全科医生对基于网络的青少年心理健康服务的态度：对服务设计与提供的启示
General Practitioners' Attitudes Toward a Web-Based Mental Health Service for Adolescents: Implications for Service Design and Delivery.
作者信息
Subotic-Kerry Mirjana, King Catherine, O'Moore Kathleen, Achilles Melinda, O'Dea Bridianne
机构信息
Black Dog Institute, Randwick, Sydney, Australia.
Faculty of Medicine, University of New South Wales, Sydney, Australia.
出版信息
JMIR Hum Factors. 2018 Mar 23;5(1):e12. doi: 10.2196/humanfactors.8913.
BACKGROUND
Anxiety disorders and depression are prevalent among youth. General practitioners (GPs) are often the first point of professional contact for treating health problems in young people. A Web-based mental health service delivered in partnership with schools may facilitate increased access to psychological care among adolescents. However, for such a model to be implemented successfully, GPs' views need to be measured.
OBJECTIVE
This study aimed to examine the needs and attitudes of GPs toward a Web-based mental health service for adolescents, and to identify the factors that may affect the provision of this type of service and likelihood of integration. Findings will inform the content and overall service design.
METHODS
GPs were interviewed individually about the proposed Web-based service. Qualitative analysis of transcripts was performed using thematic coding. A short follow-up questionnaire was delivered to assess background characteristics, level of acceptability, and likelihood of integration of the Web-based mental health service.
RESULTS
A total of 13 GPs participated in the interview and 11 completed a follow-up online questionnaire. Findings suggest strong support for the proposed Web-based mental health service. A wide range of factors were found to influence the likelihood of GPs integrating a Web-based service into their clinical practice. Coordinated collaboration with parents, students, school counselors, and other mental health care professionals were considered important by nearly all GPs. Confidence in Web-based care, noncompliance of adolescents and GPs, accessibility, privacy, and confidentiality were identified as potential barriers to adopting the proposed Web-based service.
CONCLUSIONS
GPs were open to a proposed Web-based service for the monitoring and management of anxiety and depression in adolescents, provided that a collaborative approach to care is used, the feedback regarding the client is clear, and privacy and security provisions are assured.
背景
焦虑症和抑郁症在青少年中很普遍。全科医生（GPs）通常是青少年健康问题治疗的首个专业接触点。与学校合作提供的基于网络的心理健康服务可能有助于增加青少年获得心理护理的机会。然而，要成功实施这样的模式，需要衡量全科医生的观点。
目的
本研究旨在调查全科医生对基于网络的青少年心理健康服务的需求和态度，并确定可能影响此类服务提供和整合可能性的因素。研究结果将为服务内容和整体设计提供参考。
方法
就提议的基于网络的服务对全科医生进行了单独访谈。使用主题编码对访谈记录进行定性分析。发放了一份简短的后续调查问卷，以评估背景特征、可接受程度以及基于网络的心理健康服务的整合可能性。
结果
共有13名全科医生参与了访谈，11名完成了后续在线调查问卷。结果表明对提议的基于网络的心理健康服务有强烈支持。发现多种因素会影响全科医生将基于网络的服务整合到其临床实践中的可能性。几乎所有全科医生都认为与家长、学生、学校辅导员和其他心理健康护理专业人员进行协调合作很重要。对基于网络护理的信心、青少年和全科医生的不依从性、可及性、隐私和保密性被确定为采用提议的基于网络服务的潜在障碍。
结论
如果采用协作式护理方法、关于客户的反馈清晰且隐私和安全规定得到保证，全科医生愿意接受提议的基于网络的服务，用于监测和管理青少年的焦虑和抑郁。
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