NIHR Mental Health Policy Research Unit, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, SE5 8AF, London, UK.
NIHR Mental Health Policy Research Unit, Lived Experience Working Group, Division of Psychiatry, Faculty of Brain Sciences, University College London, W1T 7NF, London, UK.
BMC Public Health. 2023 Feb 27;23(1):398. doi: 10.1186/s12889-023-15280-z.
Every Mind Matters (EMM) is a publicly funded health campaign, launched in England in 2019, to equip adults to look after their mental health, and that of others, by offering online information about common problems: anxiety, low mood, sleep, and stress. This study is one component of an independent evaluation of EMM conducted by the NIHR Mental Health Policy Research Unit. Its aim is to explore individuals' experiences of the EMM campaign and website.
Four researchers, including three with lived experience of using mental health services, conducted 20, one-off, semi-structured, online interviews with a range of adult participants, including a sample of EMM users and a purposively recruited sub-sample known to have severe or long-term mental health conditions. A codebook thematic analysis was undertaken, and four main themes were identified.
There was an expectation from the name Every Mind Matters that its advice would address everyone. Almost all participants had experience of mental distress and looked to EMM for help with a current problem for themselves. All participants were complimentary about the EMM website and found it to be user-friendly (theme 1) and personalised (theme 2) especially the interactive feature Your Mind Plan quiz which responds with suggested actions to improve wellbeing and follows up with reminder emails. A few participants found the website information and/or Mind Plan suggestions to be life changing. Some participants wanted EMM to better acknowledge the contexts in which they live (theme 3) such as the limitations of health conditions and health services, and difficulties of crowded housing, social policy, and climate change. Many participants would like EMM to do more (theme 4), offer more interactivity, more choice, more information about available treatments, and more stratified advice to cover more severe mental health conditions.
EMM is available to all, including people with common or severe mental disorders. In the context of overwhelmed mental health services, people with severe mental illness expect more from EMM than advice about common problems. EMM could build on its success by extending its remit to address a wider range of needs so that everyone is included.
“Every Mind Matters (EMM)”是一项由英国公共资金资助的健康运动，于 2019 年在英国推出，旨在通过提供有关常见问题（焦虑、情绪低落、睡眠和压力）的在线信息，帮助成年人照顾自己和他人的心理健康。这项研究是由 NIHR 心理健康政策研究小组对 EMM 进行的独立评估的一部分。其目的是探讨个人对 EMM 运动和网站的体验。
包括 3 名有心理健康服务使用经验的研究人员在内的 4 名研究人员对一系列成年参与者进行了 20 次一次性半结构化在线访谈，参与者包括 EMM 用户样本和一个有严重或长期心理健康状况的有目的招募的亚样本。采用编码主题分析，确定了四个主要主题。
从 Every Mind Matters 的名称可以预期，它的建议将适用于所有人。几乎所有参与者都有过精神困扰的经历，希望通过 EMM 解决自己当前的问题。所有参与者都对 EMM 网站表示赞赏，认为它易于使用（主题 1）和个性化（主题 2），特别是互动功能 Your Mind Plan 测验，它会根据改善幸福感的建议做出回应，并通过提醒电子邮件跟进。一些参与者发现网站信息和/或 Mind Plan 建议具有改变生活的作用。一些参与者希望 EMM 更好地承认他们所处的环境（主题 3），例如健康状况和卫生服务的限制，以及住房拥挤、社会政策和气候变化的困难。许多参与者希望 EMM 做更多的事情（主题 4），提供更多的互动性、更多的选择、更多关于可用治疗方法的信息以及更具分层性的建议，以涵盖更严重的心理健康状况。
EMM 对所有人开放，包括有常见或严重精神障碍的人。在心理健康服务不堪重负的情况下，患有严重精神疾病的人对 EMM 的期望不仅仅是关于常见问题的建议。EMM 可以通过扩大其职权范围来满足更广泛的需求，从而使每个人都能得到包括，从而在此基础上取得成功。
