Boggiss Anna L, Consedine Nathan S, Schache Kiralee R, Wallace-Boyd Kate, Cao Nicholas, Hofman Paul L, Serlachius Anna S
Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Psychological Medicine, Counties Manukau Health, Auckland, New Zealand.
Diabet Med. 2021 Nov;38(11):e14591. doi: 10.1111/dme.14591. Epub 2021 May 14.
Adolescents with type 1 diabetes (T1D) experience higher rates of psychological disorders compared with their healthy peers. As poor psychological health has been associated with suboptimal glycaemic control and more frequent complications, there is an urgent need to develop more 'clinically usable' interventions. Digital mental health interventions offer unique advantages compared with in-person interventions; however, what adolescents with T1D want in terms of content and functionality is poorly understood. Accordingly, the current study conducted focus groups to examine the views of adolescents with T1D regarding digital mental health interventions.
Four focus groups were conducted, including 16 adolescents with T1D, ranging from 13 to 17 years in age (69% female). Transcripts were analysed using directed content analysis to examine (1) 'what adolescents dislike about existing digital mental health interventions?' and (2) 'what adolescents want in future digital mental health interventions?'.
Findings provide a preliminary understanding of what adolescents dislike and also the type of content and functional features, which may be important to include in digital mental health programs for this population, such as a peer support feature (reported by 16 of 16), emotion and diabetes check-in feature (11 of 16) and diabetes-relevant content (12 of 16).
Early data suggest that digital mental health interventions should include a significant peer support element, diabetes-relevant content and examples, and check-in on their mental health and diabetes self-management regularly, while avoiding fixed responses or modules and non-age-appropriate content. Based on these findings, a digital intervention is currently being developed.
与健康同龄人相比，1型糖尿病（T1D）青少年患心理障碍的几率更高。由于心理健康状况不佳与血糖控制不理想及并发症频发有关，因此迫切需要开发更多“临床可用”的干预措施。与面对面干预相比，数字心理健康干预具有独特优势；然而，对于T1D青少年在内容和功能方面的需求却知之甚少。因此，本研究开展了焦点小组讨论，以调查T1D青少年对数字心理健康干预的看法。
开展了4个焦点小组讨论，共有16名T1D青少年参与，年龄在13至17岁之间（69%为女性）。使用定向内容分析法对访谈记录进行分析，以调查：（1）“青少年不喜欢现有数字心理健康干预措施的哪些方面？”以及（2）“青少年对未来数字心理健康干预措施有哪些期望？”
研究结果初步揭示了青少年不喜欢的方面，以及内容和功能特征的类型，这些对于针对该人群的数字心理健康项目可能很重要，例如同伴支持功能（16人中有16人提到）、情绪和糖尿病检查功能（16人中有11人提到）以及与糖尿病相关的内容（16人中有12人提到）。
早期数据表明，数字心理健康干预应包括大量的同伴支持元素、与糖尿病相关的内容和示例，并定期检查他们的心理健康和糖尿病自我管理情况，同时避免固定的回答或模块以及不适合该年龄段的内容。基于这些发现，目前正在开发一种数字干预措施。
