychiatry recommendations be explained and opportunities for young people to express their concerns and discuss alternatives are provided. Further efforts to include young people may include ensuring offering alternate treatments and/or negotiated when recommended treatments are unacceptable and/or resisted.
就年轻人的经历咨询他们至关重要。本研究针对总体上年轻人视角的研究匮乏，尤其是儿科远程精神病学方面的研究匮乏问题。目标是了解接受远程精神病学服务的年轻人的经历。
采用解释性互动主义（丹津，1989年）对30名年轻人进行访谈；在咨询结束后立即以及四至六周后进行访谈。分析按照与解释性互动主义框架一致的一系列步骤进行。
反复出现了四个主题：与精神科医生的接触以及房间里有其他人的经历；咨询环节的帮助作用；咨询过程中的个人选择感；以及技术。参与者强调了他们与精神科医生关系的重要性。参与者的叙述中充满了他们在咨询过程中积极承担责任并施加控制的方式的例子。
年轻人在自身护理中可发挥重要作用。至关重要的是要解释远程精神病学方面的建议，并为年轻人提供表达关切和讨论替代方案的机会。进一步让年轻人参与的努力可能包括确保提供替代治疗和/或在推荐的治疗不可接受和/或遭到抵制时进行协商。
