Institute for Positive Health, Utrecht, the Netherlands.
Public Health Service Brabant Zuid-Oost, Eindhoven, the Netherlands.
Health Expect. 2024 Oct;27(5):e70042. doi: 10.1111/hex.70042.
Being able to express and address strengths and needs related to health is an important asset to enhance resilience during emerging adulthood. Towards this end, we aimed to develop a specific version of the My Positive Health (MPH) dialogue tool for this developmental period (ages 16-25). By adopting a broad perspective on health and striving for applicability in various settings, this tool ultimately seeks to promote integrated collaboration across various domains (healthcare, social care, school).
The tool was co-designed with end users, using mixed methods: a descriptive cross-sectional survey questionnaire (N = 118) followed by qualitative focus groups and interview sessions (N = 36). Participants were Dutch citizens (mean age 21.6; 79% female) who were stratified by educational level and chronic disease status (yes/no). The final selection of the content of the tool was made during expert sessions.
A preference appeared for the following dimensions to be part of the dialogue tool: My body, My feelings and thoughts, Meaningfulness, Quality of life, Participation and Daily life. Each dimension was operationalised by aspects (43 in total) to facilitate reflection and dialogue. The following new aspects that are typical for emerging adulthood were formulated and included in the dialogue tool: 'Confidence in yourself', 'Being in control', 'Having confidence in the future', 'Self-expression', 'Meaningful relationships', 'Being able to work or study' and 'Ability to plan'. Other aspects derived from the adult and children's versions of the MPH dialogue tool.
A dialogue tool was designed for individuals aged 16-25 in various health- and vulnerability-related conditions and with applicability in various domains.
The development of the dialogue tool was specifically driven by the needs expressed by the users themselves. Planned public and patient contribution comprised consultation and collaboration in (i) design, (ii) recruitment, (iii) focus group sessions, (iv) analysis and discussion of the data and (v) dissemination.
Not applicable.
能够表达和处理与健康相关的优势和需求，是增强成年早期韧性的重要资产。为此，我们旨在为这一发展阶段（16-25 岁）开发一种特定版本的 My Positive Health（MPH）对话工具。通过采用广泛的健康视角，并努力在各种环境中具有适用性，该工具最终旨在促进医疗、社会关怀、学校等各个领域的综合协作。
该工具是与最终用户共同设计的，采用混合方法：一项描述性的横断面调查问卷调查（N=118），随后进行定性焦点小组和访谈（N=36）。参与者为荷兰公民（平均年龄 21.6 岁；79%为女性），按教育程度和慢性病状况（是/否）分层。工具内容的最终选择是在专家会议上进行的。
对于要纳入对话工具的以下维度，似乎存在偏好：我的身体、我的感受和想法、意义、生活质量、参与和日常生活。每个维度都通过 43 个方面进行了操作，以促进反思和对话。还制定并纳入了对话工具中的以下新兴成年期特有的新方面：“对自己有信心”、“能够掌控”、“对未来有信心”、“自我表达”、“有意义的人际关系”、“能够工作或学习”和“有能力计划”。其他方面源自 MPH 对话工具的成人和儿童版本。
为各种健康和脆弱性相关条件下的 16-25 岁个体设计了一种对话工具，并具有在各种领域的适用性。
对话工具的开发特别受到用户自身表达的需求的驱动。计划的公众和患者贡献包括在（i）设计、（ii）招募、（iii）焦点小组会议、（iv）数据分析和讨论以及（v）传播方面进行协商和合作。
不适用。
