青少年和青年抑郁、焦虑及压力的数字心理健康干预措施的促进因素与障碍：范围综述

Facilitators and Barriers to Digital Mental Health Interventions for Depression, Anxiety, and Stress in Adolescents and Young Adults: Scoping Review.

作者信息

Zhu Shimin, Wang Yongyi, Hu Yuxi

机构信息

Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong SAR, China (Hong Kong).

Mental Health Research Centre, The Hong Kong Polytechnic University, Hong Kong SAR, China, Hong Kong SAR, China (Hong Kong).

出版信息

J Med Internet Res. 2025 Mar 24;27:e62870. doi: 10.2196/62870.

DOI:10.2196/62870

PMID:40127430

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11988281/

Abstract

BACKGROUND

Digital mental health interventions (DMHIs) offer unique strengths as emerging services with practical applications for adolescents and young adults (AYAs) experiencing depression, anxiety, and stress. Although promising, acceptance and participation in DMHIs vary across interventions, participants, and contexts. It is essential to delineate and synthesize the factors that promote or hinder DMHI use.

OBJECTIVE

This review aims to assess and synthesize the facilitators and barriers to accessing DMHIs for depression, anxiety, and stress in AYAs through a scoping review.

METHODS

A comprehensive search was conducted across multiple databases, including PubMed, Web of Science, PsycINFO, CNKI, OpenGrey, and APA PsycExtra, up to October 31, 2023. Articles examining facilitators and barriers to DMHIs among AYAs with disorders or symptoms of depression, anxiety, and stress were included. Data synthesis and analysis involved quality assessment, thematic analysis, and relative frequency meta-analysis.

RESULTS

A total of 27 records met the eligibility criteria, and 14 facilitators and 13 barriers were identified across the external, intervention, and individual levels. The relative frequency meta-analysis indicated that factors influencing AYAs' use of DMHIs varied based on delivery modes. Among these factors, "quality and effect" emerged as the predominant theme-high quality and effect served as the primary facilitator, while low quality and effect acted as a barrier across both portable and nonportable devices, as well as single and multiple platforms.

CONCLUSIONS

The uptake of DMHIs among AYAs is influenced by a complex interplay of facilitators and barriers, particularly those related to quality and effect. Our syntheses provide crucial guidance for intervention designers, emphasizing the importance of user-centered approaches that balance scientific rigor with engaging and adaptive features. Enhancing the alignment of DMHIs with adolescent needs can improve both adoption and real-world mental health impact.

TRIAL REGISTRATION

PROSPERO CRD42023479880; https://www.crd.york.ac.uk/PROSPERO/view/CRD42023479880.

摘要

背景

数字心理健康干预措施（DMHIs）作为新兴服务具有独特优势，对患有抑郁症、焦虑症和压力症的青少年和青年（AYAs）具有实际应用价值。尽管前景广阔，但不同干预措施、参与者和环境下，DMHIs的接受度和参与度各不相同。明确并综合促进或阻碍DMHIs使用的因素至关重要。

目的

本综述旨在通过范围综述评估和综合影响AYAs使用DMHIs治疗抑郁症、焦虑症和压力症的促进因素和障碍。

方法

截至2023年10月31日，在多个数据库中进行了全面检索，包括PubMed、科学网、PsycINFO、中国知网、OpenGrey和美国心理学会心理学文摘数据库。纳入研究AYAs中抑郁症、焦虑症和压力症患者或有相关症状者使用DMHIs的促进因素和障碍的文章。数据综合与分析包括质量评估、主题分析和相对频率荟萃分析。

结果

共有27条记录符合纳入标准，在外部、干预和个体层面共识别出14个促进因素和13个障碍因素。相对频率荟萃分析表明，影响AYAs使用DMHIs的因素因交付模式而异。在这些因素中，“质量和效果”成为主要主题——高质量和效果是主要促进因素，而低质量和效果在便携式和非便携式设备以及单平台和多平台上均构成障碍。

结论

AYAs对DMHIs的接受程度受到促进因素和障碍因素复杂相互作用的影响，尤其是与质量和效果相关的因素。我们的综合分析为干预设计者提供了关键指导强调了以用户为中心的方法的重要性，这种方法要在科学严谨性与引人入胜和适应性特征之间取得平衡。提高DMHIs与青少年需求的契合度可以提高其采用率和对现实世界心理健康的影响。