Freund Johanna, Buntrock Claudia, Braun Lina, Thielecke Janika, Baumeister Harald, Berking Matthias, Ebert David Daniel, Titzler Ingrid
Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany.
Faculty TUM Department of Sport and Health Sciences, TU Munich, Munich, Germany.
Internet Interv. 2022 Aug 9;29:100566. doi: 10.1016/j.invent.2022.100566. eCollection 2022 Sep.
Farmers, forest workers and gardeners have a higher risk of developing depression compared to other occupational populations. As part of the German pilot project "With us in balance", the potential of six guided internet- and mobile-based interventions (IMIs) to prevent depression among their insurants is examined. The IMI program is tailored to various risk factors of depression, individual symptoms, and needs. Although IMIs have been shown to be effective in reducing depressive symptoms, there is little qualitative research about the acceptance of digital preventive IMIs. The aim of this qualitative study is to gain insights into participants' experiences with the guided IMIs by focusing on determinants for acceptance and satisfaction.
Semi-structured interviews were conducted with 22/171 (13 %) intervention group (IG) participants of a randomized controlled trial. The interview guide was developed based on theoretical models of user acceptance (Unified Theory of Acceptance and Use of Technology) and patient satisfaction (evaluation model, discrepancy theory). The interviews were evaluated independently by two coders performing a deductive-inductive content analysis and attaining a substantial level of agreement ( = 0.73).
The qualitative analysis revealed 71 determinants for acceptance and satisfaction across ten dimensions: performance expectancy, organisation, e-coach, usability, training content and structure, training usage, training outcome, financing, social influence, and behavioural intention. The most frequently identified drivers for the IMI use include "location independence", "positive relationship to the e-coach" (each = 19, 86 %), "personal e-coach guidance", "expertise of the e-coach", "target group specific adaptation" (each = 18, 82 %), "flexibility", "high willingness for renewed participation" (each = 17, 77 %), "fast and easy availability", "training of health enhancing attitudes and behaviours" and "content with figurative expressions" (each = 16, 73 %).
The qualitative findings predominantly suggest the acceptance of and satisfaction with the IMI program for the prevention of depression in famers and related lines of work. Many identified positive drivers are related to the e-coach guidance, which emphasizes its importance in the preventive setting from the perspective of the participants. Nevertheless, some negative aspects have been identified which help to understand potential weaknesses of the IMI program. Participants indicated different needs in terms of IMI content and usage, which points towards the potential benefit of individualisation. The possibility of being able to use IMIs anonymously, flexibly and independently of location might be highly relevant for this specific target group.
与其他职业人群相比，农民、林业工人和园艺工人患抑郁症的风险更高。作为德国“与我们保持平衡”试点项目的一部分，研究了六种基于互联网和移动设备的引导式干预措施（IMIs）在预防其参保人员抑郁症方面的潜力。IMI项目是根据抑郁症的各种风险因素、个体症状和需求量身定制的。尽管IMIs已被证明在减轻抑郁症状方面有效，但关于数字预防性IMIs接受度的定性研究却很少。这项定性研究的目的是通过关注接受度和满意度的决定因素，深入了解参与者在引导式IMIs方面的体验。
对一项随机对照试验的22/171名（13%）干预组（IG）参与者进行了半结构化访谈。访谈指南是基于用户接受度（技术接受与使用统一理论）和患者满意度（评估模型、差异理论）的理论模型制定的。两名编码员独立对访谈进行评估，进行演绎-归纳内容分析，并达成了较高程度的一致性（=0.73）。
定性分析揭示了十个维度上71个接受度和满意度的决定因素：绩效期望、组织、电子教练、可用性、培训内容和结构、培训使用、培训结果、资金、社会影响和行为意图。使用IMI最常被提及的驱动因素包括“地点独立性”、“与电子教练的积极关系”（各占=19，86%）、“个人电子教练指导”、“电子教练的专业知识”、“针对目标群体的特定调整”（各占=18，82%）、“灵活性”、“再次参与的高意愿”（各占=17，77%）、“快速便捷获取”、“健康增强态度和行为的培训”以及“带有形象表达的内容”（各占=16，73%）。
定性研究结果主要表明，农民及相关行业工作者对预防抑郁症的IMI项目表示接受和满意。许多确定的积极驱动因素与电子教练指导有关，从参与者的角度强调了其在预防环境中的重要性。然而，也发现了一些负面方面，有助于理解IMI项目的潜在弱点。参与者在IMI内容和使用方面表示了不同需求，这表明了个性化的潜在益处。能够匿名、灵活且不受地点限制地使用IMIs的可能性，对于这个特定目标群体可能非常重要。
