Fortuna Karen L, Brooks Jessica M, Umucu Emre, Walker Robert, Chow Phillip I
The Geisel School of Medicine at Dartmouth, 2 Pillsbury Street, Suite 401, Concord, NH 03301, USA.
CDC Health Promotion Research Center at Dartmouth, Lebanon, NH 03766, USA.
J Technol Behav Sci. 2019 Jun 15;4(2):152-161. doi: 10.1007/s41347-019-00105-x. Epub 2019 May 29.
The purpose of this report is to develop a theoretical model based on empirical evidence that can serve as a foundation for the science of peer-support factors that facilitate engagement in digital health interventions for people with serious mental illness (SMI). A review of the literature on how peer-support specialist interaction with consumers with SMI in digital health behavior change interventions enhances engagement. Unlike relationships with other health providers, peer-to-consumer relationships are based on reciprocal accountability -meaning that peer-support specialists and consumer . Under the recovery model of mental illness, reciprocal accountability suggests autonomy, flexible expectations, shared lived experience, and bonding influence engagement in digital interventions. Separate yet related components of reciprocal accountability in the context of digital health intervention engagement include (1) goal setting, (2) task agreement, and (3) bonding. Hope and sense of belonging are hypothesized moderators of peer-support factors in digital health interventions. Peer-support factors help people with SMI learn to live sucessfully both in the clinic and community. Peer-support specialists add value and complement traditional mental health treatment through their professional training and lived experience with a mental illness. The proposed model is a pioneering step towards understanding how peer-support factors impact engagement in digital health behavior change interventions among people with a lived experience of SMI. The model presents proposed factors underlying the reciprocal accountability processes in the context of digital health intervention engagement. This model and related support factors can be used to examine or identify research questions and hypotheses.
本报告的目的是基于实证证据开发一个理论模型，该模型可作为同伴支持因素科学的基础，以促进严重精神疾病（SMI）患者参与数字健康干预。回顾关于同伴支持专家在数字健康行为改变干预中与SMI患者互动如何提高参与度的文献。与与其他医疗服务提供者的关系不同，同伴与患者的关系基于相互问责制，这意味着同伴支持专家和患者……在精神疾病的康复模式下，相互问责制意味着自主性、灵活的期望、共同的生活经历以及情感联系，这些会影响对数字干预的参与度。在数字健康干预参与的背景下，相互问责制的独立但相关的组成部分包括：（1）目标设定，（2）任务协议，以及（3）情感联系。希望和归属感被假定为数字健康干预中同伴支持因素的调节变量。同伴支持因素帮助SMI患者学会在诊所和社区中成功生活。同伴支持专家通过他们的专业培训和精神疾病生活经历为传统心理健康治疗增添价值并起到补充作用。所提出的模型是朝着理解同伴支持因素如何影响有SMI生活经历的人参与数字健康行为改变干预迈出的开创性一步。该模型呈现了数字健康干预参与背景下相互问责过程背后的潜在因素。这个模型和相关支持因素可用于审视或确定研究问题及假设。
