一款心理健康应用程序在学徒工中的效用:一项试点研究。
The Utility of a Mental Health App in Apprentice Workers: A Pilot Study.
作者信息
Deady Mark, Glozier Nicholas, Collins Daniel, Einboden Rochelle, Lavender Isobel, Wray Alexis, Gayed Aimee, Calvo Rafael A, Christensen Helen, Harvey Samuel B, Choi Isabella
机构信息
Faculty of Medicine, Black Dog Institute, UNSW, Sydney, NSW, Australia.
Faculty of Medicine and Health, Brain and Mind Centre, Central Clinical School, The University of Sydney, Sydney, NSW, Australia.
出版信息
Front Public Health. 2020 Sep 4;8:389. doi: 10.3389/fpubh.2020.00389. eCollection 2020.
Young people are at heightened risk for mental health problems. Apprenticeships are common pathways into the workforce at a critical developmental period. However, in some cases the working conditions for apprentices present significant challenges to mental wellness. As apprentices are unlikely to utilize traditional services, eHealth and mHealth interventions are a useful means of delivering interventions to this group. The aim of the current paper is to: (1) qualitatively explore the utility of an existing mental health app within an apprentice population; and (2) evaluate the usability, acceptability, feasibility and preliminary efficacy of a modified version of the app (), designed to reduce depressive symptoms in an apprentice working population. Study One: Twenty-six apprentices (aged 18-30) took part in one of eight (90-min) focus groups. Participants explored the app, took part in group discussions, and completed uMARS questionnaires. Modifications were made to the app based on feedback. Study Two: In the follow-up pilot testing, 47 apprentices downloaded and used the modified app over 30 days. Assessment occurred online at baseline, 5-weeks, and 3-months post-baseline. Feasibility was evaluated using consent rates, adherence and attrition. Acceptability was assessed using questionnaires and a post-study interview. Depression, anxiety, well-being, and work performance scores were used to assess preliminary efficacy. Overall, the app was well-received in both studies, with high self-reported scores for acceptability and utility. However, engagement-both in terms of self-report and adherence-was an issue in both studies. In Study Two, users completed approximately one-third of the app's therapeutic content, with increased usage associated with improved outcomes. This had implications for the preliminary effectiveness of the app [depression as measured by the PHQ-9 = 0.27 (95%CI:-0.16-0.69)]. At follow-up users reported improvements in all outcomes, but overall only change in well-being reached statistical significance [ = -0.29 (95%CI:-0.72-0.14)]. Overall, findings from the two studies suggest that an eHealth tool, , was an acceptable and well-received intervention when adapted to young apprentices. However, questions remain regarding how to improve engagement and adherence to the program. These questions appear critical to effectiveness. The two studies also have implications for awareness raising in this population. Whilst preliminary results were encouraging, these improvements, along with a full-scale efficacy trial, are needed to better understand the utility of smartphone applications for mental health in this population. ACTRN12618001475235 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375875&isReview=true.
年轻人面临心理健康问题的风险更高。学徒制是在关键发育阶段进入劳动力市场的常见途径。然而,在某些情况下,学徒的工作条件对心理健康构成重大挑战。由于学徒不太可能使用传统服务,电子健康和移动健康干预措施是向这一群体提供干预的有用手段。本文的目的是:(1)定性探索一款现有心理健康应用程序在学徒群体中的效用;(2)评估该应用程序的修改版()的可用性、可接受性、可行性和初步疗效,该修改版旨在减轻学徒工人群体中的抑郁症状。研究一:26名学徒(年龄在18 - 30岁之间)参加了八个(90分钟)焦点小组中的一个。参与者探索了该应用程序,参加了小组讨论,并完成了uMARS问卷。根据反馈对应用程序进行了修改。研究二:在后续的试点测试中,47名学徒在30天内下载并使用了修改后的应用程序。在基线、基线后5周和3个月进行在线评估。使用同意率、依从性和损耗率来评估可行性。通过问卷和研究后访谈来评估可接受性。使用抑郁、焦虑、幸福感和工作绩效分数来评估初步疗效。总体而言,该应用程序在两项研究中都受到了好评,自我报告的可接受性和效用得分都很高。然而,在两项研究中,无论是自我报告还是依从性方面的参与度都是一个问题。在研究二中,用户完成了该应用程序约三分之一的治疗内容,使用量增加与结果改善相关。这对该应用程序的初步有效性有影响[用PHQ - 9测量的抑郁 = 0.27(95%CI:-0.16 - 0.69)]。在随访中,用户报告所有结果都有改善,但总体而言只有幸福感的变化达到统计学显著性[ = -0.29(95%CI:-0.72 - 0.14)]。总体而言,两项研究的结果表明,一款电子健康工具,在适应年轻学徒时是一种可接受且受欢迎的干预措施。然而,关于如何提高对该项目的参与度和依从性仍存在问题。这些问题似乎对有效性至关重要。这两项研究对提高该人群的意识也有影响。虽然初步结果令人鼓舞,但需要这些改进以及全面的疗效试验,以更好地了解智能手机应用程序在该人群心理健康方面的效用。ACTRN12618001475235 https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375875&isReview=true。