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探索一款针对原住民青年的心理健康应用程序(JoyPop)的可行性。

Exploring the feasibility of a mental health application (JoyPop) for Indigenous youth.

作者信息

Au-Yeung Allison, Marfatia Daksha, Beers Kamryn, General Daogyehneh Amanda, McQueen Kahontiyoha Cynthia Denise, Martin-Hill Dawn, Wekerle Christine, Green Tehota'kerá Ton Jeremy

机构信息

Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Department of Biochemistry and Biomedical Sciences, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

出版信息

Front Psychiatry. 2023 Oct 6;14:1269347. doi: 10.3389/fpsyt.2023.1269347. eCollection 2023.

Abstract

OBJECTIVE

The purpose of the current study was to explore the acceptability and feasibility of a resilience-focused mobile application, JoyPop™, for use with Indigenous youth.

METHODS

A Haudenosaunee community-based research advisory committee co-developed the research project, in accordance with OCAP™ principles. Adopting a mixed-method approach, five youths from an immersion school used the JoyPop™ app for four consecutive weeks, as well as completed pre-test questions and weekly usage surveys. Most participants also completed post-test questions and a semi-structured interview. Based on a semi-structured interview protocol, youth responded to questions, and the most common themes were categorized to capture the experience of using the app.

RESULTS

All youth reported a positive impression, used the app daily, found it easy to navigate, and indicated that they would recommend it to a friend. All features were uniformly positively endorsed. There were features that youth used most often (Deep Breathing, "SquareMoves" game, and Art features) and moderately (Rate My Mood, Journaling, and SleepEase). The social connection feature, Circle of Trust, was least utilized, with youth reporting a preference for in-person problem-solving. The drop-down menu of crisis helplines was not used. Youth recommended more gaming options. In terms of cultural resonance, appreciation for the app's use of water sounds in the SleepEase feature was expressed, as was cultural consistency with the "Good Mind" perspective. Recommendations included additional nature sounds, Indigenous design elements, the inclusion of Native language words, and traditional stories.

DISCUSSION

The JoyPop™ app was positively received by Six Nations youth, and ways to ensure its cultural appropriateness were identified. Moving forward, it is recommended that Indigenous designers create a new version with community design co-creation. Additional research with various groups of Indigenous youth is warranted as a pan-Indigenous approach is not recommended.

摘要

目的

本研究旨在探讨一款以恢复力为重点的移动应用程序JoyPop™供原住民青年使用的可接受性和可行性。

方法

一个基于易洛魁联盟社区的研究咨询委员会根据OCAP™原则共同开展了该研究项目。采用混合方法,五名来自沉浸式学校的青年连续四周使用JoyPop™应用程序,并完成预测试问题和每周使用情况调查。大多数参与者还完成了后测试问题和一次半结构化访谈。根据半结构化访谈协议,青年回答问题,并对最常见的主题进行分类以捕捉使用该应用程序的体验。

结果

所有青年都给出了积极评价,每天使用该应用程序,发现其易于操作,并表示会向朋友推荐。所有功能均得到一致的积极认可。有些功能青年使用频率最高(深呼吸、“方块移动”游戏和艺术功能),有些则使用频率适中(给我的情绪打分、写日记和睡眠舒缓)。社会联系功能“信任圈”使用最少,青年表示更喜欢面对面解决问题。危机求助热线的下拉菜单未被使用。青年建议增加更多游戏选项。在文化共鸣方面,青年对应用程序睡眠舒缓功能中使用水声表示赞赏,也对与“美好心灵”观点的文化一致性表示认可。建议包括增加自然声音、原住民设计元素、纳入原住民语言词汇和传统故事。

讨论

JoyPop™应用程序受到六国青年的积极欢迎,并确定了确保其文化适宜性的方法。展望未来,建议原住民设计师与社区共同创作设计一个新版本。由于不建议采用泛原住民方法,因此有必要对不同群体的原住民青年进行更多研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376c/10588183/838f96209a5a/fpsyt-14-1269347-g0001.jpg

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