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开发一种基于技术的干预措施,以改善有常见心理健康问题的痛苦但未寻求治疗的年轻人的求助行为。

Development of a Technology-Based Intervention to Improve Help-Seeking in Distressed Non-Treatment-Seeking Young Adults With Common Mental Health Concerns.

作者信息

Sanghvi Prachi, Mehrotra Seema, Sharma Manoj Kumar

机构信息

Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru, IND.

出版信息

Cureus. 2023 May 16;15(5):e39108. doi: 10.7759/cureus.39108. eCollection 2023 May.

Abstract

Background There is a dearth of interventions aimed at improving help-seeking for common mental health concerns among distressed young adults, particularly in the urban Indian context. Availability of cost-effective, targeted intervention for improving appropriate help-seeking can pave the way for reducing the treatment gap. This could prove especially beneficial in low-resource settings. This study describes the guiding principles, underlying theory, and development process of a simple technology-based help-seeking intervention for distressed non-treatment-seeking young adults. Methods Several models of professional help-seeking behavior were examined to ascertain a suitable theoretical framework for the development of the intervention to enable help-seeking among distressed non-treatment-seeking young adults. Pilot work was carried out before the development, along with content validation of the intervention by field experts. Results Help-seeking intervention was developed based on the preferences of young adults and literature review. Eight core intervention components and one optional component were developed, which were built on selected theoretical frameworks. These components have been postulated to enhance awareness of common mental health problems, the utility of self-help, and support of significant others, and to increase the skills to understand when it may be appropriate to step up to professional help-seeking. Conclusion Help-seeking interventions delivered beyond the traditional clinic and hospital setups prove useful as low-intensity interventions acting as gateways to seek mainstream mental health services. Further research will evaluate the feasibility, acceptability, and effectiveness of the intervention in reducing perceived barriers and enhancing inclination to seek professional help and help-seeking behavior among distressed non-treatment-seeking young adults.

摘要

背景

针对苦恼的年轻成年人中常见心理健康问题寻求帮助的干预措施匮乏,尤其是在印度城市环境中。提供具有成本效益的、有针对性的干预措施以促进适当的求助行为,可为缩小治疗差距铺平道路。在资源匮乏的环境中,这可能会特别有益。本研究描述了一种针对苦恼的未寻求治疗的年轻成年人的基于简单技术的求助干预措施的指导原则、基础理论和开发过程。方法:研究了几种专业求助行为模型,以确定适合开发该干预措施的理论框架,以便在苦恼的未寻求治疗的年轻成年人中促进求助行为。在开发之前进行了试点工作,并由领域专家对干预措施进行了内容验证。结果:根据年轻成年人的偏好和文献综述开发了求助干预措施。开发了八个核心干预组成部分和一个可选组成部分,这些组成部分基于选定的理论框架构建。这些组成部分被假定为可提高对常见心理健康问题的认识、自助的效用以及重要他人的支持,并提高理解何时可能适合寻求专业帮助的技能。结论:在传统诊所和医院环境之外提供的求助干预措施被证明是有用的低强度干预措施,可作为寻求主流心理健康服务的途径。进一步的研究将评估该干预措施在减少感知障碍、增强苦恼的未寻求治疗的年轻成年人寻求专业帮助的意愿和求助行为方面的可行性、可接受性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/10271058/ff97c7c77fa3/cureus-0015-00000039108-i01.jpg

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