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采用协同设计方法开发青少年预防性在线心理健康项目(POMHPY):一项质量改进项目。

Using a co-design approach to develop a Preventative Online Mental Health Program for Youth (POMHPY): a quality improvement project.

作者信息

Moghimi Elnaz, Belfry Kimberly, Farr Sarah, Stafford Shavon, Bogdan Arina, Brush Megan, Canning Christopher, Kim Soyeon

机构信息

Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.

Department of Psychiatry, Queen's University, Kingston, ON, Canada.

出版信息

BMC Health Serv Res. 2025 Feb 8;25(1):219. doi: 10.1186/s12913-024-12101-w.


DOI:10.1186/s12913-024-12101-w
PMID:39920706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11806559/
Abstract

BACKGROUND: During the COVID-19 pandemic, youth in Ontario, Canada experienced a steep rise in mental health concerns. Preventative intervention programs can address the psychological impact of the pandemic on youth and build resiliency. Co-design approaches to developing such programs actively involve young people, resulting in solutions tailored to their unique needs. The current paper details the co-design approach to creating a Preventative Online Mental Health Program for Youth (POMHPY)-a virtually delivered program designed for Ontario youth ages 12 to 25 that promotes mental, physical, and social wellbeing. METHODS: The Participatory Action Research (PAR) framework guided the development of the initiative. Literature reviews were conducted to identify existing evidence-based programs targeting youth. Youth perspectives were primarily gathered via the Youth Advisory Group, comprising a Youth Resilience Coordinator and a Youth Engagement Lead, who contributed to a literature review, surveys, focus groups, and program assets. Community insights were gathered through Community Reference Group (CRG) meetings, which engaged participants from local and provincial organizations, as well as individuals either directly representing or affiliated at arm's length with youth. RESULTS: A review of the current literature highlighted the importance of regular physical activity, social connectedness, good sleep hygiene, and healthy family relationships to emotional wellbeing. Survey findings informed program session length, duration, delivery, and activities. Focus groups expanded on the survey findings and provided an in-depth understanding of youth preferences for program delivery. CRG meetings captured community insights on program refinements to better meet the needs of youth. As such, the development of POMHPY was a collaborative effort among researchers, youth, and community partners. CONCLUSIONS: The findings highlight the value of co-design and PAR-informed approaches in developing youth-targeted online wellbeing programs, providing actionable insights for iterative improvements and future pilot testing. The resulting 6-week program, led by youth facilitators, will focus on teaching mental, social, and physical wellness strategies and skills through various evidence-based, interactive activities.

摘要

背景:在新冠疫情期间,加拿大安大略省的青少年心理健康问题急剧增加。预防性干预项目可以解决疫情对青少年的心理影响,并培养复原力。共同设计此类项目的方法积极让年轻人参与其中,从而产生符合他们独特需求的解决方案。本文详细介绍了创建青少年预防性在线心理健康项目(POMHPY)的共同设计方法——这是一个为安大略省12至25岁青少年提供的虚拟项目,旨在促进心理、身体和社会福祉。 方法:参与式行动研究(PAR)框架指导了该项目的开展。进行了文献综述,以确定现有的针对青少年的循证项目。青少年的观点主要通过青少年咨询小组收集,该小组由一名青少年复原力协调员和一名青少年参与负责人组成,他们参与了文献综述、调查、焦点小组讨论和项目资源准备。通过社区参考小组(CRG)会议收集社区见解,该会议邀请了来自地方和省级组织的参与者,以及直接代表青少年或与青少年有间接关联的个人。 结果:对当前文献的综述强调了定期体育活动、社交联系、良好的睡眠卫生习惯和健康的家庭关系对情绪健康的重要性。调查结果为项目课程时长、持续时间、授课方式和活动提供了参考。焦点小组讨论扩展了调查结果,并深入了解了青少年对项目授课方式的偏好。CRG会议收集了社区对项目改进的见解,以更好地满足青少年的需求。因此,POMHPY的开发是研究人员、青少年和社区合作伙伴共同努力的结果。 结论:研究结果凸显了共同设计和基于PAR的方法在开发针对青少年的在线福祉项目中的价值,为迭代改进和未来的试点测试提供了可操作的见解。由此产生的为期6周的项目将由青少年辅导员主导,通过各种基于证据的互动活动,专注于教授心理、社交和身体保健策略及技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/73ba28b2f97f/12913_2024_12101_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/728777445899/12913_2024_12101_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/93a77cb3f1b4/12913_2024_12101_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/73ba28b2f97f/12913_2024_12101_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/728777445899/12913_2024_12101_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/93a77cb3f1b4/12913_2024_12101_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cf/11806559/73ba28b2f97f/12913_2024_12101_Fig3_HTML.jpg

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引用本文的文献

[1]
Institutional priorities and student engagement: a multi-stakeholder analysis of physical education in Israel.

Front Sports Act Living. 2025-8-1

[2]
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本文引用的文献

[1]
Youth Are the Experts! Youth Participatory Action Research to Address the Adolescent Mental Health Crisis.

Healthcare (Basel). 2024-3-5

[2]
Co-design of digital health interventions with young people: A scoping review.

Digit Health. 2023-12-11

[3]
Potentials and challenges of using co-design in health services research in low- and middle-income countries.

Glob Health Res Policy. 2023-3-13

[4]
Review: Can digital mental health interventions bridge the 'digital divide' for socioeconomically and digitally marginalised youth? A systematic review.

Child Adolesc Ment Health. 2023-2

[5]
Systematic Review of Mindfulness-Based Interventions in Child-Adolescent Population: A Developmental Perspective.

Eur J Investig Health Psychol Educ. 2022-8-22

[6]
Youth Wellness Hubs Ontario: Development and initial implementation of integrated youth services in Ontario, Canada.

Early Interv Psychiatry. 2023-1

[7]
Intersectionality in pandemic youth suicide attempt trends.

Suicide Life Threat Behav. 2022-10

[8]
Co-creation, co-design, co-production for public health - a perspective on definition and distinctions.

Public Health Res Pract. 2022-6-15

[9]
Researchers' Perspectives on Digital Mental Health Intervention Co-Design With Marginalized Community Stakeholder Youth and Families.

Front Psychiatry. 2022-4-22

[10]
Mapping definitions of co-production and co-design in health and social care: A systematic scoping review providing lessons for the future.

Health Expect. 2022-6

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