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家庭成员对青少年心理健康护理中技术应用的看法:一项定性研究

Perspectives of Family Members on Using Technology in Youth Mental Health Care: A Qualitative Study.

作者信息

Lal Shalini, Daniel Winnie, Rivard Lysanne

机构信息

University of Montreal Hospital Research Center, University of Montreal, Montreal, QC, Canada.

School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, QC, Canada.

出版信息

JMIR Ment Health. 2017 Jun 23;4(2):e21. doi: 10.2196/mental.7296.

Abstract

BACKGROUND

Information and communication technologies (ICTs) are increasingly recognized as having an important role in the delivery of mental health services for youth. Recent studies have evaluated young people's access and use of technology, as well as their perspectives on using technology to receive mental health information, services, and support; however, limited attention has been given to the perspectives of family members in this regard.

OBJECTIVE

The aim of this study was to explore the perspectives of family members on the use of ICTs to deliver mental health services to youth within the context of specialized early intervention for a first-episode psychosis (FEP).

METHODS

Six focus groups were conducted with family members recruited from an early intervention program for psychosis. Twelve family members participated in the study (target sample was 12-18, and recruitment efforts took place over the duration of 1 year). A 12-item semistructured focus group guide was developed to explore past experiences of technology and recommendations for the use of technology in youth mental health service delivery. A qualitative thematic analysis guided the identification and organization of common themes and patterns identified across the dataset.

RESULTS

Findings were organized by the following themes: access and use of technology, potential negative impacts of technology on youth in recovery, potential benefits of using technology to deliver mental health services to youth, and recommendations to use technology for (1) providing quality information in a manner that is accessible to individuals of diverse socioeconomic backgrounds, (2) facilitating communication with health care professionals and services, and (3) increasing access to peer support.

CONCLUSIONS

To our knowledge, this is among the first (or the first) to explore the perspectives of family members of youth being treated for FEP on the use of technology for mental health care. Our results highlight the importance of considering diverse experiences and attitudes toward the role of technology in youth mental health, digital literacy skills, phases of recovery, and sociodemographic factors when engaging family members in technology-enabled youth mental health care research and practice. Innovative methods to recruit and elicit the perspectives of family members on this topic are warranted. It is also important to consider educational strategies to inform and empower family members on the role, benefits, and use of ICTs in relation to mental health care for FEP.

摘要

背景

信息通信技术(ICTs)在为青少年提供心理健康服务方面的重要作用日益得到认可。近期研究评估了年轻人对技术的获取和使用情况,以及他们对利用技术获取心理健康信息、服务和支持的看法;然而,在这方面,家庭成员的观点却很少受到关注。

目的

本研究旨在探讨在首次发作精神病(FEP)的专门早期干预背景下,家庭成员对利用信息通信技术为青少年提供心理健康服务的看法。

方法

对从一个精神病早期干预项目招募的家庭成员进行了6次焦点小组访谈。12名家庭成员参与了该研究(目标样本为12 - 18人,招募工作持续了1年)。制定了一份包含12个条目的半结构化焦点小组指南,以探讨过去的技术使用经历以及在青少年心理健康服务提供中使用技术的建议。定性主题分析指导了数据集中常见主题和模式的识别与组织。

结果

研究结果按以下主题进行整理:技术的获取和使用、技术对康复期青少年的潜在负面影响、利用技术为青少年提供心理健康服务的潜在益处,以及关于利用技术(1)以不同社会经济背景的人都能获取的方式提供高质量信息,(2)促进与医护专业人员及服务机构的沟通,(3)增加获得同伴支持的机会的建议。

结论

据我们所知,这是首批(或首个)探讨接受FEP治疗的青少年家庭成员对利用技术进行心理保健看法的研究之一。我们的结果强调,在让家庭成员参与基于技术的青少年心理健康护理研究和实践时,考虑他们对技术在青少年心理健康中的作用、数字素养技能、康复阶段以及社会人口学因素的不同经历和态度非常重要。有必要采用创新方法来招募并获取家庭成员在这个问题上的观点。考虑教育策略,让家庭成员了解信息通信技术在FEP心理保健中的作用、益处和使用方法也很重要。

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