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增强在线认知行为疗法干预抑郁:利用性少数青年的反馈来帮助改善 SPARX。

Enhancing an online cognitive behavioural therapy intervention for depression: Harnessing the feedback of sexual and gender minority youth to help improve SPARX.

机构信息

Department of Health and Social Care, The Open University, Milton Keynes, UK; Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.

Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.

出版信息

Australas Psychiatry. 2023 Jun;31(3):247-254. doi: 10.1177/10398562231153061. Epub 2023 Jan 23.

Abstract

OBJECTIVE

SPARX is an online cognitive behavioural therapy self-help intervention for adolescent depression provided in serious game format. Since 2014, it has been freely available in Aotearoa New Zealand (NZ) due to funding from the NZ government. In 2020/21, feedback from sexual and gender minority youth (SGMY) was used to refine and update SPARX.

METHOD

Three online focus groups and follow-up email consultations involved 12 SGMY (16 to 25 years old) in NZ. A general inductive approach was used to analyse data.

RESULTS

SGMY had specific needs as well as preferences and four themes were identified: attend to our contextual realities; portrayals of sexual and gender minority people in games; envisaged ideals for serious gaming and appraisals of SPARX. SGMY feedback was used to improve SPARX for this unique population, with the updates launched in October 2021.

CONCLUSIONS

SGMY are underserved in terms of their mental health needs. Refining or tailoring existing interventions proffers a potential way forward in terms of addressing these needs.

摘要

目的

SPARX 是一种在线认知行为疗法自助干预措施,用于治疗青少年抑郁症,其以严肃游戏的形式呈现。自 2014 年以来,由于新西兰政府的资助,它在新西兰(NZ)免费提供。2020/21 年,性少数群体青年(SGMY)的反馈用于改进和更新 SPARX。

方法

在新西兰,通过三个在线焦点小组和后续电子邮件咨询,涉及 12 名 SGMY(16 至 25 岁)。采用一般归纳方法对数据进行分析。

结果

SGMY 有特定的需求以及偏好,确定了四个主题:关注我们的背景现实;游戏中对性少数群体的描绘;对严肃游戏的设想和对 SPARX 的评价。根据 SGMY 的反馈,对 SPARX 进行了更新,以满足这一独特群体的需求,更新版本于 2021 年 10 月推出。

结论

在满足 SGMY 的心理健康需求方面,他们的服务不足。改进或定制现有干预措施提供了满足这些需求的潜在途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8125/10251453/915ac67dfef9/10.1177_10398562231153061-fig1.jpg

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