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在常规心理健康实践中使用数字个人康复资源:可行性、可接受性和结果。

Using a digital personal recovery resource in routine mental health practice: feasibility, acceptability and outcomes.

机构信息

School of Psychology and Public Health, La Trobe University, Melbourne, Australia.

NorthWestern Mental Health, Melbourne, Australia.

出版信息

J Ment Health. 2023 Jun;32(3):567-574. doi: 10.1080/09638237.2022.2118688. Epub 2022 Sep 7.

Abstract

BACKGROUND

Digital technologies enable the dissemination of multimedia resources to support adults with serious mental illness in their self-management and personal recovery. However, delivery needs to accommodate engagement and accessibility challenges.

AIMS

We examined how a digital resource, designed for mental health workers and consumers to use together in session, would be used in routine practice.

METHODS

Thirty consumers and their workers participated. The web-based resource, Self-Management And Recovery Technology (SMART), was available to use within and between sessions, for a 6-month period. Workers initiated in-session use where relevant. Feasibility was explored via uptake and usage data; and acceptability and impact via questionnaires. A pre-post design assessed recovery outcomes for consumers and relationship outcomes for consumers and workers.

RESULTS

In participating mental health practitioner-consumer dyads, consumers gave strong acceptability ratings, and reported improved working relationships. However, the resource was typically used in one-third or fewer appointments, with consumers expressing a desire for greater in-session use. Improvements in self-rated personal recovery were not observed, possibly contributed to by low usage.

CONCLUSIONS

In-session use was found helpful by consumers but may be constrained by other demands in mental health care delivery: collaborative use may require dedicated staff time or more formal implementation.

摘要

背景

数字技术使多媒体资源得以传播,以支持有严重精神疾病的成年人进行自我管理和个人康复。然而,传播需要适应参与和可及性方面的挑战。

目的

我们研究了一种数字资源,该资源旨在供精神卫生工作者和消费者在会话中共同使用,它将如何在常规实践中使用。

方法

有 30 名消费者及其工作人员参与了研究。基于网络的资源,自我管理和恢复技术(SMART),可在会话期间和会话之间使用,为期 6 个月。工作人员在相关情况下发起会话中的使用。通过使用情况数据和问卷调查来探索可行性;通过问卷调查来探索可接受性和影响。消费者的康复结果和消费者与工作人员的关系结果采用前后设计进行评估。

结果

在参与的精神卫生从业者-消费者二人组中,消费者对可接受性给予了高度评价,并报告称工作关系得到了改善。然而,资源通常仅在三分之一或更少的预约中使用,消费者表示希望在会话中更多地使用。自我评估的个人康复没有得到改善,这可能是由于使用率低造成的。

结论

消费者发现会话中的使用很有帮助,但可能受到精神卫生服务提供中的其他需求的限制:协作使用可能需要专门的员工时间或更正式的实施。

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