van Doorn Marilon, Monsanto Anne, Boeschoten Cato M, van Amelsvoort Thérèse, Popma Arne, Öry Ferko G, Alvarez-Jimenez Mario, Gleeson John, Jaspers Monique W M, Nieman Dorien H
Amsterdam University Medical Centers (Location AMC), Amsterdam, Netherlands.
Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Netherlands.
Front Digit Health. 2023 Jan 9;4:1020753. doi: 10.3389/fdgth.2022.1020753. eCollection 2022.
Over 25% of Dutch young people are psychologically unhealthy. Individual and societal consequences that follow from having mental health complaints at this age are substantial. Young people need care which is often unavailable. ENgage YOung people earlY (ENYOY) is a moderated digital social therapy-platform that aims to help youngsters with emerging mental health complaints. Comprehensive research is being conducted into the effects and to optimize and implement the ENYOY-platform throughout the Netherlands. The aim of this study is to explore the usability and user experience of the ENYOY-platform.
A user-centered mixed-method design was chosen. 26 young people aged 16-25 with emerging mental health complaints participated. Semi-structured interviews were conducted to explore usability, user-friendliness, impact, accessibility, inclusivity, and connection (Phase 1). Phase 2 assessed usability problems using the concurrent and retrospective Think Aloud-method. User experience and perceived helpfulness were assessed using a 10-point rating scale and semi-structured interviews (Phase 3). The Health Information Technology Usability Evaluation Scale (Health-ITUES; Phase 1) and System Usability Scale (SUS; Phase 2 and 3) were administered. Qualitative data was analyzed using thematic analysis. Task completion rate and time were tracked and usability problems were categorized using the Nielsen's rating scale (Phase 2).
Adequate to high usability was found (Phase 1 Health-ITUES 4.0(); Phase 2 SUS 69,5(); Phase 3 SUS 71,6()). Findings from Phase 1 ( = 10) indicated that users viewed ENYOY as a user-friendly, safe, accessible, and inclusive initiative which helped them reduce their mental health complaints and improve quality of life. Phase 2 ( = 10) uncovered 18 usability problems of which 5 of major severity (e.g. troubles accessing the platform). Findings from Phase 3 ( = 6) suggested that users perceived the coaching calls the most helpful [9()] followed by the therapy content [6.25()]. Users liked the social networking aspect but rated it least helpful [6()] due to inactivity.
The ENYOY-platform has been found to have adequate to high usability and positive user experiences were reported. All findings will be transferred to the developmental team to improve the platform. Other evaluation methods and paring these with quantitative outcomes could provide additional insight in future research.
超过25%的荷兰年轻人存在心理不健康问题。在这个年龄段出现心理健康问题所带来的个人和社会后果是巨大的。年轻人需要的护理往往难以获得。早期关爱年轻人（ENYOY）是一个经过适度管理的数字社交治疗平台，旨在帮助有新出现心理健康问题的青少年。正在对其效果进行全面研究，并在荷兰各地优化和实施ENYOY平台。本研究的目的是探索ENYOY平台的可用性和用户体验。
采用以用户为中心的混合方法设计。26名年龄在16 - 25岁、有新出现心理健康问题的年轻人参与其中。进行了半结构化访谈，以探讨可用性、用户友好性、影响、可及性、包容性和联系（第一阶段）。第二阶段使用并发和回顾性出声思考法评估可用性问题。使用10分制评分量表和半结构化访谈评估用户体验和感知帮助程度（第三阶段）。使用了健康信息技术可用性评估量表（Health - ITUES；第一阶段）和系统可用性量表（SUS；第二阶段和第三阶段）。定性数据采用主题分析法进行分析。跟踪任务完成率和时间，并使用尼尔森评分量表对可用性问题进行分类（第二阶段）。
发现可用性达到足够至较高水平（第一阶段Health - ITUES为4.0；第二阶段SUS为69.5；第三阶段SUS为71.6）。第一阶段（n = 10）的结果表明，用户认为ENYOY是一项用户友好、安全、可及且包容的举措，有助于他们减少心理健康问题并提高生活质量。第二阶段（n = 10）发现了18个可用性问题，其中5个问题严重程度较高（例如，访问平台困难）。第三阶段（n = 6）的结果表明，用户认为辅导通话最有帮助[9分]，其次是治疗内容[6.25分]。用户喜欢社交网络方面，但由于活跃度低，将其评为最没有帮助[6分]。
已发现ENYOY平台具有足够至较高的可用性，并报告了积极的用户体验。所有结果将反馈给开发团队以改进平台。其他评估方法以及将这些方法与定量结果相结合，可能会在未来研究中提供更多见解。
