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实现针对遭受技术辅助性性虐待的年轻人的数字健康干预措施。

Implementation of a digital health intervention for young people exposed to Technology Assisted Sexual Abuse.

机构信息

School of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom.

School of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom; NHS Lothian, Edinburgh, United Kingdom.

出版信息

Child Abuse Negl. 2024 Aug;154:106883. doi: 10.1016/j.chiabu.2024.106883. Epub 2024 Jun 12.


DOI:10.1016/j.chiabu.2024.106883
PMID:38870708
Abstract

BACKGROUND: The internet has become a place of increased risk of abuse, including sexual abuse, for young people (YP). One potential risk factor to online abuse and exploitation is the ability to mentalise. We developed the i-Minds app, a mentalisation-based digital health intervention (DHI) for YP who have experienced technology assisted sexual abuse (TASA), which we tested in a clinical feasibility trial. Nested within the trial was a qualitative implementation study with clinicians who referred to the trial. OBJECTIVE: To explore the barriers and enablers to the future integration of i-Minds into clinical practice. PARTICIPANTS AND SETTING: Twelve HCPs were recruited from across two trial recruitment sites (Manchester and Edinburgh). METHODS: Semi-structured interviews were informed by Normalisation Process Theory (NPT). Framework analysis was used; transcripts were coded deductively to NPT constructs. RESULTS: Practitioners were positive about the need for, and added value of, the i-Minds app over existing interventions, including other DHIs. While they felt confident with the app, concerns remained around the safety of using the app without practitioner support. i-Minds promoted changes in practitioners' work and impacted online behaviour of YP. There was an identified need for further training and organisational support. CONCLUSIONS: Practitioners are aware of TASA but have limited knowledge, skills and tools to work with TASA in clinical practice with YP. There is a need for awareness raising and education about TASA and DHI. i-Minds offers a theory-informed DHI for working with YP exposed to TASA that is acceptable to practitioners and YP.

摘要

背景:互联网已经成为年轻人(YP)遭受虐待的高风险场所,包括性虐待。易受网络虐待和剥削的一个潜在风险因素是心理化能力。我们开发了 i-Minds 应用程序,这是一种针对经历过技术辅助性虐待(TASA)的 YP 的基于心理化的数字健康干预(DHI),我们在一项临床可行性试验中对其进行了测试。该试验嵌套了一项与转诊到试验的临床医生进行的定性实施研究。

目的:探讨未来将 i-Minds 整合到临床实践中的障碍和促进因素。

参与者和设置:从两个试验招募地点(曼彻斯特和爱丁堡)招募了 12 名 HCP。

方法:半结构化访谈受正常化进程理论(NPT)的启发。使用框架分析;根据 NPT 结构对转录本进行了演绎编码。

结果:从业者对 i-Minds 应用程序的需求和附加值持积极态度,包括其他 DHI 在内。虽然他们对该应用程序有信心,但仍担心在没有从业者支持的情况下使用该应用程序的安全性。i-Minds 促进了从业者工作的变化,并影响了 YP 的在线行为。需要进一步的培训和组织支持。

结论:从业者意识到 TASA 的存在,但在临床实践中处理 YP 遭受的 TASA 时,他们的知识、技能和工具有限。需要提高对 TASA 和 DHI 的认识和教育。i-Minds 为处理接触过 TASA 的 YP 提供了一种基于理论的 DHI,它受到从业者和 YP 的认可。

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引用本文的文献

[1]
Reporting on a Partnership to Co-Design a Digital Health Intervention With Young People Who Have Experienced Technology-Assisted Sexual Abuse.

Health Expect. 2025-6

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