Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Metabolism & Obesity Service, Sydney Local Health District, Sydney, NSW, Australia.
Front Public Health. 2024 May 3;12:1389739. doi: 10.3389/fpubh.2024.1389739. eCollection 2024.
Chronic disease risk factors are increasing amongst adolescents, globally. Digital health prevention programs, which provide education and information to reduce chronic disease risk factors need to be equitable and accessible for all. For their success, multiple highly engaged stakeholders should be involved in development and implementation. This study aimed to evaluate stakeholders' support for, and perspectives on potential public health impact of digital health prevention programs for adolescents and potential pathways for future implementation.
Qualitative semi-structured online interviews with stakeholders. Stakeholder mapping identified key individuals, groups and organizations across Australia that may influence the implementation of digital health prevention programs for adolescents. Recorded and transcribed interviews were analyzed within the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) Framework, using deductive content analysis.
Nineteen interviews were conducted in 2023 with stakeholders from government, health, non-government organizations, youth services, education, community settings and others. Four overarching themes were identified: (i) existing digital health initiatives are not fit for purpose; (ii) the co-creation of digital health prevention programs is critical for successful implementation; (iii) digital health prevention programs must address equity and the unique challenges raised by technology and; (iv) system level factors must be addressed.
Stakeholders broadly supported digital health prevention programs, yet raised unique insights to ensure that future programs create public health impact by improving chronic disease risk factors among adolescents. These insights can be applied in future development of digital health prevention programs for adolescents to strengthen widespread implementation.
全球范围内，青少年的慢性病危险因素不断增加。数字健康预防计划为减少慢性病危险因素提供了教育和信息，需要对所有人公平且可及。为了取得成功，需要多个高度参与的利益相关者参与到开发和实施过程中。本研究旨在评估利益相关者对青少年数字健康预防计划的支持程度和潜在公共卫生影响的看法，以及未来实施的潜在途径。
对利益相关者进行了定性半结构式在线访谈。利益相关者图谱确定了澳大利亚各地可能影响青少年数字健康预防计划实施的关键个人、团体和组织。使用归纳内容分析，根据 Reach、Effectiveness、Adoption、Implementation 和 Maintenance（RE-AIM）框架对记录和转录的访谈进行了分析。
2023 年进行了 19 次访谈，受访者来自政府、卫生、非政府组织、青年服务、教育、社区等部门。确定了四个总体主题：（一）现有的数字健康计划不适用；（二）数字健康预防计划的共同创造对于成功实施至关重要；（三）数字健康预防计划必须解决公平问题以及技术带来的独特挑战；（四）必须解决系统层面的因素。
利益相关者普遍支持数字健康预防计划，但提出了独特的见解，以确保未来的计划通过改善青少年的慢性病危险因素来产生公共卫生影响。这些见解可应用于未来青少年数字健康预防计划的开发中，以加强广泛实施。
