混合现实技术为哮喘青少年提供心理干预：基于可接受性理论框架的定性研究

Mixed Reality Technology to Deliver Psychological Interventions to Adolescents With Asthma: Qualitative Study Using the Theoretical Framework of Acceptability.

作者信息

Sharrad Kelsey, Martini Caitlin, Tai Andrew, Spurrier Nicola, Smith Ross, Esterman Adrian, Gwilt Ian, Sandford Debra, Carson-Chahhoud Kristin

机构信息

Translational Medicine and Technology Group, Australian Centre for Precision Health, University of South Australia, Adelaide, Australia.

Department of Respiratory and Sleep Medicine, Women's and Children's Hospital, Adelaide, Australia.

出版信息

JMIR Hum Factors. 2023 Jul 26;10:e34629. doi: 10.2196/34629.

DOI:10.2196/34629

PMID:37494096

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10413228/

Abstract

BACKGROUND

Interactive, mixed reality technologies such as augmented reality, virtual reality, and holographic technology may provide a novel solution to fast-track the translation of evidence into practice. They may also help overcome barriers to both mental health and asthma management service uptake, such as cost, availability of appointments, fear of judgment, and quality of care.

OBJECTIVE

This study aimed to investigate if mixed reality technology is an acceptable mechanism for the delivery of a component of cognitive and behavioral therapies for the management of elevated psychological distress among young people with asthma.

METHODS

To explore the perceived acceptability of these technologies, mixed reality tools were evaluated via qualitative, 1-on-1 interviews with young people with asthma and symptoms of psychological distress, parents/caregivers of young people with asthma and symptoms of psychological distress, and relevant health professionals. The Theoretical Framework of Acceptability was used for the deductive coding of the recorded interview transcripts.

RESULTS

This study enrolled the following participants: (1) 3 adolescents with asthma and symptoms of psychological distress with a mean age of 14 (SD 1.7) years; (2) 4 parents/caregivers of adolescents with asthma with a mean age of 55 (SD 14.6) years; and (3) 6 health professionals with a mean age of 40.8 (SD 4.3) years. A total of 4 constructs-experienced affective attitude, experienced effectiveness, self-efficacy, and intervention coherence-were coded in all participant transcripts. The most frequently coded constructs were experienced affective attitude and intervention coherence, which were reported a total of 96 times. The least frequently coded construct was anticipated opportunity cost, which was reported a total of 5 times. Participants were mostly positive about the mixed reality resources. However, some concerns were raised regarding ethicality, particularly regarding privacy, accessibility, and messaging. Participants noted the need for technology to be used in conjunction with face-to-face engagement with health professionals and that some patients would respond to this type of delivery mechanism better than others.

CONCLUSIONS

These results suggest that mixed reality technology to deliver psychological interventions may be an acceptable addition to current health care practices for young people with asthma and symptoms of psychological distress.

TRIAL REGISTRATION

Australia and New Zealand Clinical Trials Registry ACTRN12620001109998; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380427.

摘要

背景

增强现实、虚拟现实和全息技术等交互式混合现实技术可能为加快将证据转化为实践提供一种新的解决方案。它们还可能有助于克服心理健康和哮喘管理服务使用方面的障碍，如成本、预约的可获得性、对评判的恐惧以及护理质量。

目的

本研究旨在调查混合现实技术是否是为患有哮喘的年轻人提供认知和行为疗法的一个组成部分以管理其心理困扰加剧的可接受机制。

方法

为了探索这些技术的可接受性，通过对患有哮喘且有心理困扰症状的年轻人、患有哮喘且有心理困扰症状的年轻人的父母/照顾者以及相关健康专业人员进行定性的一对一访谈，对混合现实工具进行了评估。可接受性理论框架用于对记录的访谈转录本进行演绎编码。

结果

本研究招募了以下参与者：（1）3名患有哮喘且有心理困扰症状的青少年，平均年龄14岁（标准差1.7）；（2）4名患有哮喘的青少年的父母/照顾者，平均年龄55岁（标准差14.6）；以及（3）6名健康专业人员，平均年龄40.8岁（标准差4.3）。在所有参与者的转录本中总共编码了4个结构——体验到的情感态度、体验到的有效性、自我效能感和干预连贯性。编码最频繁的结构是体验到的情感态度和干预连贯性，总共被提及96次。编码最不频繁的结构是预期机会成本，总共被提及5次。参与者大多对混合现实资源持积极态度。然而，有人对伦理问题提出了一些担忧，特别是关于隐私、可及性和信息传递方面。参与者指出需要将该技术与与健康专业人员的面对面接触结合使用，并且一些患者对这种提供机制的反应会比其他患者更好。