Centre for Mental Health Research, College of Medicine, Biology and Environment, Building 63, Eggleston Road, The Australian National University, Canberra 0200, ACT, Australia.
J Affect Disord. 2013 Apr 25;146(3):348-54. doi: 10.1016/j.jad.2012.09.018. Epub 2012 Oct 18.
Despite the well acknowledged importance of consumer health information, little is known about the public's depression information needs. This study aimed to develop a formal measure of unmet need for depression information in the community, to investigate the level of this unmet need and to identify its predictors.
Data were collected as part of a survey of 12,319 Australian adults aged 18-65 years. This survey incorporated 21 questions targeting depression information need, together with measures of demographic status, self-reported current depression and personal stigma. The information needs data were subjected to principal components analysis followed by linear regression analyses to determine the demographic and other predictors of each of the resulting components.
Between 50 and 75% of participants endorsed the need for more information on each of the 21 information need topics. The PCA yielded a 20-item Depression Information Needs Scale (DINS) of high reliability and factor validity comprising four subscales: General (facts about depression), Specific Treatments, Research and Policies, and Lived Experience. Controlling for other factors, those with self-reported current depression and those without tertiary education had greater information needs across all four factors.
The survey response rate was low and further research is required to establish the adequacy of the psychometric properties of the DINS.
Given the high unmet need for depression information there is a need to develop and implement evidence-based strategies for ensuring the accessibility and uptake of depression information relevant to the needs of members of the community.
尽管人们普遍认识到消费者健康信息的重要性,但对于公众对抑郁信息的需求知之甚少。本研究旨在制定一种正式的社区抑郁信息未满足需求的衡量标准,调查这种未满足需求的程度,并确定其预测因素。
数据是作为对 12319 名 18-65 岁澳大利亚成年人的调查的一部分收集的。该调查包含了 21 个针对抑郁信息需求的问题,以及人口统计学状况、自我报告的当前抑郁和个人耻辱感的衡量标准。信息需求数据经过主成分分析,然后进行线性回归分析,以确定每个结果成分的人口统计学和其他预测因素。
在每个 21 个信息需求主题中,有 50%至 75%的参与者表示需要更多信息。PCA 产生了一个 20 项的抑郁信息需求量表(DINS),具有较高的可靠性和因子有效性,包括四个分量表:一般(关于抑郁的事实)、具体治疗、研究和政策以及生活经验。在控制其他因素的情况下,自我报告当前抑郁的人和没有接受过高等教育的人在所有四个因素上都有更大的信息需求。
调查的回复率较低,需要进一步研究来确定 DINS 的心理测量特性是否充分。
鉴于对抑郁信息的高度未满足需求,需要制定和实施基于证据的策略,以确保社区成员所需的相关抑郁信息的可及性和接受度。