11700UCL Great Ormond Street Institute of Child Health, London, UK.
4956Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Clin Child Psychol Psychiatry. 2023 Apr;28(2):637-653. doi: 10.1177/13591045221105193. Epub 2022 Jun 1.
Wait times are significant in child mental health services but may offer opportunity to promote growth mindsets in young people with physical and mental health needs. A digital growth mindset single-session intervention is effective in young people, but its use in paediatric settings has not been examined. This mixed methods pilot aimed to assess the intervention's feasibility, acceptability, and impact in this population.
Patients aged 8-18 on waiting lists in a paediatric hospital's specialist mental health service were offered the intervention remotely. Treatment completion and retention rates, symptoms of depression and anxiety, perceived control, and personality mindset were assessed at baseline, post-treatment, and follow-ups. Semi-structured interviews to explore the intervention's acceptability were conducted post-treatment.
Twenty-five patients completed the intervention and 17 patients and three carers/parents were interviewed. Outcomes showed small to large improvements across time-points. Most patients reported finding the intervention enjoyable, accessible, and instilled a hope for change. They valued elements of the intervention but made suggestions for improvement.
The digital growth mindset single-session intervention is feasible, acceptable, and potentially beneficial for young people with physical and mental health needs on waiting lists. Further research is warranted to examine its effectiveness and mechanism of change.
候诊时间在儿童心理健康服务中很重要,但这也为在有身心需求的年轻人中推广成长型思维提供了机会。单次数字化成长型思维干预措施对年轻人有效,但尚未在儿科环境中进行过检验。本混合方法试点旨在评估该干预措施在该人群中的可行性、可接受性和效果。
为在儿科医院精神科专家等候名单上的 8-18 岁患者提供远程干预措施。在基线、治疗后和随访时评估治疗完成率和保留率、抑郁和焦虑症状、感知控制和人格思维模式。治疗后进行半结构化访谈以探索干预措施的可接受性。
25 名患者完成了干预措施,17 名患者和 3 名照顾者/家长接受了访谈。结果显示,随着时间的推移,各项结果均有小到大幅度的改善。大多数患者报告称,他们觉得该干预措施令人愉快、易于获取,并为改变带来了希望。他们重视干预措施的某些元素,但也提出了改进建议。
单次数字化成长型思维干预措施对于身心需求的等候名单上的年轻人来说是可行、可接受的,并且可能有益。需要进一步研究来检验其有效性和作用机制。