Bergin Aislinn D, Vallejos Elvira Perez, Davies E Bethan, Daley David, Ford Tamsin, Harold Gordon, Hetrick Sarah, Kidner Megan, Long Yunfei, Merry Sally, Morriss Richard, Sayal Kapil, Sonuga-Barke Edmund, Robinson Jo, Torous John, Hollis Chris
NIHR MindTech MedTech Co-operative, Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, UK.
NIHR Nottingham Biomedical Research Centre, Mental Health and Technology Theme, University of Nottingham, Nottingham, UK.
NPJ Digit Med. 2020 Oct 15;3:133. doi: 10.1038/s41746-020-00339-7. eCollection 2020.
Digital health interventions (DHIs) have frequently been highlighted as one way to respond to increasing levels of mental health problems in children and young people. Whilst many are developed to address existing mental health problems, there is also potential for DHIs to address prevention and early intervention. However, there are currently limitations in the design and reporting of the development, evaluation and implementation of preventive DHIs that can limit their adoption into real-world practice. This scoping review aimed to examine existing evidence-based DHI interventions and review how well the research literature described factors that researchers need to include in their study designs and reports to support real-world implementation. A search was conducted for relevant publications published from 2013 onwards. Twenty-one different interventions were identified from 30 publications, which took a universal ( = 12), selective ( = 3) and indicative ( = 15) approach to preventing poor mental health. Most interventions targeted adolescents, with only two studies including children aged ≤10 years. There was limited reporting of user co-design involvement in intervention development. Barriers and facilitators to implementation varied across the delivery settings, and only a minority reported financial costs involved in delivering the intervention. This review found that while there are continued attempts to design and evaluate DHIs for children and young people, there are several points of concern. More research is needed with younger children and those from poorer and underserved backgrounds. Co-design processes with children and young people should be recognised and reported as a necessary component within DHI research as they are an important factor in the design and development of interventions, and underpin successful adoption and implementation. Reporting the type and level of human support provided as part of the intervention is also important in enabling the sustained use and implementation of DHIs.
数字健康干预措施（DHIs）经常被视为应对儿童和青少年心理健康问题日益增多的一种方式。虽然许多数字健康干预措施是为解决现有的心理健康问题而开发的，但它们也有预防和早期干预的潜力。然而，目前预防性数字健康干预措施的设计、评估和实施方面的报告存在局限性，这可能会限制它们在实际应用中的采用。本范围综述旨在研究现有的循证数字健康干预措施，并审视研究文献对研究人员在研究设计和报告中需要纳入的因素描述得如何，这些因素有助于实际应用。我们对2013年起发表的相关出版物进行了检索。从30篇出版物中识别出21种不同的干预措施，这些措施采用普遍（=12）、选择性（=3）和指示性（=15）方法来预防心理健康不佳。大多数干预措施针对青少年，只有两项研究纳入了10岁及以下的儿童。在干预措施开发过程中，关于用户共同设计参与情况的报告有限。实施的障碍和促进因素因实施环境而异，只有少数报告了实施干预措施所涉及的财务成本。本综述发现，虽然人们不断尝试为儿童和青少年设计和评估数字健康干预措施，但仍有几个问题值得关注。需要对年幼儿童以及来自贫困和服务不足背景的儿童进行更多研究。与儿童和青少年的共同设计过程应被视为数字健康干预研究的必要组成部分并加以报告，因为它们是干预措施设计和开发的重要因素，也是成功采用和实施的基础。报告作为干预措施一部分提供的人力支持的类型和水平，对于数字健康干预措施的持续使用和实施也很重要。
