Thielecke Janika, Buntrock Claudia, Freund Johanna, Braun Lina, Ebert David D, Berking Matthias, Baumeister Harald, Titzler Ingrid
Department of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany.
Internet Interv. 2023 Sep 19;34:100671. doi: 10.1016/j.invent.2023.100671. eCollection 2023 Dec.
Low-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior. Factors facilitating uptake and actual use of effective remote interventions are important to reduce depression disease burden. This study aimed at identifying factors that potentially can influence acceptance of and satisfaction with a telephone coaching in this occupational group.Semi-structured interviews were based on the 'Unified Theory of Acceptance and Use of Technology', the 'Evaluation', and 'Discrepancy' models for satisfaction. Interviews were conducted with 20 of 66 invited participants of a 6-months telephone coaching during an effectiveness or implementation study. Audio-recorded interviews were transcribed and analyzed (deductive-inductive qualitative content analysis). Independent coding by two persons resulted in good agreement (Κ = 0.80). Participants validated results via questionnaire.Overall, 32 supporting (SF) and 14 hindering factors (HF) for acceptance and satisfaction were identified and organized into five dimensions: Coaching result (SF = 9, HF = 3), coach (SF = 9, HF = 1), organization (SF = 5, HF = 2), the telephone as communication medium (SF = 4, HF = 5) and participant characteristics (SF = 5, HF = 3). Most named SFs were 'Flexible appointment arrangement' (n = 19/95 %) and 'low effort' (n = 17/85 %), while most reported HFs were 'lack of visual cues' (n = 12/60 %) and 'social/professional involvement restricts change process' (n = 10/50 %).The perceived changes initiated by coaching, a low effort through telephone conduct, and the indicated personalization were identified as important influencing factors on acceptance and satisfaction based on interviewees' statements. Both may be further enhanced by offering choice and advice for delivery formats (e.g., video-calls) and training of coaches in farm-related issues.
German Clinical Trial Registrations: DRKS00017078 and DRKS00015655.
对于那些存在多种抑郁风险因素、生活在医疗服务不足地区且求助行为较少的农民来说，低门槛且可远程提供的预防性干预措施，如电话辅导，是很有必要的。促进有效远程干预措施的采用和实际使用的因素对于减轻抑郁症疾病负担很重要。本研究旨在确定可能影响这一职业群体对电话辅导的接受度和满意度的因素。
半结构化访谈基于技术接受与使用统一理论、满意度评估模型和差异模型。在一项有效性或实施研究期间，对66名受邀参加为期6个月电话辅导的参与者中的20人进行了访谈。对录音访谈进行了转录和分析（演绎-归纳定性内容分析）。由两人进行独立编码，结果一致性良好（Κ = 0.80）。参与者通过问卷对结果进行了验证。
总体而言，确定了32个支持接受和满意度的因素（SF）和14个阻碍因素（HF），并将其组织为五个维度：辅导结果（SF = 9，HF = 3）、辅导者（SF = 9，HF = 1）、组织（SF = 5，HF = 2）、作为通信媒介的电话（SF = 4，HF = 5）和参与者特征（SF = 5，HF = 3）。最常提到的支持因素是“灵活的预约安排”（n = 19/95%）和“低工作量”（n = 17/85%），而最常报告的阻碍因素是“缺乏视觉线索”（n = 12/60%）和“社会/职业参与限制变革过程”（n = 10/50%）。
根据受访者的陈述，辅导引发的感知变化、通过电话进行的低工作量以及所表明的个性化被确定为影响接受度和满意度的重要因素。通过提供交付格式的选择和建议（如视频通话）以及对辅导者进行农业相关问题的培训，这两者都可能得到进一步加强。
德国临床试验注册：DRKS00017078和DRKS00015655。
