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年轻人对使用可穿戴设备、社交媒体和其他技术来检测心理健康恶化的看法:一项定性研究。

Young adults' perceptions of using wearables, social media and other technologies to detect worsening mental health: A qualitative study.

机构信息

School of Public Health, Imperial College London, London, United Kingdom.

NIHR Patient Safety Translational Research Centre, Imperial College London, London, United Kingdom.

出版信息

PLoS One. 2019 Sep 18;14(9):e0222655. doi: 10.1371/journal.pone.0222655. eCollection 2019.

Abstract

BACKGROUND

Technological interventions may help support and improve mental health. However young peoples' perspectives on using different technologies to detect deteriorating mental health in those already diagnosed with a mental health condition is lacking. The study aim was to explore the perspectives of young patients on the feasibility and acceptability of using wearables, social media and technologies to detect mental health deterioration.

METHODS

The study was co-produced with young adults with past mental health difficulties. Semi-structured interviews were conducted with young adults with a severe mental health condition in a private room at a community mental health site. Data was triangulated by comparing codes and ideas across the two co-researchers and two researchers over two virtual meetings. Themes were finalised and presented in a thematic map.

RESULTS

Sixteen participants were interviewed (81% female). There were four main themes: dealing with mental health symptoms, signs of mental health deterioration, technology concerns and technological applications to identify worsening mental health. Wearables and mobile apps were considered acceptable and feasible to detect mental health deterioration in real-time if they could measure changes in sleep patterns, mood or activity levels as signs of deterioration. Getting help earlier was deemed essential particularly in reference to dissatisfaction with the current non-technological mental health services. However, patients identified issues to consider before implementation including practicality, safeguarding and patient preference.

CONCLUSION

Wearables and mobile apps could be viable technological options to help detect deterioration in young people in order to intervene early and avoid delay in accessing mental health services. However, immediate action following detection is required for the patient to trust and use the intervention.

摘要

背景

技术干预措施可能有助于支持和改善心理健康。然而,年轻人对于使用不同技术来检测已经被诊断出患有精神健康状况的人心理健康恶化的看法尚不清楚。本研究旨在探讨年轻患者对使用可穿戴设备、社交媒体和技术来检测心理健康恶化的可行性和可接受性的看法。

方法

该研究与有过去精神健康困难的年轻人共同开展。在社区心理健康中心的一个私人房间里,对患有严重精神健康状况的年轻人进行了半结构化访谈。通过在两名共同研究人员和两名研究人员之间的两次虚拟会议上比较代码和想法,对数据进行了三角验证。主题最终以主题图的形式呈现。

结果

共采访了 16 名参与者(81%为女性)。有四个主要主题:应对心理健康症状、心理健康恶化的迹象、技术问题和识别恶化的心理健康的技术应用。可穿戴设备和移动应用程序被认为是可行的,可以实时检测心理健康恶化,因为它们可以测量睡眠模式、情绪或活动水平的变化作为恶化的迹象。尽早获得帮助被认为是至关重要的,特别是在参考对当前非技术心理健康服务的不满时。然而,患者在实施前确定了需要考虑的问题,包括实用性、保障和患者偏好。

结论

可穿戴设备和移动应用程序可能是帮助检测年轻人恶化的可行技术选择,以便尽早干预,避免延迟获得心理健康服务。然而,需要患者立即采取行动来信任和使用干预措施。

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