Schure Mark B, Howard Meredith, Bailey Sandra J, Bryan Bill, Greist John
Health & Human Development, Montana State University, Bozeman, MT.
One Montana, Bozeman, MT.
Rural Ment Health. 2018 Jul-Oct;42(3-4):174-183. doi: 10.1037/rmh0000102.
Computerized mental health interventions have the potential to address existing mental health care disparities in rural communities. The aim of this study was to conduct an exploratory examination on the acceptability of an interactive computerized cognitive behavior therapy program to reduce depressive symptoms for adults in a rural Western state. Partnering with the land-grant university Extension system and a state non-profit organization, we identified and interviewed 18 key informants and conducted 19 focus groups in 15 rural communities to ascertain attitudes and perspectives about the program. Key informants were provided access to the Thrive program prior to the interviews. Focus group participants were provided a brief demonstration of the program and asked to provide feedback. Content analyses of interview and focus group transcripts yielded four general themes of program acceptability: privacy, accessibility, user-friendliness, and cultural inappropriateness. Overall, participants indicated that the Thrive program would be useful for many in their communities. They also reported that the program could be improved by making videos that better represent rural community members' lifestyles and experiences. The study team members acted on these findings to improve the Thrive program for rural Western populations.
计算机化心理健康干预措施有潜力解决农村社区现有的心理健康护理差距问题。本研究的目的是对一种交互式计算机化认知行为疗法项目的可接受性进行探索性考察，该项目旨在减轻美国西部一个农村州成年人的抑郁症状。我们与赠地大学推广系统和一个州非营利组织合作，确定并采访了18名关键信息提供者，并在15个农村社区开展了19次焦点小组讨论，以确定对该项目的态度和看法。在采访前，让关键信息提供者使用“茁壮成长”项目。向焦点小组参与者简要演示了该项目，并要求他们提供反馈。对访谈和焦点小组记录的内容分析得出了项目可接受性的四个总体主题：隐私、可及性、用户友好性和文化不适用性。总体而言，参与者表示“茁壮成长”项目对他们社区的许多人会有用。他们还报告说，通过制作能更好展现农村社区成员生活方式和经历的视频，可以改进该项目。研究团队成员根据这些发现采取行动，为美国西部农村人口改进“茁壮成长”项目。
