Greer Ben, Robotham Dan, Simblett Sara, Curtis Hannah, Griffiths Helena, Wykes Til
Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
National Institute for Health Research Maudsley Biomedical Research Centre, South London and Maudsley National Health Service Foundation Trust, London, United Kingdom.
J Med Internet Res. 2019 Jan 9;21(1):e11696. doi: 10.2196/11696.
Access to internet-enabled technology and Web-based services has grown exponentially in recent decades. This growth potentially excludes some communities and individuals with mental health difficulties, who face a heightened risk of digital exclusion. However, it is unclear what factors may contribute to digital exclusion in this population.
To explore in detail the problems of digital exclusion in mental health service users and potential facilitators to overcome them.
We conducted semistructured interviews with 20 mental health service users who were deemed digitally excluded. We recruited the participants from a large secondary mental health provider in South London, United Kingdom. We employed thematic analysis to identify themes and subthemes relating to historical and extant reasons for digital exclusion and methods of overcoming it.
There were three major themes that appeared to maintain digital exclusion: a perceived lack of knowledge, being unable to access the necessary technology and services owing to personal circumstances, and the barriers presented by mental health difficulties. Specific facilitators for overcoming digital exclusion included intrinsic motivation and a personalized learning format that reflects the individual's unique needs and preferences.
Multiple factors contribute to digital exclusion among mental health service users, including material deprivation and mental health difficulties. This means that efforts to overcome digital exclusion must address the multiple deprivations individuals may face in the offline world in addition to their individual mental health needs. Additional facilitators include fostering an intrinsic motivation to overcome digital exclusion and providing a personalized learning format tailored to the individual's knowledge gaps and preferred learning style.
近几十年来，使用互联网技术和基于网络的服务的机会呈指数级增长。这种增长可能会将一些有心理健康问题的社区和个人排除在外，他们面临着更高的数字排斥风险。然而，尚不清楚哪些因素可能导致这一人群的数字排斥。
详细探讨心理健康服务使用者中的数字排斥问题以及克服这些问题的潜在促进因素。
我们对20名被认为存在数字排斥的心理健康服务使用者进行了半结构化访谈。我们从英国伦敦南部的一家大型二级心理健康服务机构招募了参与者。我们采用主题分析法来确定与数字排斥的历史和现存原因以及克服数字排斥的方法相关的主题和子主题。
出现了三个似乎维持数字排斥的主要主题：感知到的知识匮乏、由于个人情况无法获得必要的技术和服务以及心理健康问题带来的障碍。克服数字排斥的具体促进因素包括内在动机和反映个人独特需求和偏好的个性化学习形式。
多种因素导致心理健康服务使用者中的数字排斥，包括物质匮乏和心理健康问题。这意味着克服数字排斥的努力除了要满足个人的心理健康需求外，还必须解决个人在现实世界中可能面临的多种匮乏。其他促进因素包括培养克服数字排斥的内在动机，以及根据个人的知识差距和偏好的学习方式提供个性化的学习形式。
