Division of Psychology and Mental Health, University of Manchester, Manchester, United Kingdom.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
JMIR Hum Factors. 2024 Jun 5;11:e53406. doi: 10.2196/53406.
Given the physical health disparities associated with mental illness, targeted lifestyle interventions are required to reduce the risk of cardiometabolic disease. Integrating physical health early in mental health treatment among young people is essential for preventing physical comorbidities, reducing health disparities, managing medication side effects, and improving overall health outcomes. Digital technology is increasingly used to promote fitness, lifestyle, and physical health among the general population. However, using these interventions to promote physical health within mental health care requires a nuanced understanding of the factors that affect their adoption and implementation.
Using a qualitative design, we explored the attitudes of mental health care professionals (MHCPs) toward digital technologies for physical health with the goal of illuminating the opportunities, development, and implementation of the effective use of digital tools for promoting healthier lifestyles in mental health care.
Semistructured interviews were conducted with MHCPs (N=13) using reflexive thematic analysis to explore their experiences and perspectives on using digital health to promote physical health in youth mental health care settings.
Three overarching themes from the qualitative analysis are reported: (1) motivation will affect implementation, (2) patients' readiness and capability, and (3) reallocation of staff roles and responsibilities. The subthemes within, and supporting quotes, are described.
The use of digital means presents many opportunities for improving the provision of physical health interventions in mental health care settings. However, given the limited experience of many MHCPs with these technologies, formal training and additional support may improve the likelihood of implementation. Factors such as patient symptomatology, safety, and access to technology, as well as the readiness, acceptability, and capability of both MHCPs and patients to engage with digital tools, must also be considered. In addition, the potential benefits of data integration must be carefully weighed against the associated risks.
鉴于精神疾病与身体健康差异相关，需要有针对性的生活方式干预来降低患心血管代谢疾病的风险。在年轻人的心理健康治疗中尽早整合身体健康内容对于预防身体合并症、减少健康差异、管理药物副作用以及改善整体健康结果至关重要。数字技术越来越多地用于促进普通人群的健康、生活方式和身体健康。然而，要在精神卫生保健中使用这些干预措施来促进身体健康，需要对影响其采用和实施的因素有细致的了解。
使用定性设计，我们探讨了精神卫生保健专业人员（MHCPs）对用于身体健康的数字技术的态度，旨在阐明在精神卫生保健中有效使用数字工具促进更健康生活方式的机会、发展和实施。
对 MHCPs（N=13）进行半结构式访谈，使用反思性主题分析来探讨他们在使用数字健康促进青年精神卫生保健中身体健康的经验和观点。
从定性分析中报告了三个总体主题：（1）动机将影响实施，（2）患者的准备情况和能力，以及（3）重新分配员工角色和职责。描述了其中的子主题和支持性引述。
数字手段的使用为改善精神卫生保健环境中身体健康干预措施的提供带来了许多机会。然而，鉴于许多 MHCPs 对这些技术的经验有限，因此提供正式培训和额外支持可能会提高实施的可能性。还必须考虑患者的症状、安全性和技术获取，以及 MHCPs 和患者对数字工具的准备情况、可接受性和能力等因素。此外，必须仔细权衡数据集成的潜在好处与相关风险。
