电子心理社会评估工具（myAssessment）在青少年心理保健中提高自我表露的可接受性和实用性：一项准实验研究。
Acceptability and utility of an electronic psychosocial assessment (myAssessment) to increase self-disclosure in youth mental healthcare: a quasi-experimental study.
作者信息
Bradford Sally, Rickwood Debra
机构信息
Faculty of Health, University of Canberra, Building 12, D20, College St, Bruce, ACT, 2617, Australia.
Faculty of Health, University of Canberra, Building 12, D11, College St, Bruce, ACT, 2617, Australia.
出版信息
BMC Psychiatry. 2015 Dec 1;15:305. doi: 10.1186/s12888-015-0694-4.
BACKGROUND
Technology is increasingly being used in youth mental healthcare to support service delivery and improve health outcomes. The current study trialed a new electronic psychosocial application (myAssessment) that aims to provide a holistic assessment of relevant risk and protective factors in youth mental healthcare. The study aimed to determine whether myAssessment was acceptable to all users, and whether it affected: reporting of certain behaviors and ratings of self-disclosure; youth ratings of control, fears of judgmental reactions or time-efficiency; clinician ratings of time-efficiency or their ability to formulate a treatment plan; and the therapeutic alliance.
METHOD
The application was tested at a youth mental health service using a quasi-experimental two phase Treatment-as-Usual/Intervention design. Three hundred thirty nine youth and 13 clinicians participated across both phases. Reporting of behaviors, self-disclosure, youth control, judgmental reactions, time efficiency, ability to formulate treatment plans, and the therapeutic alliance were compared between groups.
RESULTS
myAssessment was found to be widely accepted by both young people and clinicians. Use of myAssessment resulted in reporting of behaviors that were 2.78 through 10.38 times higher for a variety of substances (use of tobacco, alcohol, cannabis, sedatives, hallucinogens, and opioids), in identifying non-heterosexual sexual orientation, having had sex, an STI check, sex without a condom, having felt pressured to have sex in the past, having self-harmed, and in having put themselves in an unsafe situation. Participants who used the application also reported being less likely to lie on past experiences of being bullied, substance use, and self-harm. Use of the application resulted in improved youth ratings of time efficiency in session. The application was found to have no impact on youth control, judgmental reactions, formulation of treatment plans, or the therapeutic alliance.
CONCLUSIONS
Electronic psychosocial assessments can increase rates of self-disclosure and, therefore, provide an earlier and more comprehensive picture of young people's risks without negatively impacting the therapeutic alliance. Additionally, this type of technology has been shown to be widely accepted by both young people and clinicians and can improve youth beliefs that there is enough time in session to speak about what is most important to them.
背景
技术在青少年心理健康护理中的应用日益广泛，以支持服务提供并改善健康结果。本研究对一款新的电子心理社会应用程序（myAssessment）进行了试验，该应用旨在对青少年心理健康护理中的相关风险和保护因素进行全面评估。研究旨在确定myAssessment是否为所有用户所接受，以及它是否会影响：特定行为的报告和自我披露评分；青少年对控制权、对评判性反应的恐惧或时间效率的评分；临床医生对时间效率或制定治疗计划能力的评分；以及治疗联盟。
方法
该应用程序在一家青少年心理健康服务机构采用准实验性的两阶段常规治疗/干预设计进行测试。两阶段共有339名青少年和13名临床医生参与。对两组之间的行为报告、自我披露、青少年控制权、评判性反应、时间效率、制定治疗计划的能力以及治疗联盟进行了比较。
结果
发现myAssessment被年轻人和临床医生广泛接受。使用myAssessment导致多种物质（烟草、酒精、大麻、镇静剂、致幻剂和阿片类药物的使用）的行为报告增加了2.78至10.38倍，在识别非异性恋性取向、有过性行为、进行性传播感染检查、无保护性行为、过去曾感到有性行为压力、有过自我伤害行为以及使自己处于不安全境地等方面也是如此。使用该应用程序的参与者还报告说，他们在过去遭受欺凌、物质使用和自我伤害经历方面说谎的可能性较小。使用该应用程序提高了青少年对会话时间效率的评分。发现该应用程序对青少年控制权、评判性反应、治疗计划的制定或治疗联盟没有影响。
结论
电子心理社会评估可以提高自我披露率，从而在不负面影响治疗联盟的情况下，更早、更全面地了解年轻人的风险。此外，这种技术已被证明受到年轻人和临床医生的广泛接受，并可以增强青少年的信念，即会话中有足够的时间谈论对他们最重要的事情。
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