Centre for Social and Early Emotional Development and School of Psychology, Deakin University, Geelong, VIC, Australia.
Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia.
Aust N Z J Psychiatry. 2022 Nov;56(11):1503-1514. doi: 10.1177/00048674211065985. Epub 2021 Dec 28.
Nascent evidence indicates that the mental health of parents and children has markedly declined during the COVID-19 pandemic. Considering disruptions to traditional face-to-face mental health services resultant from stay-at-home orders, the potential value of digital mental health interventions has become extremely apparent. Despite this, uptake of digital interventions remains poor, indicating that a better understanding is needed of factors that determine a willingness to use digital platforms.
The present multi-wave, longitudinal study of 2365 Australian parents explored between-person and within-person predictors of intentions to use digital interventions during the pandemic.
More than one-third of parents reported likely use of a self-guided and therapist-guided digital intervention, with the most endorsed reason for use being to support their child's mental health. Between-person baseline predictors of higher intention ratings were parent's prior mental illness, not living with a partner and recent environmental stressors. Within-person predictors of higher intention ratings were endorsement of mindful parenting strategies, child access to the Internet, better perceived management of child's education, lower social support and financial hardship.
Findings demonstrate that willingness to engage in digital interventions fluctuates in response to changing circumstances. Identifying novel ways to increase acceptance and uptake of digital interventions based on modifiable predictors established here is needed to realize the full potential of these modes of care in times of need.
有初步证据表明,在 COVID-19 大流行期间,父母和儿童的心理健康明显下降。考虑到由于居家令而对传统的面对面心理健康服务造成的干扰,数字心理健康干预措施的潜在价值变得非常明显。尽管如此,数字干预措施的采用率仍然很低,这表明需要更好地了解决定使用数字平台意愿的因素。
本项针对 2365 名澳大利亚父母的多波、纵向研究探讨了大流行期间使用数字干预措施的个体间和个体内预测因素。
超过三分之一的父母表示可能会使用自我指导和治疗师指导的数字干预措施,最支持使用的原因是支持孩子的心理健康。较高意向评分的个体间基线预测因素包括父母先前的精神疾病、没有与伴侣同住和最近的环境压力源。较高意向评分的个体内预测因素包括对正念养育策略的认可、孩子可以上网、更好地管理孩子的教育、较低的社会支持和经济困难。
研究结果表明,愿意参与数字干预措施会根据情况的变化而波动。需要根据这里确定的可改变的预测因素,找到增加对数字干预措施的接受度和采用率的新方法,以在需要时充分发挥这些护理模式的潜力。